Ligamentotomy is a surgical procedure for excision of the penile suspensory ligament, leading to 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 at the time of arousal is less than 12 cm.
The surgeon can make an incision in the scrotum or along the pubis, but the first option is considered less dangerous. During rehabilitation, it is necessary to use an extender every day - a special device to, in fact, lengthen the penis. The final results can only be evaluated between 6 and 10 months after surgery.
The cost of ligamentotomy ranges from $330 to $2, 800 and depends on the clinic's pricing policy, the services provided, and the provision of the extender to the man.
Ligamentotomy: what is it?
Ligamentotomy is an operation to increase the length of the penis, the essence of which is the excision of the suspensory ligament. In almost all cases, men notice an increase in the penis of at least 2 cm in length, but this surgical intervention is not suitable for everyone: there are clear contraindications.
The operation itself does not lead to an immediate increase in penis length; the patient must constantly use an extender during the rehabilitation period; the organ stretches itself after 6 to 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 the 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 (cavernous corpuscles of the penis are replaced by connective tissue);
- suffered injuries that caused a decrease in penile length;
- diagnosed with Klinefelter and Kallman syndromes of hereditary origin;
- incorrect location of the urethral opening (hypospadias);
- total 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;
- the size of the penis measures more than 12 cm in a state of arousal;
- skin pathologies with localization of symptoms in the perineum, groin;
- instability of the psycho-emotional background (this condition must be confirmed by a psychotherapist).
Surgeons refuse to perform an operation even if the penis length is 12 cm and does not bring physiological satisfaction, while psychological satisfaction is at the appropriate level.
Infectious diseases and skin lesions are considered conditional contraindications. Doctors will first conduct a course of therapy, achieve complete recovery or introduce the chronic form of pathology into a stage of stable remission, and only after that the man will be allowed to undergo surgery.
What results can you expect before and after ligamentotomy?
Before and after ligamentotomy, the penis looks radically different; There is usually an increase in its size of 3 to 5 cm, but the result may be less "prominent". To achieve the desired effect, a man must strictly follow all doctors' recommendations:
- undergo full preparation: taking tests, examination by a cardiologist and andrologist, visiting a psychotherapist, etc.
- treat the wound during the rehabilitation period;
- refuse sexual relations for a certain period;
- Regularly use an extender, a device for stretching the penis.
Ligamentotomy: price
The price of ligamentotomy surgery is quite high, and this is a significant disadvantage of the method of increasing the length of the penis, but it is also considered the most effective, in some clinics they even guarantee the maximum result.
Pros and cons of ligamentotomy surgery
The ligamentotomy operation has its advantages:
- the safety of the procedure, because it is not penis reconstruction, but plastic surgery;
- the use of local anesthesia instead of general anesthesia during the operation;
- minimal probability of complications and side effects;
- no need to implant support devices in the penis;
- the ability to immediately increase the width of the penis during manipulation;
- durability 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 already in rehabilitation. period, long recovery before getting the desired result.
Preparation for penis enlargement with ligamentotomy.
Before prescribing penis enlargement by ligamentotomy, the patient must undergo preparation and, first of all, be examined to identify contraindications; the following are prescribed:
- general urinalysis, 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;
- chest x-ray.
Also, a man should visit a psychologist so that the specialist can identify mental abnormalities; They are an absolute contraindication for manipulation.
Additionally, as part of the preparatory period, the man is prescribed:
- stop consuming alcoholic beverages at least 24 hours before the planned date of intervention;
- stop eating and drinking 6 hours before surgery;
- exclude any medications from the anticoagulant group 3 days before ligamentotomy;
- shaving the groin area;
- Shower in the morning before the intervention.
How is penis lengthening with ligamentotomy performed?
Penis lengthening during ligamentotomy is performed according to a clear algorithm:
- The man is placed on the sofa.
- The anesthesiologist does his job: he administers spinal anesthesia.
- The patient's condition is monitored: if there is nausea or vomiting, blood pressure is measured and the sensitivity in the area under the lumbar region is monitored.
- The surgeon makes an incision and feels 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 gauge).
- The incision is sutured and a sterile dressing is applied to the surgical wound.
Most often, the standard course of operation changes if a simultaneous increase in the width of the penis is required. Additionally, the doctor may use different types of ligament excision, through the pubis or the scrotum.
Excision in the scrotal area.
Features of excision ligamentotomy in the scrotal area:
- The surgeon cuts the top of the seminal sac and immediately separates the soft tissue;
- After an incision, the doctor has access to the entire ligamentous apparatus;
- sling ligament is crossed;
- the suspensory ligament is removed.
This method of manipulation is considered the safest and also has clear advantages:
- The doctor's working time is reduced to 10 minutes (in some cases, up to 20 minutes);
- no scar remains after complete rehabilitation;
- soft tissue trauma is minimized;
- After the operation, the patient feels practically no pain.
Excision in the scrotal area made it possible to perform a ligamentotomy in overweight men; A standard operation is not performed if there is a large amount of adipose tissue.
Dissection in the pubic area.
This method is considered classic; The doctor makes an incision in the pubis, which facilitates his work: a field opens for free isolation and excision of the suspensory ligament. But ligamentotomy in the pubic area has many disadvantages:
- even after complete rehabilitation, large scars remain on the pubis, which later transform into rough scars;
- soft tissues are severely injured and this increases the rehabilitation period;
- it is impossible to perform the operation in men with a large amount of adipose tissue;
- After the procedure, the penis cannot adopt 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 in the pubic area lasts at least 60 minutes.
Recovery after endoscopic ligamentotomy.
Endoscopic ligamentotomy involves a long rehabilitation period, during which:
- use an extender - a special device that can only be used on the second day after surgery;
- compliance with the duration of use of the extender: the first days - no more than 2 hours in a row, gradually increase this figure to 8 hours;
- it is necessary to abstain from sexual relations for at least 2 weeks;
- personal hygiene rules must be strictly observed to avoid infections;
- The patient should visit the doctor periodically to monitor her recovery;
- Change the surgical wound dressing three times a day.
A man is strictly prohibited from applying ointments, creams and any medications not prescribed by the attending physician to the points. The patient should abstain from 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 capabilities; the surgeon is the only one to blame for this;
- the presence of severe pain during the recovery period;
- swelling and bruising in the perineal area, which disappear on their own 4-6 days after surgery;
- infection of the surgical area;
- bleeding - the blame lies with the patient who does not comply with the rehabilitation rules.
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 their appendages (epididymitis) are possible.
Effect for patients
The patient can evaluate the final result of ligamentotomy only 6-10 months after the operation, when the cycle of use of the extensor ends and the increase reaches its maximum. Usually the length of the penis increases by 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 to have improved their quality of sexual life.
Ligamentotomy is the most effective method to increase penile 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.