Patients choose this type of surgery for various 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 added 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: increasing the length of the penis, lengthening the penis) is a surgical operation to cut the suspensory ligament of the penis. The operation is aimed at enlarging the visible part of the penis.
The essence of the operation is the following: in ordinary life, only the outer part of the cavernous bodies of the penis, which we see visually, participates in erection. However, there is also a perineal section of the cavernous bodies of the penis, which visually does not participate in erection, because it is kept from enlarging by powerful ligaments. Crossing the ligaments of the penis allows the perineal section of the cavernous bodies to participate in erection, which significantly increases the length of the penis and improves its blood supply.
When is ligamentotomy really necessary?
Penis enlargement surgery is suitable for a wide range of patients and conditions. If you suffer from small penis syndrome, a curved penis, a recessed penis, or have suffered a penile injury, then the procedure may 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 a cosmetic surgery.
Indications for ligamentotomy:
There are 2 groups of indications for surgery to lengthen the penis:
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 enhance 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 a length of 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 during erection increases by 2-3 cm. The result should be secured 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 maximum effect, the duration of wearing the extender is not limited, becauseafter crossing the ligaments, nothing prevents the stretching of the cavernous bodies.
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 penile suspensory ligament, 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 test;
- 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 seam of the scrotum (2-3 cm) with access to the ligaments of the penis and intersects them. A vacuum drainage is placed, which is removed after 12 hours, and an intradermal absorbable cosmetic suture is applied. Operation time - 20 minutes;
- The next morning - removal of the drainage, learning to wear an extender, a fiery send-off home.
Duration of penis enlargement surgery
The operation usually takes from 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 transverse-longitudinal minimally invasive skin plasty in the suprapubic region, which will add an additional 2-3 cm to the operation performed. 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 he is explained the need to wear an extender for 3-4 months. Subsequent rehabilitation involves wearing an extender. The patient gets behind the wheel or starts working in 2-3 days. Return to sexual activity in a month.
What is the result of ligamentotomy?
As a rule, the operation adds +2-3 cm in the erect state. In a calm state, in the cold - minus 2 cm due to the lack of ligaments.
Full results – within 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 to the cavernous bodies.
Possible complications after penis enlargement surgery
Complications of lmigamentotomy are extremely rare. The most common are bleeding and suppuration of the postoperative suture. The incidence of complications does not exceed 0. 1%.
Additional Information
The potential for increasing the size of the penis through 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 distensibility of the vessels and urethra.
The effectiveness of ligamentotomy is significantly higher than any other method for increasing the length of the penis. Folk methods for penis enlargement, such as the Jelq method, the Indian Sadhu technique, self-hypnosis, etc. , do not have any evidence base and are practically ineffective.
Ligamentotomy in the clinic
Penis enlargement surgery is a serious matter for any man. For best results, choose an experienced professional who is 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 advanced equipment of the clinic will allow you to spend a minimum of time getting rid of an unaesthetic defect and returning 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, anesthesiologist services;
- performing surgery;
- postoperative inpatient support - observation by the attending physician, dressings, comfortable rooms with meals;
- further consultations and a rapid rehabilitation program.
Prices for ligamentotomy
Prices for ligamentotomy can vary widely. It depends on various factors and only a doctor can tell you the exact cost.