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To whom and how is ligamentotomy performed?

A man whose genitals are small can decide on a radical treatment method such as surgery.In this case, the best way to enlarge the penis is ligamentotomy, which you will learn in this article.

Ligamentotomy refers to a surgical procedure aimed at enlarging the male genital organs.This method is based on the junction of the supporting ligaments of the penis, which are located in the pelvis.After cutting it, the inside of the penis is extended to a distance of 3 to 5 cm.During operation, a device is used - an extender.

Indications for surgery

The main indication for ligamentotomy is a penis length of up to 12 cm during full arousal.The most common reason for a small penis is anatomical structure (congenital micropenis).But the operation is also performed in other cases:

  • reduction in size after injury;
  • Hypospadias, where the urethral opening is located incorrectly;
  • curvature of the penis (Peyronie's disease);
  • Epispadias (the upper wall of the urethra is completely or partially split);
  • replacement of organ cavernous bodies with connective tissue (cavernous fibrosis);
  • Hereditary diseases - Kallman or Klinefelter syndrome.

Pros and cons

Ligamentotomy has an alternative method to increase the size of the penis.For example:

  1. Using a vacuum pump.
  2. Wearing an extender is temporary.
  3. Special training.
  4. People's Recipes.
  5. Phallus prosthetic surgery (artificial implant installed).
  6. Lipofilling (biological material itself is introduced).
  7. Introduction of hyaluronic acid, gel or synthetic prosthesis into the genital organs.

Each method has its advantages and disadvantages, but none can be compared in effectiveness with ligamentotomy, because it has the following advantages:

  1. Unlike other surgical techniques, ligamentotomy is plastic surgery, not reconstruction, and is therefore considered a safer method.
  2. General anesthesia is excluded, which may be contraindicated for many men.Local anesthesia is used to reduce sensitivity.
  3. The main feature is that there is no need to insert or implant various devices into the genital organs - prostheses, pumps, gels, frames, etc., which can harm the body.But only the extender is "harmless" for the recovery period.
  4. Durability of effects and short recovery period after intervention.
  5. During the operation, it is possible to eliminate congenital and acquired defects, and increase the penis not only in length, but also in thickness.
  6. The number of adverse reactions is minimal.

Although the operation provides a 100% guarantee of penis enlargement, the final result may vary.For one man, the penis increases by 5 cm, and for another - only by 2. But the result largely depends on the anatomical structure of a particular organism.

Another disadvantage is the risk of infection, as well as the development of complications.But again, this depends on the patient's body and the surgeon's professionalism.

Preparation

This plastic surgery requires special preparation, which consists of a preliminary examination of the patient.For this, the following diagnostics are prescribed:

  • Blood collection for general analysis, level of biological fluid coagulation, presence of infection;
  • general urine collection to identify urinary bacteria and others;
  • chest fluorography and heart electrocardiogram;
  • tests to detect allergic reactions to anesthetics;
  • ultrasound examination of the pelvic organs;
  • consult a psychologist to detect abnormalities.

What the patient should do:

  • The day before surgery, do not take alcoholic beverages or medicine;
  • For three days do not take several groups of drugs (most often anticoagulants that prevent blood clotting);
  • 6 hours before surgery, do not eat or drink;
  • Carefully shave the groin area;
  • swim

Before surgery, the surgeon must inform the patient about the progress of the operation.Some doctors show drawn diagrams.

Carry out operations

The course of operation includes several stages:

  • The patient is placed on a sterile couch;
  • Spinal anesthesia is administered;
  • Monitor the body's response;
  • The surgeon makes a small incision;
  • Palpates the connective ligament;
  • contrast it with a scalpel;
  • with slow and careful movements, stretch the penis to the maximum length of the ligament (it is different for each person);
  • The incision is injected;
  • A bandage is used.

Ligamentotomy can be carried out according to standard methods, but in modern medicine, another type is used - with the introduction of adipose tissue into the cavity to increase the diameter of the penis.Also, plastic surgery differs according to the type of excision - through the scrotum or pubis.

Performing a Ligamentotomy - Enlargement of the Penis

Isolation in the scrotal area

This technique is considered the most modern and safe.If the initial access to the ligament was made through the pubis, now it is made through the scrotum, which opens up new possibilities:

  • Operating time is reduced to 10-20 minutes;
  • no scars;
  • decreased soft tissue trauma;
  • It becomes possible to perform surgical manipulations with a large amount of fat tissue;
  • Maximum pain after and during surgery.

