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 the aforementioned ligament, which is a cartilage-like formation.
As a result of the weakening of the attachment of the penis to the bones, the 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 penis enlargement 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.
Aesthetics 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 the erect state is considered a length of 12 centimeters. A size smaller 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 clotting system.
Preparation
Preoperative preparation consists of passing a simple exam, which includes:
- 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 must 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. An incision is made in the skin in the middle of the scrotum, through this incision the surgeon accesses the suspension of the ligament of the penis, which is then cut with a scalpel. The duration of the operation is 0. 5 to 1 hour. Absorbent sutures are applied to the skin of the scrotum.
Postoperative, complications
Observation of the patient in the clinics that perform the ligamentotomy is performed for 1 day, after which the patient is discharged home. The suture in the scrotum heals in 5-7 days. Before discharge, the patient undergoes a consultation with a urologist, where the need to wear an extender for 3-4 months is explained.
Complications of ligamentotomy are extremely rare. The most frequent 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 ligamentotomy in combination with the use of 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 to increase the length of the penis: using vacuum devices and using an extender without ligamentotomy. An extender is a special device that is suspended from the penis and removed due to mechanical action.
The effectiveness of the ligamentotomy is much greater than any other method of increasing the length of the penis. Traditional penis enlargement methods such as Jelq method, Sadhu method, self-hypnosis, etc. They have no evidence base and are practically ineffective.