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-esteem, 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. The operation is aimed at increasing the visible part of the penis.
The essence of the operation is as follows: in ordinary life, only the outer part of the cavernous bodies of the penis, which we see visually, is involved in the erection. However, there is also a perineal part of the cavernous bodies of the penis, which visually does not participate in the erection, since it is protected from expansion by powerful ligaments. Crossing the ligaments of the penis allows the perineal part of the corpora cavernosa to 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, curved penis, sunken penis or have suffered a penile injury, then the procedure can help to 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 offered as cosmetic surgery.
Indications for ligamentotomy:
There are 2 groups of indications for penile lengthening surgery:
Medical indications:
- Peyronie's disease, in which there may be a pronounced deformation of the penis with a decrease in its length;
- Cavernous fibrosis;
- "Hidden" penis or as it is also called micropenis.
Aesthetic indications:
- A man's desire to improve his attractiveness;
- A man's desire to increase self-esteem;
- Penile dysmorphophobia is a general dissatisfaction with the appearance, shape or size of the penis.
A length of 12 cm is taken as the lower limit of the average size of the penis in an erect state. A size below 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 during erection increases by 2-3 cm. The result should be ensured by actively wearing the extender for a month after the operation for 2-3 hours a day and passive traction around the clock. To achieve the maximum effect, the duration of wearing the extender is not limited, because after crossing the ligaments, nothing prevents the stretching of the cavernous bodies.
How to lengthen the penis by ligamentotomy:
The operation is performed under anesthesia. A skin incision is made in the middle of the scrotum, through which 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 passing a simple examination, including:
- Consultation with a urologist;
- Clinical and biochemical blood test;
- Blood for HIV, syphilis and hepatitis;
- EKG;
- Consultation with an anesthesiologist.
How is penis enlargement surgery performed?
- 5-7 days before the operation, the patient undergoes a preoperative examination; hospitalization is carried out on the day of the operation;
- Anesthesia - venous or spinal;
- The doctor makes a skin incision along the seam of the scrotum (2-3 cm) with access to the ligaments of the penis and crosses them. A vacuum drain is placed, which is removed after 12 hours, and an intradermal absorbable cosmetic suture is applied. Working time - 20 minutes;
- The next morning - removal of the drain, learning to wear an extender, fervently sent home.
Duration of penis enlargement surgery
The operation usually takes 20 to 30 minutes.
If the "invisible" transscrotal ligamentotomy does not lead to the expected result due to poor stretching of the suprapubic skin with an expander, 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 performed operation. In total, based on the results of two stages, you can get +5-6 centimeters.
How is the recovery period after 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 includes wearing an extender. The patient gets behind the wheel or starts working after 2-3 days. Return to sexual activity after a month.
What is the result of ligamentotomy?
As a rule, the operation adds +2-3 cm in an erect state. In calm condition, in cold - minus 2 cm due to lack of connections.
Full results - up to 4-6 months. : there is a noticeable increase in length, an increase in the volume of the head of the penis due to the vacuum attachment of the extender, a longer erection even after ejaculation due to changes in the blood supply of the corpora cavernosa.
Possible complications after penis enlargement surgery
Complications of migamentotomy are extremely rare. The most common are bleeding and suppuration of the postoperative suture. The frequency of complications does not exceed 0. 1%.
More information
The potential for increasing the size of the penis by ligamentotomy in combination 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 cavernous bodies, as well as the extensibility of the vessels and urethra.
The effectiveness of ligamentotomy is significantly higher than any other method of increasing the length of the penis. Folk methods of penis enlargement, such as the Jelq method, the Indian Sadhu technique, self-hypnosis, etc. , They have no evidence base and are practically ineffective.
Ligamentotomy in the clinic
Penis enlargement surgery is a serious matter for every man. For best results, choose an experienced specialist who is affiliated with a major medical center.
The modern clinic is proud of its specialists: professional urologists have long worked successfully with patients from all over the world. Their experience and the modern equipment of the clinic will allow you to spend a minimum of time to get rid of an unaesthetic defect and return to normal life, looking at your reflection with pride!
We offer a full range of medical services:
- full consultation regarding the preparation and performance of plastic surgery, discussion of the chosen method and possible contraindications for the operation;
- all preoperative examinations - examinations, examinations by specialist doctors, anesthesiology services;
- performing an operation;
- postoperative inpatient support - monitoring by the attending physician, bandages, comfortable rooms with meals;
- additional counseling and a rapid rehabilitation program.
Ligamentotomy prices
Ligamentotomy prices can vary widely. It depends on various factors and only a doctor can tell you the exact price.