Ligamentotomy is a surgical procedure for the isolation of the suspensory ligament of the penis, which leads to an increase in the length of the organ. It is carried out only according to the indications and the main thing is that the length of the penis is less than 12 cm at the time of stimulation.
The surgeon can make an incision in the scrotum or along the pubis, but the first option is considered less dangerous. During recovery, you need to wear an extender every day - a special device to, in fact, lengthen the penis. Final results can only be evaluated 6-10 months after surgery.
The cost of a ligamentotomy ranges from $330-2800 and depends on the clinic's pricing policy, services provided and the man's provision 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 noted an increase in the penis of 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 always use an extender during the recovery period - the organ is stretched only after 6-10 months.
Instructions for use
Ligamentotomy was performed at the man's request; the main indication for manipulation is the length of the penis up to 12 cm in the state of peak sexual arousal. This problem is most often associated with the anatomical features of the structure of the congenital organ - the micropenis. But there are other direct indications for suspensory ligament isolation:
- progressive cavernous fibrosis (corpuscles of the penile cavern are replaced by connective tissue);
- suffer an injury that leads to a decrease in the length of the penis;
- diagnosed Klinefelter and Kallman syndrome of hereditary origin;
- incorrect location of urethral opening (hypospadias);
- 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;
- penis size more than 12 cm in an excited state;
- skin pathology with localization of symptoms in the perineum, groin;
- instability of the psycho-emotional background (this condition must be confirmed by a psychotherapist).
The surgeon refused to operate even though the penis length was 12 cm and did not bring physiological satisfaction, while the psychological satisfaction was at the appropriate level.
Infectious diseases and skin lesions are considered conditional contraindications. The doctor will first conduct a course of therapy, achieve complete recovery or introduce a chronic form of the pathology to a stable remission stage, and only after that 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 size by 3-5 cm, but the result may be less "extraordinary". To achieve the desired effect, a man must strictly adhere to all the recommendations of the doctor:
- undergoing full preparation - taking tests, examination by a cardiologist and andrologist, visiting a psychotherapist, etc. ;
- treating wounds during the recovery period;
- refusing sexual intercourse for a certain period;
- often use an extender - a tool to stretch 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 also guarantee maximum results.
Advantages and disadvantages of ligamentotomy surgery
Ligamentotomy surgery has its advantages:
- the safety of the procedure, because it is not the reconstruction of the penis, but its plastic surgery;
- the use of local anesthesia instead of general anesthesia during the operation;
- less possibility of complications and side effects;
- no need to implant a support device into the penis;
- the ability to immediately increase the width of the penis during manipulation;
- durability of the results.
But some experts are absolutely against ligamentotomy, because it has many disadvantages: the cost of the surgeon's work is too high, the need to abstain from sexual intercourse for several weeks (sometimes months), the high probability of bleeding already in recovery. period, a long recovery before getting the desired results.
Preparation for penis enlargement with ligamentotomy
Before penis enlargement using ligamentotomy is prescribed, the patient must undergo preparation and first be examined to identify contraindications; the following is set:
- general urinalysis, bacterial culture;
- biochemical and general blood tests;
- allergy tests to determine the body's response to antibiotics;
- ultrasound examination of the pelvic organs;
- electrocardiogram, blood pressure control;
- chest x-ray.
In addition, a man must visit a psychologist so that the specialist can identify mental abnormalities - 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 scheduled intervention date;
- stop eating and drinking 6 hours before surgery;
- excluding any medication from the anticoagulant group 3 days before ligamentotomy;
- shaving the groin area;
- shower in the morning before the intervention.
How is penile lengthening done with ligamentotomy?
Lengthening of the penis during ligamentotomy is carried out according to a clear algorithm:
- The man was placed on the couch.
- The anesthetist does his job - provides spinal anesthesia.
- The patient's condition is monitored - whether 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 and feels the connective ligament with his finger 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.
Often, the standard course of operation changes if a simultaneous increase in the width of the penis is required. In addition, the doctor can use different types of ligament isolation - through the pubis or the scrotum.
Removal in the scrotal area
Features of ligamentotomy with isolation in the scrotal area:
- the surgeon cuts the top of the seminal vesicle and immediately pushes out the soft tissue;
- After one incision, the doctor has access to the entire apparatus of the ligament;
- cruciate sling ligament;
- the suspensory ligament is cut.
This method of manipulation is considered the safest, and it also has clear advantages:
- The doctor's working time is reduced to 10 minutes (in some cases - up to 20 minutes);
- no scars after complete recovery;
- soft tissue trauma is minimized;
- After surgery, the patient almost does not feel pain.
Removal in the scrotal area makes it possible to perform a ligamentotomy for overweight men - the standard operation is not performed if there is a large amount of adipose tissue.
Surgery in the genital area
This method is considered classic; the doctor makes an incision in the pubis, which makes the work easier - an open field for free isolation and isolation of the suspensory ligament. But ligamentotomy in the genital area has many disadvantages:
- even after complete recovery, a large scar remains on the pubis, which later turns into a rough scar;
- soft tissue is severely injured, and this increases the recovery period;
- it is impossible to perform an operation on men with a large amount of adipose tissue;
- after the procedure, the penis cannot take a straight up position at the moment of arousal due to tissue compression by the scar.
Surgery to increase the length of the penis with surgery in the genital area lasts at least 60 minutes.
Recovery after endoscopic ligamentotomy
Endoscopic ligamentotomy involves a long recovery period, during which:
- wear an extender - a special device that can be worn only on the second day after surgery;
- compliance with the duration of wearing the extender - the first day no more than 2 hours in a row, gradually increasing this figure to 8 hours;
- you need to abstain from sexual intercourse for at least 2 weeks;
- you should strictly follow the rules of personal hygiene to avoid infection;
- patients should visit the doctor regularly to monitor recovery;
- change the dressing on the surgical wound three times a day.
A man is absolutely forbidden to use ointments, creams and any medicine not prescribed by the attending physician on the stitches. The patient should refrain from physical activity for 4 weeks, then it should be very moderate.
Possible complications
The most common complications after ligamentotomy are:
- changes in male sexual abilities - surgeons are solely to blame for this;
- the presence of severe pain during the recovery period;
- swelling and hematoma in the perineal area, which disappears on its own 4-6 days after surgery;
- infection of the operating area;
- bleeding - fault falls on patients who do not comply with the rules of recovery.
If an infectious agent is introduced into the surgical wound, then the process of suppuration, the formation of adhesions, and the development of inflammation in the testicular tissue and its appendages (orchiepididymitis) are possible.
Implications for patients
Patients can evaluate the final results of ligamentotomy only 6-10 months after the operation, when the course of wearing the extender ends and the improvement reaches its maximum. Usually the length of the penis increases by 2-7 cm, it all depends on the individual characteristics of the male body and the anatomical characteristics of the structure of the penis. But almost every patient claims an improvement in the quality of sexual life.
Ligamentotomy is the most effective method to increase the length of the penis, which involves surgery and a long recovery period. If the patient follows the doctor's recommendations strictly and uses the extender correctly, the results will definitely be positive.