A ligamentotomy is a surgical procedure to cut the suspensory ligament of the penis, resulting in an increase in the length of the organ. It is performed 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 less dangerous. During rehabilitation, you must wear an expander every day - a special device to actually lengthen the penis. The final results can be evaluated only 6-10 months after the operation.
The price of a ligamentotomy varies from $330-2800 and depends on the price policy of the clinic, the services provided and the provision of the man with an extender.
Ligamentotomy - what is it?
Ligamentotomy is an operation to increase the length of the penis, the essence of which is the cutting of the suspensory ligament. In almost every case, men notice an increase in the penis of at least 2 cm in length, but such a 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 expander during the rehabilitation period - the organ stretches only after 6-10 months.
Indications for use
Ligamentotomy is performed at the request of the man, as the main indication for manipulation is the length of the penis up to 12 cm in a state of peak 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 bodies of the penis are replaced by connective tissue);
- suffered injuries that led to a reduction in the length of the penis;
- diagnosed Klinefelter and Kallman syndromes of hereditary origin;
- incorrect location of the urethral opening (hypospadia);
- complete or partial splitting 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 is more than 12 cm in a state of excitement;
- 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 length of the penis is 12 cm and does not bring physiological satisfaction, while the psychological one is at the required level.
Infectious diseases and skin lesions are considered conditional contraindications. Doctors will first conduct a course of therapy, achieve a full recovery or introduce the chronic form of the pathology into a stage of stable remission, and only then the man can be allowed to undergo surgery.
What results can you expect before and after ligamentotomy?
Before and after ligamentotomy, the penis looks radically different - usually there is an increase in its size by 3-5 cm, but the result may be less "exceptional". To achieve the desired effect, a man must strictly follow all the recommendations of doctors:
- undergo full preparation - taking tests, examination by a cardiologist and andrologist, visit to a psychotherapist, etc. ;
- wound treatment during the rehabilitation period;
- refuse sexual contact for a certain period of time;
- regularly use an extender - a device for stretching the penis.
Ligamentotomy: cost
The cost of ligamentotomy is quite high, and this is a significant drawback of the method of increasing the length of the penis, but it is also considered the most effective, and in some clinics they even guarantee the maximum result.
Pros and cons of ligamentotomy
Ligamentotomy surgery has its advantages:
- the safety of the procedure, since 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 supporting 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, as there are 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 even in rehabilitation. period, long recovery before obtaining the desired result.
Preparation for penis enlargement with ligamentotomy
Before prescribing penile enlargement by ligamentotomy, the patient must be prepared and first of all examined to identify contraindications; the following are prescribed:
- general analysis of urine, 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 control;
- chest x-ray.
In addition, the man should visit a psychologist so that the specialist can identify mental deviations - they are an absolute contraindication for manipulation.
Also, as part of the preparatory period, a man is prescribed:
- stop drinking alcoholic beverages at least 24 hours before the planned intervention date;
- stop eating and drinking 6 hours before the operation;
- exclude all drugs from the group of anticoagulants 3 days before ligamentotomy;
- shave the groin area;
- shower the morning before the procedure.
How is penile lengthening with ligamentotomy performed?
Lengthening of the penis during ligamentotomy is carried out according to a clear algorithm:
- The man is placed on the sofa.
- The anesthesiologist does his job - gives spinal anesthesia.
- The patient's condition is monitored - whether there is nausea or vomiting, blood pressure is measured, sensitivity in the area below the lumbar region is checked.
- The surgeon makes an incision and feels the connective tissue 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 placed over the surgical wound.
Most often, the standard course of the operation is changed if it is necessary to increase the width of the penis at the same time. In addition, the doctor can use different types of excision of the ligament - through the pubis or the scrotum.
Excision in the scrotal area
Features of ligamentotomy by cutting in the area of the scrotum:
- the surgeon cuts off the top of the scrotum and immediately separates the soft tissues;
- After one incision, the doctor has access to the entire ligament apparatus;
- the sling ligament is cruciate;
- the suspensory ligament is excised.
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 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 a ligamentotomy in these overweight men - standard surgery is not performed if there is a large amount of fatty tissue.
Dissection in the pubic region
This method is considered classic, the doctor makes an incision on the pubis, which facilitates his work - a field is opened for free isolation and cutting of the suspensory ligament. But ligamentotomy in the pubic region 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 an operation on men with a large amount of adipose tissue;
- after the procedure, the penis cannot take the correct upward position at the moment of arousal due to compression of the scar tissue.
The operation to increase the length of the penis with dissection in the pubic region lasts at least 60 minutes.
Recovery after endoscopic ligamentotomy
Endoscopic ligamentotomy involves a long period of rehabilitation during which:
- wearing an expander - a special device that can be worn only on the second day after the operation;
- compliance with the duration of wearing the expander - the first days no more than 2 hours in a row, gradually increase this figure to 8 hours;
- you must refrain from intercourse for at least 2 weeks;
- you must strictly observe the rules of personal hygiene to avoid infection;
- the patient must regularly visit a doctor to monitor recovery;
- change the surgical wound dressing three times a day.
It is strictly forbidden for a man to apply ointments, creams and any medicines on the stitches that are not prescribed by the attending physician. The patient should refrain from physical activity for 4 weeks, after which 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 to blame for this;
- the presence of severe pain during the recovery period;
- swelling and hematomas in the perineal area, which disappear on their own 4-6 days after the operation;
- infection of the operating area;
- bleeding - the blame falls on the patient who does not follow the rules of rehabilitation.
If an infectious agent is introduced into the surgical wound, then a process of suppuration, formation of adhesions and progression of inflammation in the tissues of the testicles and its appendages (orchiepididymitis) is possible.
Effect on patients
The patient can appreciate the final result of the ligamentotomy only 6-10 months after the operation, when the course of wearing the expander is finished and the increase reaches its maximum. Usually the length of the penis increases by 2-7 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 every patient claims an improvement in the quality of their sex life.
Ligamentotomy is the most effective method to increase the length of the penis, which involves surgery and a long period of rehabilitation. If the patient strictly follows the doctor's recommendations and uses the extender correctly, the results will definitely be positive.