Features of the procedure:

  • The skin is cut in the scrotal area (the upper part of the seminal sac), and after that the soft tissue is pulled;
  • Access to the ligamentous apparatus is opened;
  • The superficial sling ligament is channeled;
  • The suspensory ligament is highlighted;
  • Hemostasis is performed.

During scrotal expulsion, the surgeon pays attention to the mobilizing ligaments located next to the branch of the dorsal vein and the spermatic cord.

Surgery in the genital area

This is the first method of penis enlargement used.The distinctive features are as follows:

  • Expulsion is made in the genital area;
  • Large scars remain;
  • high degree of soft tissue trauma;
  • difficulty in operation if the patient is overweight;
  • long recovery period;
  • The scar that forms in many cases does not allow the penis to take a full upward direction.

Despite so many disadvantages for the patient, this method is considered easier for the surgeon, because after the incision in the genital area, full access to the ligamentous apparatus is available.

Duration and cost of operation

The duration of the surgical procedure depends on the type of operation.If the separation is done through the pubis, the time ranges from 50 minutes to an hour.For this type of scrotal operation, 10-20 minutes is enough.

Ligamentotomy is not performed in government institutions, but mainly in private clinics.The cost of the operation largely depends on the region, the level of qualifications of the surgeon and the clinic itself, as well as the type of surgical intervention.

Contraindications

Ligamentotomy is prohibited in the following cases:

  • if the size of the genital organ is larger than usual (12 cm);
  • In cases where the normal length of the phallus creates physical dissatisfaction, not psycho-emotional;
  • The operation should be postponed if there is a skin disease, because there is a risk of infection;
  • infectious diseases of the genitourinary system;
  • Mental instability confirmed by psychotherapy.

Consequences of the operation and possible complications

Ligamentotomy is a safe surgical procedure, but in some cases the following consequences occur:

  • inflammatory process under the skin in the area of isolation;
  • A painful relationship at first;
  • suture suppuration;
  • pain when urinating;
  • in the first month - decreased erection;
  • infection;
  • bleeding;
  • swelling;
  • decreased sensitivity;
  • scar formation;
  • tissue necrosis;
  • curvature of the penis;
  • deformation of the phallus;
  • Scrotal prolapse.

Complications arise for various reasons:

  • unprofessionalism of the surgeon;
  • lack of proper sterility during surgery;
  • non-compliance by the patient during the recovery period;
  • Using various means to speed up the healing process on your own (without consulting a doctor).

Restoration

Not only the quality of the operation affects the result, but also the actions of a person during the recovery period.

Consult with a doctor about recovery after penis enlargement using ligamentotomy

What is included in the recovery:

  1. Extenders can be placed only on the second day, not earlier.Wear time is only a few hours.As you recover, the duration of wearing the device increases gradually, reaching 8 hours.
  2. For 2 weeks, sexual intercourse of any kind is strictly prohibited.Intimacy should be allowed by the attending physician after the initial examination.Otherwise, various complications develop.
  3. After surgery, magnetic resonance imaging is needed to clarify its effectiveness.
  4. When the patient uses an expander, it is necessary to visit the doctor regularly for monitoring (the time of the visit is set by the doctor on an individual level).
  5. Particular attention is paid to intimate hygiene, which will prevent infection.
  6. Do not use ointments and creams on your own scars.
  7. Sterile dressings are changed three times a day.
  8. Physical activity is excluded.
  9. It is necessary to follow the rules of healthy eating.
  10. You should not drink alcohol or drugs.

Reviews

  • "I had a ligamentotomy 3 years ago through the pubis. The operation was successful, but I was left with an ugly scar, although it did not cause particular discomfort.
  • My wife and I have a problem in bed, my length is not enough for her, even in an upright position my length is 16 cm (seems normal) because there are no other problems, we decided to have an operation on me.We went to a private clinic.Done in 15 minutes.
  • I did a ligamentotomy, the price, of course, is not small, but it is worth it.Freely have sex.

If you decide to enlarge your penis, perform a ligamentotomy, which has many advantages.But before that, weigh all the pros and cons so you don't regret it later, and be sure to find a clinic where real professionals work.