Plastic surgeons have developed several surgical methods to achieve the desired male size. Ligamentotomy is a way to enlarge a man's penis, which, according to experts, adds 2 to 4 cm in length. A cross-section of the ligament fixes the penis to the pubic bones, causing the organ to extend from the pelvis outward by a few inches.
10 pluses
Doctors say surgery is very popular among men and is often performed in modern clinics.
Ligamentotomy has several advantages:
- Guaranteed result.Every man who undergoes surgery has an organ that lengthens by at least 1. 5 centimeters. Unlike folk remedies (like soda) for penis enlargement, the procedure gives a quick and visible effect.
- