Ligamentotomy is a surgical operation to transect the ligament of the penis. The operation is aimed at increasing the visible part of the penis. The essence of the operation is that the penis has an inner part hidden in the subcutaneous fatty tissue. This part is fixed to the pelvic bones by means of the aforementioned ligament, which is a cartilage-like formation.
As a result of the weakening of the fixation 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 extender.
Indications for ligamentotomy
There are two groups of indications for penile 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.
Aesthetic or indications:
- a man's desire to increase his attractiveness;
- a man's desire to increase self-esteem;
- penile dysmorphophobia - general dissatisfaction with the appearance, shape or size of your penis.
The lower limit of the average size of the penis in an erect state is considered to be 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 carry out 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;
- severe disorders of the blood coagulation system.
Preparation
Preoperative preparation consists in passing a simple examination, including:
- consultation with a urologist;
- clinical and biochemical blood tests;
- blood for HIV, syphilis and hepatitis;
- ECG;
- examination by an anesthesiologist.
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 through ligamentotomy
The operation is performed under general anesthesia. A skin incision is made in the middle of the scrotum, through this incision the surgeon gains access to the penile ligament suspension, which is then cut with a scalpel. The duration of the operation is 0. 5-1 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 extender for 3-4 months.
Complications of ligamentotomy are extremely rare. The most common are bleeding and suppuration of the postoperative suture. Currently, the complication rate does not exceed 0. 1% of the total number of operations.
Additional Information
The potential for increasing the size of the penis by means of ligamentotomy in combination with wearing an extender is 3-5 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 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 ligamentotomy. An extender is a special device suspended from the penis and pulling it out due to mechanical action.
The effectiveness of ligamentotomy is significantly higher than any other methods for increasing the length of the penis. Traditional methods of penis enlargement, such as the Jelq method, the Sadhu method, self-hypnosis, etc. , have no evidence base and are practically ineffective.