Ligamentotomy is a surgical procedure aimed at excision of the suspensory ligament of the penis, which results in an increase in the length of the organ. It is carried out only according to indications and the main thing is that the length of the penis is less than 12 cm at the time of arousal.
The surgeon can make an incision in the scrotum or along the pubis, but the first option is considered the least dangerous. During rehabilitation, you need to wear an extender daily - a special device that actually allows you to lengthen the penis. The final results can only be evaluated 6 to 10 months after surgery.
The cost of ligamentotomy ranges from $330 to $2, 800 and depends on the pricing policy of the clinic, the services provided and whether the man is provided with an extension cord.
Ligamentotomy: what is it?
Ligamentotomy is an operation aimed at increasing the length of the penis, the essence of which is the excision of the suspensory ligament. In almost all cases, men note an increase in the penis by at least 2 cm in length, but such surgical intervention is not suitable for everyone - there are clear contraindications.
The operation itself does not lead to an immediate increase in the length of the penis, the patient must constantly use an extender during the rehabilitation period - the organ is stretched only after 6-10 months.
Indications for use
Ligamentotomy is performed at the request of the man, the main indication for manipulation is the length of the penis up to 12 cm in a state of maximum sexual arousal. This problem is most often associated with the anatomical features of the structure of a congenital organ - the micropenis. But there are other direct indications for excision of the suspensory ligament:
- progressive cavernous fibrosis (the cavernous corpuscles of the penis are replaced by connective tissue);
- suffered injuries that resulted in a decrease in the length of the penis;
- diagnosis of Klinefelter and Kallman syndromes of hereditary origin;
- incorrect location of the urethral opening (hypospadias);
- complete or partial division of the upper wall of the urethra (epispadias);
- Peyronie's disease, which is a severe curvature of the penis.
Contraindications
Ligamentotomy has clear medical contraindications for:
- infectious diseases of the genitourinary system;
- penis size is more than 12 cm in aroused state;
- skin pathologies with localization of symptoms in the perineum and groin;
- instability of the psycho-emotional background (this condition must be confirmed by a psychotherapist).
Surgeons refuse to perform an operation even if the length of the penis is 12 cm and does not bring physiological satisfaction, although psychological satisfaction is at the right level.
Infectious diseases and skin lesions are considered conditional contraindications. Doctors will first undergo treatment, achieve complete recovery or introduce the chronic form of the pathology into a stage of stable remission, and only after that the man can be allowed to undergo surgery.
What results can we expect before and after a ligamentotomy?
Before and after ligamentotomy, the penis looks dramatically different – it usually increases in size by 3-5cm, but the result may be less "outstanding". To achieve the desired effect, a man must strictly follow all the recommendations of doctors:
- undergo comprehensive preparation - take tests, examination by a cardiologist and andrologist, consult a psychotherapist, etc.
- treat the wound during the rehabilitation period;
- refusing sex for a certain period of time;
- regularly use an extender - a device for stretching the penis.
Ligamentotomy: price
The price of ligamentotomy surgery is quite high, which is a significant disadvantage of the method of increasing penis length, but it is also considered the most effective; in some clinics, they even guarantee the maximum result.
Advantages and Disadvantages of Ligamentotomy Surgery
The ligamentotomy operation has its advantages:
- the safety of the intervention, because it is not a reconstruction of the penis, but its plastic surgery;
- the use of local anesthesia rather than general anesthesia during surgery;
- minimal likelihood of complications and side effects;
- no need to implant support devices in the penis;
- the possibility of immediately increasing the width of the penis during manipulation;
- sustainability of the result.
But some experts are categorically against ligamentotomy, because it has many disadvantages: the cost of the surgeon's work is too high, the need to abstain from sexual relations for several weeks (sometimes months), a high probability of bleeding alreadyin rehabilitation. period, long recovery before achieving the desired result.
Preparing for penis enlargement with ligamentotomy
Before prescribing penile enlargement by ligamentotomy, the patient must undergo preparation and first of all be examined to identify contraindications; are prescribed:
- general urine analysis, bacterial culture;
- biochemical and general blood tests;
- allergy test to determine the body's reaction to antibiotics;
- ultrasound examination of the pelvic organs;
- electrocardiogram, blood pressure monitoring;
- pulmonary radiography.
In addition, a man should consult a psychologist so that the specialist can identify mental abnormalities - they are an absolute contraindication to manipulation.
