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 increase their self-confidence, which 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, lengthen penis) 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 everyday life, only the outer part of the corpora cavernosa of the penis, which we see 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 the erection, as it is prevented from enlarging 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 a 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 receding penis, or have suffered a penile injury, the procedure can help increase the size of your penis. 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 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 increase 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 to be a length of 12 cm, and a size of less than 12 cm can be considered the 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 must be guaranteed by active use of the extender for a month after the operation, 2 to 3 hours a day and passive traction 24 hours a day. To obtain maximum effect, the duration of use of the extender is not limited, because after crossing the ligaments, nothing prevents the corpora cavernosa from stretching.
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 has access to the suspensory ligament of the penis, which is cut. Absorbable sutures are placed in the skin of the scrotum.
Preoperative preparation consists of carrying out a simple examination, including:
- Consultation with a urologist;
- Clinical and biochemical blood test;
- Blood for HIV, syphilis and hepatitis;
- ECG;
- Consultation with an anesthetist.
How is penis enlargement surgery performed?
- 5 to 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. Vacuum drainage is performed, which is removed after 12 hours, and an intradermal absorbable cosmetic suture is applied. Operating time - 20 minutes;
- The next morning - removing the drain, learning how to use an extender, ardent farewell to home.
Duration of penis enlargement surgery
The operation usually takes 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, the already performed ligamentotomy can be complemented with minimally invasive transverse-longitudinal skin plasty in the suprapubic region, which will add an additional 2-3 cm for the operation performed. In total, based on the results of two steps, you can get +5-6 centimeters.
What is the recovery period like after ligamentotomy?
The suture heals in 5 to 7 days. Before discharge, the patient undergoes a consultation with a urologist, during which the need to use an extender for 3 to 4 months is explained. Subsequent rehabilitation involves the use of an extender. The patient gets behind the wheel or starts working within 2 to 3 days. Return to sexual activity within 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 vacuum fixation 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 postoperative suture bleeding and suppuration. The incidence of complications does not exceed 0. 1%.
Additional Information
The potential for increasing penis size 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 corpora cavernosa, as well as the distensibility of the vessels and urethra.
The effectiveness of ligamentotomy is significantly greater than any other method of increasing penis length. Popular penis enlargement methods such as Jelq method, Indian Sadhu technique, self-hypnosis, etc. , have no 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 practitioner affiliated with a major medical center.
The modern clinic is proud of its specialists: professional urologists have been successfully working with patients from all over the world for a long time. Your experience and the clinic's advanced equipment will allow you to spend a minimum of time getting rid of an unsightly defect and returning to normal life, looking with pride at your reflection!
We offer a full range of medical services:
- complete consultation on preparation and performance of plastic surgery, discussion of the chosen method and possible contraindications to the operation;
- all pre-operative examinations - examinations, examinations carried out by specialized doctors, anesthetist services;
- perform surgery;
- postoperative hospital support - observation by the attending physician, dressings, comfortable rooms with meals;
- additional consultations and a rapid rehabilitation program.
Prices for ligamentotomy
Ligamentotomy prices can vary widely. It depends on several factors and only a doctor can tell you the exact cost.