The penis has traditionally been seen as a symbol of male strength, so its size has always been a cause for concern for men. Many still believe that a large penis is the main sign of sexual and sexual superiority. Usually the length of the penis at rest varies from 7 to 13 cm, with an erection the length reaches 12-20 cm. If the size of the penis is less than 12 cm, it is considered a small penis, and if the length is less than 2-3 cm micropenis.
Insufficient length of the penis often leads to a decrease in a man's self-esteem, and in some cases to serious problems in intimate life (to the complete impossibility of sexual intercourse).
To solve this delicate problem, surgeons suggest performing a ligamentotomy - an operation to increase the length of the penis.
Penis enlargement in length includes two stages:
- Stage 1 - surgery (ligamentotomy). During the operation, the urologist cuts the supporting ligament of the penis.
- Stage 2 - use the extender for at least 2-3 hours a day for 4-6 months.
Indications
As a rule, the small penis does not impair function and does not lead to infertility. In such cases, the operation to enlarge the penis is performed exclusively at the request of the man and for aesthetic reasons. In the presence of abnormalities in the development of an organ (for example with a micropenis), a ligamentotomy is performed for medical reasons.
Contraindications
Penis lengthening surgery, like any surgical procedure, has a number of contraindications: bleeding disorders, cancer, diabetes, infectious and inflammatory processes in the body and others.
The possibility of surgical intervention is determined by the doctor based on the results of the preoperative examination.
Preparation for ligamentotomy
To exclude contraindications for surgery, it is necessary to undergo preoperative preparation (perhaps with us or at any convenient place for the patient):
- clinical blood test;
- general urine analysis;
- 4 mandatory tests (syphilis, HIV, hepatitis B, C);
- biochemical blood test (glucose, AST, ALT, creatinine, total bilirubin);
- coagulogram No. 1;
- ECG (before intravenous anesthesia for patients over 45 years of age or with chronic heart disease).
In some cases, additional expert advice may be needed (such as an endocrinologist if you suspect diabetes).
The course of the surgical intervention
The operation can be performed under local anesthesia or intravenous combined anesthesia. The second option is used much more often to rule out unpleasant sensations during ligamentotomy.
The essence of the operation is to lengthen the penis by dissecting the ligament and redistributing the length of the penis in the direction of increasing the hanging part.
During the operation, the surgeon cuts the suspension (supporting) ligament of the penis, whose function is to keep part of the penis inside the body. The operation can be performed by scrotal or pubic approach. The duration of all stages of the operation is usually from 30 to 60 minutes.
The result of the operation
As a result of ligamentotomy, the length of the hanging part of the penis increases by 3-5 cm. The end result depends on the anatomical features of the patient's body structure (the size of the latent part of the penis) and physiological properties (extensibility and elasticity of tissues). To achieve maximum results after surgery, it is necessary to wear an extender for 4-6 months for 2-3 hours a day.
Characteristics of the rehabilitation period
Penis lengthening surgery is considered minimally invasive, the patient is under the supervision of medical staff for several hours after surgery, after which he can leave the clinic on his own.
Before discharge, urologists give all the necessary recommendations for wearing an extender to improve the outcome of the operation, as well as care for the genitals, bandages and follow-up visits. The rehabilitation period after ligamentotomy is only 2-3 weeks. After this time, the wound heals completely and the postoperative suture becomes completely invisible.
Frequently Asked Questions in Plastic Surgery About Penis Enlargement Surgery:
How much does the length of the penis increase after ligamentotomy?
The end result of the operation directly depends on the anatomical and physiological characteristics of the man. After the operation and when wearing the extender daily (2-3 hours a day), the length of the penis increases by an average of 3-5 cm both at rest and in a state of sexual arousal.
How long will you have to abstain from sexual intercourse after the operation?
Due to tissue trauma, sexual intercourse can be painful for several days. Complete healing of the wound occurs after 2-3 weeks, after which the man can resume sexual intercourse.
Can reproductive problems occur after ligamentotomy?
After the operation there are no side effects in the form of impaired potency or male reproductive function, because when performing a ligamentotomy the surgeon does not affect the anatomical structures responsible for erection.
How much does a ligamentotomy cost?
The cost of ligamentotomy varies from clinic to clinic depending on various factors.
The total cost of penis enlargement consists of:
- Primary consultation with a urologist;
- Preoperative analyzes;
- Operation - Ligamentotomy;
- Anesthesia (local anesthesia or intravenous anesthesia);
- Extension cord (the patient buys himself, taking into account the recommendations of the urologist).
- Postoperative visit to the urologist (2-3 visits).
The final cost of penis enlargement surgery can only be told by a doctor after consultation and examination.