Also, as part of the preparatory period, a man is prescribed:
- stop consuming alcoholic beverages at least 24 hours before the scheduled date of the procedure;
- stop eating and drinking 6 hours before surgery;
- exclude any medication from the anticoagulant group 3 days before ligamentotomy;
- shave the groin area;
- take a shower in the morning before the procedure.
How is penis lengthening performed by ligamentotomy?
Penile lengthening during ligamentotomy is carried out according to a clear algorithm:
- The man is lying on the sofa.
- The anesthesiologist does his job - performs spinal anesthesia.
- The patient's condition is monitored - if there is nausea or vomiting, blood pressure is measured and sensitivity in the area below the lumbar region is checked.
- The surgeon makes an incision, palpates the connective ligament with his fingers and immediately cuts it with a scalpel.
- Use your fingers to stretch the penis to the maximum possible length (individual indicator).
- The incision is sutured and a sterile dressing is applied to the surgical wound.
Most often, the standard course of the operation changes if a simultaneous increase in the width of the penis is required. Additionally, the doctor can use different types of ligament excision - through the pubis or scrotum.
Excision in the scrotal area
Features of excision ligamentotomy in the scrotal area:
- the surgeon cuts the upper part of the seminal sac and immediately separates the soft tissues;
- After an incision, the doctor has access to the entire ligamentous system;
- the sling ligament is crossed;
- the suspensory ligament is excised.
This method of handling is considered the safest and also has obvious advantages:
- The doctor's working time is reduced to 10 minutes (in some cases – up to 20 minutes);
- there is no scar after complete rehabilitation;
- soft tissue trauma is minimized;
- After the operation, the patient feels almost no pain.
Excision in the scrotal area made it possible to perform ligamentotomy in overweight men - a standard operation is not performed if there is a large amount of fatty tissue.
Dissection in the pubic area
This method is considered classic, the doctor makes an incision on the pubis, which facilitates his work - a field opens for free isolation and excision of the suspensory ligament. But ligamentotomy in the pubic region has many disadvantages:
- even after complete rehabilitation, large scars remain on the pubis, which subsequently turn into rough scars;
- soft tissues are seriously injured, which increases the rehabilitation period;
- it is impossible to perform the operation on men with a large amount of fatty tissue;
- After the procedure, the penis cannot take the exact upward position at the time of arousal due to tissue compression by the scar.
The operation to increase the length of the penis with dissection of the pubic area lasts at least 60 minutes.
Recovery after endoscopic ligamentotomy
Endoscopic ligamentotomy involves a long rehabilitation period, during which:
- wear an extender - a special device that can only be worn on the second day after surgery;
- compliance with the duration of wearing the extension - the first days no more than 2 hours in a row, gradually increase this figure up to 8 hours;
- you must abstain from sexual intercourse for at least 2 weeks;
- you must strictly follow the rules of personal hygiene to avoid infection;
- the patient should visit the doctor regularly to monitor his or her recovery;
- change the surgical wound dressing three times a day.
It is strictly forbidden for a man to apply ointments, creams and any medications not prescribed by the attending physician to the stitches. The patient should refrain from all physical activity for 4 weeks, then it should be extremely moderate.
Possible complications
The most common complications after ligamentotomy are:
- changes in a man's sexual abilities – the surgeon is solely responsible for this;
- the presence of severe pain during the recovery period;
- swelling and hematomas of the perineal region, which disappear on their own 4-6 days after surgery;
- infection of the operating area;
- bleeding - the fault lies with the patient who does not follow the rules of rehabilitation.
If an infectious agent is introduced into the surgical wound, then the process of suppuration, the formation of adhesions and the progression of inflammation in the tissues of the testicles and its appendages (orchiepididymitis) are possible.
Effect for patients
The patient can evaluate the final result of the ligamentotomy only 6-10 months after the operation, when the wearing of the expander ends and the increase reaches its maximum. Usually the length of the penis increases from 2 to 7 cm, it all depends on the individual characteristics of the man's body and the anatomical features of the structure of the penis. But almost all patients claim an improvement in the quality of sexual life.
Ligamentotomy is the most effective method of increasing penis length, which involves surgery and a long rehabilitation period. If the patient strictly follows the doctor's recommendations and uses the extender correctly, the results will definitely be positive.