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 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, a form of cosmetic surgery.
Ligamentotomy (alternative names: penis length increase, penis lengthening) is a surgical operation to cut the suspensory ligament of the penis. The operation aims to enlarge the visible part of the penis.
The essence of the operation is as follows: in ordinary life, only the external part of the corpora cavernosa of the penis, which is seen visually, takes part in the erection. However, there is also a perineal section of the corpora cavernosa of the penis, which visually does not participate in erection, since it is prevented from expanding by powerful ligaments. 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 recessed penis, or have suffered a penis injury, the procedure can help increase penis size. Some people choose penis enlargement for personal or aesthetic reasons rather than medical ones, which is why it is also available in cosmetic surgery.
Indications for ligamentotomy:
There are 2 groups of indications for penis 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 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 considered to be a length of 12 cm. A size less than 12 cm can be considered as 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 achieved by actively wearing the expander for a month after surgery for 2-3 hours a day and passively pulling around the clock. To achieve maximum effect, the duration of wearing the expander does not vary. is not limited, because after crossing the ligaments, nothing prevents the stretching of the corpora cavernosa.
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, through this incision 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 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 takes place on the day of the surgical procedure;
- Anesthesia – intravenous or spinal;
- The doctor makes a skin incision along the scrotal seam (2-3 cm) with access to the ligaments of the penis and cuts them. Vacuum drainage is placed, which is removed after 12 hours, and an absorbable intradermal cosmetic suture is applied. Operating time - 20 minutes;
- The next morning - removal of drainage, learning how to wear an extender, coming home inflamed.
Duration of penis enlargement surgery
The operation usually lasts 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 expander, you can supplement the already performed ligamentotomy with a minimally invasive transverse-longitudinal skinplasty inthe suprapubic region, which will add extra. 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 to 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 to 4 months. Further rehabilitation involves wearing an extender. The patient gets behind the wheel or starts working in 2-3 days. Resumption of sexual activity in one month.
What is the result of a ligamentotomy?
Typically, the operation adds +2-3 cm to the erect state. Quietly, in cold weather - minus 2 cm due to 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 vacuum fixation of the extender, a longer erection even after ejaculation due to changes in blood supplyto the corpora cavernosa.
Possible complications after penis enlargement surgery
Complications of imigamentotomy are extremely rare. The most common are bleeding and suppuration of the postoperative suture. The incidence of complications does not exceed 0. 1%.
Further information
The potential increase in penis size by ligamentotomy associated with wearing 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 corpora cavernosa, as well as the distensibility of the vessels and the urethra.
The effectiveness of ligamentotomy is significantly higher than any other method of increasing the length of the penis. Traditional methods of penis enlargement, such as Jelq method, Indian Sadhu technique, self-hypnosis, etc. , have no factual basis and are practically ineffective.
Ligamentotomy in 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 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:
- comprehensive 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 specialist doctors, anesthesiologist services;
- perform surgery;
- postoperative support for hospitalized patients - observation by the attending physician, dressings, comfortable rooms with meals;
- further consultations and a rapid rehabilitation program.
Prices for ligamentotomy
Ligamentotomy prices can vary widely. It depends on various factors and only a doctor can tell you the exact cost.