Patients choose this type of surgery for several 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: increase penis length, penis lengthening) is a surgical operation to cut the penile suspensory ligament. The operation aims to enlarge the visible part of the penis.
The essence of the operation is as follows: in everyday life, only the outer part of the corpora cavernosa of the penis, which we see visually, participates in the erection. However, there is also a perineal section of the corpora cavernosa of the penis, which visually does not participate in the erection, since powerful ligaments prevent it from growing. The crossing of the ligaments of the penis allows the perineal section of the corpora cavernosa to participate in the 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 sunken penis or have suffered a penile injury, then the procedure can help increase penis size. 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, 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 the penis.
The lower limit of the average size of the penis in an erect state is considered a length of 12 cm, a size less than 12 cm can be considered a reason for this operation.
How much can you make your penis bigger?
After crossing the ligaments, the length of the penis during erection increases by 2 to 3 cm. The result should be ensured by actively using the extensor for a month after the operation, 2 to 3 hours a day and passive traction 24 hours a day. To achieve the maximum effect, the duration of use of the extender is not limited, becauseafter crossing the ligaments, nothing prevents the stretching of the corpora cavernosa.
How to lengthen the penis through ligamentotomy:
The operation is performed under anesthesia. An incision is made in the skin in the middle of the scrotum. Through this incision the surgeon accesses the penile suspensory ligament, which is cut. Absorbable sutures are placed over the skin of the scrotum.
Preoperative preparation consists of undergoing a simple examination that includes:
- Consult a urologist;
- Clinical and biochemical blood tests;
- Blood for HIV, syphilis and hepatitis;
- ECG;
- Consult 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 an incision in the skin 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. Operation time: 20 minutes;
- The next morning: drain removal, learning how to use an extender, a fiery farewell home.
Duration of penis enlargement surgery
The operation usually lasts between 20 and 30 minutes.
If the "invisible" transscrotal ligamentotomy did not bring the expected result due to poor stretching of the suprapubic skin with an extensor, you can complement the already performed ligamentotomy with a minimally invasive transverse-longitudinal skinplasty in the suprapubic region, which will add additional 2-3 cm until the operation performed. In total, based on the results of two stages, you can get +5-6 centimeters.
What is the recovery period like after ligamentotomy?
The suture heals in 5-7 days. Before discharge, the patient consults a urologist, during which the need to use an extender for 3-4 months is explained. Subsequent rehabilitation involves the use of 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 to 6 months. - There is a noticeable increase in length, an increase in the volume of the head of the penis due to the vacuum application of the extender, a longer erection even after ejaculation due to changes in the blood supply to the corpora cavernosa.
Possible complications after penis enlargement surgery
Complications from ligamentotomy 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 possibility of increasing the size of the penis through ligamentotomy in combination with the use of an extender is 3 to 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 compliance of the vessels and urethra.
The effectiveness of ligamentotomy is significantly higher than that of any other method to increase penile length. Popular penis enlargement methods such as Jelq method, Indian Sadhu technique, self-hypnosis, etc. , have no scientific basis 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 affiliated with a major medical center.
The modern clinic is proud of its specialists: professional urologists have long been successfully working with patients from all over the world. Their experience and the advanced equipment of the clinic will allow you to spend a minimum of time getting rid of an unsightly defect 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 conduct of plastic surgery, discussion of the chosen method and possible contraindications to the operation;
- all preoperative examinations: tests, examinations performed by specialized doctors, anesthesiologist services;
- perform surgery;
- postoperative support for inpatients: observation by the attending physician, dressings, comfortable rooms with meals;
- additional consultations and a rapid rehabilitation program.
Ligamentotomy prices.
Ligamentotomy prices can vary widely. It depends on several factors and only a doctor can tell you the exact cost.