Patients choose this type of surgery for various reasons. Some people want to enlarge their penis to improve their sex life. Others do it to boost their confidence, which in turn leads to additional benefits in other areas of their lives. For some it is a medical necessity, for others it is a form of cosmetic surgery.
Ligamentotomy (alternative names: penile lengthening, penile lengthening) is a surgical procedure to cut the suspensory ligament of the penis. The aim of the operation is to enlarge the visible part of the penis.
The essence of the operation is this: in normal life, only the external part of the erectile tissue of the penis, which we see visually, takes part in erection. However, there is also a perineal section of the erectile tissue of the penis that does not visually participate in the erection because it is prevented from enlarging by strong ligaments. By crossing the penile ligaments, the perineal section of the erectile tissue can participate in the erection, which significantly increases the length of the penis and improves its blood supply.
When is a ligamentotomy really necessary?
Penile enlargement surgery is suitable for a wide range of patients and conditions. If you suffer from small penis syndrome, a curved penis, penile indentation, or have suffered a penile injury, the procedure can help enlarge the penis. Some people choose penis enlargement for personal or aesthetic rather than medical reasons, which is why it is also offered as cosmetic surgery.
Indications for ligamentotomy:
There are 2 groups of indications for penis enlargement surgery:
Medical indications:
- Peyronie's disease, in which there may be a pronounced deformation of the penis with a reduction in its length;
- cavernous fibrosis;
- "Hidden" penis or, as it is also called, micropenis.
Aesthetic indications:
- A man's desire to increase his attractiveness;
- A man's desire to increase his self-esteem;
- Penile dysmorphophobia is a general dissatisfaction with the appearance, shape or size of the penis.
The lower limit of the average erect penis size is 12 cm. A size of less than 12 cm can be considered a reason for this operation.
How much can you enlarge your penis?
After crossing the ligaments, the length of the penis increases by 2-3 cm during erection. The result should be secured by actively wearing the extender for a month after surgery for 2-3 hours a day and passive traction around the clock. In order to achieve maximum effect, the length of time the extender can be worn is not limited, because once the ligaments have been crossed, nothing stands in the way of stretching the erectile tissue.
How to lengthen the penis by ligamentotomy:
The operation is carried out under anesthesia. A skin incision is made in the middle of the scrotum, giving the surgeon access to the penile suspensory ligament, which is severed. Absorbable sutures are placed on the skin of the scrotum.
Preoperative preparation consists of a simple examination including:
- consultation with a urologist;
- Clinical and biochemical blood test;
- blood against HIV, syphilis and hepatitis;
- ECG;
- Consultation with an anesthesiologist.
How is penis enlargement surgery performed?
- 5-7 days before the operation, the patient undergoes a preoperative examination; You will be hospitalized on the day of the operation.
- Anesthesia – intravenous or spinal;
- The doctor makes an incision in the skin along the suture of the scrotum (2-3 cm) with access to the ligaments of the penis and cuts them. A vacuum drain is placed, which is removed after 12 hours, and an intradermal absorbable cosmetic suture is applied. operating time - 20 minutes;
- The next morning – drain removal, learning how to wear an extender, fiery farewell home.
Duration of penis enlargement surgery
The operation usually takes 20 to 30 minutes.
If the "invisible" transscrotal ligamentotomy did not bring the expected result due to poor stretching of the suprapubic skin with an extender, you can supplement the already performed ligamentotomy with a transverse-longitudinal minimally invasive skinplasty in the suprapubic area, which brings an additional result 2-3cm to the operation performed. In total, based on the results of two stages, you can get +5-6 centimeters.
What is the recovery period after a ligamentotomy?
The suture heals in 5-7 days. Before discharge, the patient undergoes a consultation with a urologist, during which the need to wear an extender for 3-4 months is explained to him. Subsequent rehabilitation involves wearing an extender. The patient gets behind the wheel or starts working after 2-3 days. Return to sexual activity in a month.
What is the result of a ligamentotomy?
As a rule, the operation adds +2-3 cm in the erect state. At rest, in cold weather - minus 2 cm due to lack of ligaments.
Complete results – within 4-6 months. : There is a noticeable increase in length, an increase in volume of the penis head due to the vacuum attachment of the extender, a longer erection even after ejaculation due to changes in the blood supply to the erectile tissue.
Possible complications after penis enlargement surgery
Complications of a ligamentotomy are extremely rare. The most common are bleeding and suppuration of the postoperative suture. The frequency of complications does not exceed 0. 1%.
Further information
The potential for penis enlargement through ligamentotomy combined with wearing an extender is 3-5 cm. The specific result depends on the individual characteristics of the patient's body - the size of the hidden part of the erectile tissue, as well as the extensibility of the vessels and urethra.
The effectiveness of ligamentotomy is significantly higher than any other method of penis lengthening. Folk methods of penis enlargement, such as the Jelq method, the Indian Sadhu technique, self-hypnosis, etc. , have no evidence base and are practically ineffective.
Ligamentotomy in the clinic
Penis enlargement surgery is a serious matter for every man. For optimal results, choose an experienced professional affiliated with a major medical center.
The modern clinic is proud of its specialists: professional urologists have been working successfully with patients from all over the world for a long time. Their experience and the advanced equipment of the clinic will allow you to eliminate an unaesthetic defect in the shortest possible time and return to normal life, looking at your reflection in the mirror with pride!
We offer a comprehensive range of medical services:
- comprehensive advice on the preparation and implementation of plastic surgery, discussion of the chosen method and possible contraindications to the operation;
- all preoperative examinations – tests, examinations by specialists, services of an anesthesiologist;
- performing an operation;
- postoperative inpatient care – observation by the attending physician, bandages, comfortable rooms with meals;
- further consultations and a rapid rehabilitation program.
Ligamentotomy prices
Prices for a ligamentotomy can vary greatly. It depends on various factors and only a doctor can tell you the exact cost.