Ligamentotomy is a surgical operation to cut the ligament of the penis. The operation aims to increase the visible part of the penis. The essence of the operation is that the penis has an internal part hidden in the subcutaneous fatty tissue. This part is attached to the pelvic bones by means of the aforementioned ligament, which is a cartilage-like formation.
Due to the weakening of the attachment of the penis to the bones, conditions are created to increase its size by 3-5 centimeters. Further stretching of the penis is carried out using a special device - an expander.
Indications for ligamentotomy
There are two 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, the micropenis.
Aesthetics or indications:
- a man's desire to increase his attractiveness;
- a man's desire to increase his self-esteem;
- penile dysmorphophobia - general dissatisfaction with the appearance, shape or size of your penis.
The lower limit of the average size of the erect penis is considered a length of 12 centimeters. A size less than 12 cm may be the reason for this operation.
Contraindications
An absolute contraindication to ligamentotomy is the presence of mental illness. It is not recommended to perform the operation in the presence of serious diseases, the course of which may worsen after the operation or serious complications may develop, such diseases include:
- uncontrolled hypertension;
- Diabetes;
- serious disorders of the blood coagulation system.
Preperation
Preoperative preparation consists of taking a simple exam, including:
- consultation with a urologist;
- clinical and biochemical blood tests;
- blood for HIV, syphilis and hepatitis;
- ECG;
- examination by an anesthetist.
8-10 hours before the operation, you should refuse to eat and drink. The groin should be shaved immediately before surgery.
How to lengthen the penis by ligamentotomy
The operation is performed under general anesthesia. A skin incision is made in the middle of the scrotum, through this incision the surgeon accesses the ligament suspension of the penis, which is then cut with a scalpel. The duration of the operation is from 0. 5 to 1 hour. Absorbent sutures are applied to the skin of the scrotum.
Postoperative period, complications
Observation of the patient in clinics performing ligamentotomy is carried out for 1 day, after which the patient is discharged home. The suture on the scrotum heals in 5-7 days. Before discharge, the patient undergoes a consultation with a urologist, where he is explained the need to wear an extension for 3 to 4 months.
Complications from ligamentotomy are extremely rare. The most common are bleeding and suppuration from the postoperative suture. Currently, the complication rate does not exceed 0. 1% of the total number of operations.
Additional information
The potential to increase the size of the penis by means of a ligamentotomy associated with the wearing 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 extensibility of the vessels and urethra.
There are alternative methods of increasing the length of the penis - using vacuum devices and wearing an extender without a ligamentotomy. An extender is a special device that hangs from the penis and pulls it due to mechanical action.
The efficiency of ligamentotomy is much higher than any other method for increasing the length of the penis. Traditional methods of penis enlargement, such as Jelq method, Sadhu method, self-hypnosis, etc. , have no evidence base and are virtually ineffective.