Ligamentotomy is one of the most popular penis lengthening methods. Although the surgery is complicated by the rehabilitation period, it has a fairly high efficiency. After surgery, the phallus grows by 2-5 cm. These indicators can only be achieved by strictly following the surgeon’s recommendations and wearing the extension cord continuously.
Indications for surgery
The main indication for ligamentotomy is a penis length of up to 12 cm during complete arousal. The most common cause of the small penis is the anatomical structure (congenital micropenis). But the operation is performed in other cases:
- size reduction after injury;
- hypospadias in which the urethral opening is incorrectly located;
- curvature of the penis (Peyronie's disease);
- epispadias (the upper wall of the urethra is completely or partially ruptured);
- replacement of the cavernous bodies of the organ with connective tissue (cavernous fibrosis);
- hereditary diseases - Kallman or Klinefelter syndrome.
Contraindications to ligamentotomy
- Presence of mental illness at any stage;
- Location of the malignancy in the genital area;
- Presence of uncontrolled hypertension:
- Individual resistance of the patient to analgesics, anticoagulants, the presence of allergic reactions to the metal suture, disinfectant solutions;
- Advanced infection of bacterial etiology;
- Inflammatory processes in the genitals;
- Presence of diseases characterized by poor coagulation;
- Previously performed surgeries in this area and genital injuries;
- Presence of sexually transmitted diseases, infectious and inflammatory processes of the lower body.
Preparation for ligamentotomy
The duration of the ligamentotomy depends on the method and lasts from 20 to 60 minutes. Before surgery, the man undergoes a standard examination that includes:
- Urologist-surgeon and psychiatrist consultation.
- Blood tests (clinical and biochemical).
- General urine analysis.
- Smear from the urethra.
- Blood test for syphilis, HIV infection and hepatitis.
- Electrocardiogram.
- Fluorography.
- Examination by an anesthesiologist.
Preparation for surgery begins 10 hours before, the patient is not advised to eat and drink, the groin is shaved.
How does the penis lengthen with ligament isomy?
The operation is performed under anesthesia. A skin incision is made in the middle of the scrotum, through which the surgeon has access to the suspension tape of the penis, which is cut with a scalpel. The duration of surgery is 0, 5-1 hours. Absorbable sutures are placed on the skin of the scrotum.
Operation
The operation consists of several stages:
- placing the patient on a sterile couch;
- spinal anesthesia is used; monitors the body's reactions;
- the surgeon makes a small incision;
- inspect the ligament;
- he dissects with a scalpel;
- stretches the penis with slow and gentle movements up to the maximum length of the ligament (varies from individual to individual);
- the incision is sewn; bonding is used.
Ligamentotomy can also be performed according to the standard method, but another variant of this is used in modern medicine - by inserting adipose tissue into the cavity to increase the diameter of the penis. In addition, the plastic differs in the types of cutouts - through the scrotum or pubic body.
Excision in the scrotum region
This technique is the most modern and safest. If you used to have access to the tape through your vulva, you are now doing so through the scrotum, which opens up new possibilities:
- the operation time is reduced to 10-20 minutes;
- no scar;
- reduction in soft tissue trauma;
- it has become possible to perform surgeries with large amounts of adipose tissue;
- maximum pain relief after and during surgery.
Characteristics of the procedure:
- the skin is cut in the scrotum (upper part of the seminal sac) and then the soft tissues are pulled apart;
- opens access to the tape device;
- the superficial strap-like tape stopped;
- the support tape is released;
- hemostasis is performed.
During excision of the scrotum, the surgeon pays attention to mobilizing the ligaments near the branches of the dorsal vein and the sperm cords.
Incision in the pubic region
This is the first method to enlarge the penis. Its distinguishing feature is as follows:
- the excision takes place in the pubic area;
- large scars remain;
- high levels of soft tissue trauma;
- surgical difficulties in overweight patients;
- long rehabilitation period;
- the scar formed in many cases does not allow the penis to take up completely.
Differences in methods
The sensation of pain differs in these two ways: in the first option, exiting through the scrotum region is characterized by patient safety and pain relief, but there are some difficulties for the surgeon. The second option makes it easier for the doctor to cut the tape through the incision above the pubic area, but this promises pain to the patient.
Plastic surgery is performed under local anesthesia. The operation takes about 50 minutes. At the end, a bandage is applied to the postoperative area. The sutures are removed after 2 weeks.
Rehabilitation after ligamentotomy. Extender
An extender is a device that is a prerequisite after ligamentotomy, without which there will be no postoperative effect and surgery will be in vain.
The device must be used for more than 3 months for 4 or more hours a day. It is generally accepted that much of the elongation process lasts from the third to the sixth month.
Results: before and after ligamentotomy
Neither method guarantees a 100% enlargement of the penis. Not even men who opt for surgery can boast of the expected results. In most cases, elongation of the penis is observed, but these numbers barely reach 2-3 cm. For example, if the length of a guy’s penis is barely 12 to 13 cm in the normal state, increase it to 4 cm after cutting out the retaining tape, but that doesn’t mean this result will be available to anyone undergoing a ligamentotomy.
In this case, further wear of the extension cord plays an important role. If you wear it strictly according to a scheme drawn up by your doctor, the increase in phallus will be much more noticeable than if you deviate from it. Ligamentotomy, the outcome of which depends directly on the unique structural features of the penis, is an effective way to enlarge the stem, however, the effectiveness of the procedure is determined by the patient's patience and diligence. After all, it is difficult to wear an extension cord every day for long months. Not everyone can use the device every day.
Is Ligament Isomy Worth It?
So to do or not to do? Not all men can choose a ligamentotomy. Firstly, it is a responsible decision and secondly it is quite expensive. In Hungary, the cost of a ligamentotomy is impressive, reaching tens of thousands of rubles, this difference being determined by the qualification of the plastic surgeon, the qualification of the clinic and the price of the extension.
For obvious reasons, any urology center that honors the patient and performs a ligamentotomy will provide detailed information about this intimate surgery on the website. Plastic extension of the penis by cutting through the suspension band is a simple and relatively safe operation. But no clinic offers an absolute guarantee. Therefore, the choice is to perform your own surgery or try not to solve the problem so radically.
How Much Does Penis Enlargement Cost?
The cost of surgery depends on the qualifications of your doctor. You should understand that this does not include consultation with a specialist, examination, hospital stay, necessary medication, postoperative monitoring.