Patients choose this type of surgery for a variety of reasons. Some people want to increase the size of their penis to improve their sex life. Others do it as a way to boost their self-confidence, which then leads to additional benefits in other areas of their lives. For some it is a medical necessity, and for others it is a form of cosmetic surgery.
Ligamentotomy (alternative names: penile lengthening, penile lengthening) is a surgical operation to cut the suspensory ligament of the penis. This surgery aims to enlarge the visible part of the penis.
The essence of the operation is as follows: in normal life, only the outer part of the scrotal body, which we see visually, takes part in an erection. However, there is also the perineal part of the cavernous body of the penis, which visually does not participate in the erection, because it is kept from enlargement by strong ligaments. Crossing the penile ligament allows the perineal part of the cavernous body to participate in the erection, which significantly increases the length of the penis and increases its blood supply.
When is a ligamentotomy really necessary?
Penis enlargement surgery is suitable for many types of patients and conditions. If you suffer from small penis syndrome, curved penis, hidden penis, or have suffered a penile injury, then this procedure can help increase the size of the penis. Some people choose penis enlargement for personal or aesthetic reasons rather than medical reasons, which is why it is also available as cosmetic surgery.
Indications for ligamentotomy:
There are 2 groups of indications for surgery to lengthen the penis:
Medical indications:
- Peyronie's disease, where there may be significant deformation of the penis with a decrease in length;
- Cavernous fibrosis;
- "Hidden" penis or, as it is also called, micropenis.
Aesthetic cues:
- A man's desire to increase his attractiveness;
- A man's desire to increase self-esteem;
- Penile dysmorphophobia is a general dissatisfaction with the appearance, shape or size of one's penis.
The lower limit of the average size of the penis in an erect state is considered to be 12 cm in length. A size of less than 12 cm can be considered as a reason for this operation.
How much can you enlarge your penis?
After crossing the ligament, the length of the penis during erection increases by 2-3 cm. The result should be guaranteed by actively wearing the extender for a month after the operation for 2-3 hours a day and passive traction all the time. To achieve the maximum effect, the period of wearing the extender is not limited, because after crossing the ligament, nothing prevents the stretching of the body of the cave.
How to lengthen the penis through ligamentotomy:
The operation is performed under anesthesia. A skin incision is made in the middle of the scrotum, through this incision the surgeon gains access to the suspensory ligament of the penis, which is cut. Absorbable sutures are placed on the skin of the scrotum.
Preoperative preparation consists of undergoing a simple examination, including:
- Consultation with a urologist;
- Clinical and biochemical blood tests;
- Blood for HIV, syphilis and hepatitis;
- ECG;
- Consultation with an anesthesiologist.
How is penis enlargement surgery performed?
- 5-7 days before surgery, the patient undergoes a preoperative examination; hospitalization occurs on the day of surgery;
- Anesthesia - intravenous or spinal;
- The doctor makes a skin incision along the scrotal suture (2-3 cm) with access to the penile ligament and cuts it. A vacuum drain was placed, which was removed after 12 hours, and an intradermal absorbable cosmetic suture was used. Operating time - 20 minutes;
- The next morning - drain removal, learn to wear an extender, come home to a fiery house.
Duration of penis enlargement surgery
The operation usually takes from 20 to 30 minutes.
If the "invisible" transscrotal ligamentotomy does not bring the expected result due to poor stretching of the suprapubic skin with an extender, you can supplement the already performed ligamentotomy with transverse-longitudinal minimally invasive skin plasty in the suprapubic area, which will add an additional 2-3 cm to the operationthat was done. In total, based on the results of two stages, you can get +5-6 centimeters.
What is the recovery period after a ligamentotomy?
Stitches heal in 5-7 days. Before discharge, the patient underwent a consultation with a urologist, where he was explained the need to wear an extender for 3-4 months. The next recovery involves the use of an extender. Patients are behind the wheel or back to work in 2-3 days. Return to sexual activity in a month.
What are the results of a ligamentotomy?
As a rule, the operation adds +2-3 cm in the upright position. In a calm state, in a cold state - minus 2 cm due to the lack of ligaments.
Full results - within 4-6 months. : there is a significant increase in length, an increase in the volume of the head of the penis due to the attachment of the vacuum extender, a longer erection even after ejaculation due to changes in the blood supply to the cavernous body.
Possible complications after penis enlargement surgery
Complications of ligamentotomy are extremely rare. The most common is bleeding and suppuration of stitches after surgery. The incidence of complications does not exceed 0. 1%.
Additional information
The potential to increase the size of the penis through ligamentotomy in combination with using an extender is 3-5 cm. Specific results depend on the individual characteristics of the patient's body - the size of the hidden part of the cavernous body, as well as the distensibility of blood vessels and urethra.
The effectiveness of ligamentotomy is much higher than other methods to increase the length of the penis. Folk methods for penis enlargement, such as the Jelq method, the Indian Sadhu technique, self-hypnosis, etc. , does not have any evidence base and is arguably ineffective.
Ligamentotomy in the clinic
Penis enlargement surgery is a serious matter for any man. For best results, choose an experienced professional affiliated with a major medical center.
The modern clinic is proud of its specialists: professional urologists have been successfully working with patients from all over the world for a long time. Their experience and state-of-the-art clinic equipment will allow you to spend minimal time to get rid of unaesthetic defects and return to normal life, looking at your reflection with pride!
We offer a full range of medical services:
- full consultation on the preparation and performance of plastic surgery, discussion of the chosen method and possible contraindications to the operation;
- all preoperative examinations - tests, examinations by specialized doctors, anesthetist services;
- perform surgery;
- inpatient support after surgery - observation by the attending physician, bandages, comfortable room with food;
- further consultation and rapid recovery program.
Price for ligamentotomy
Prices for ligamentotomy can vary widely. It depends on various factors and only a doctor can tell you the exact cost.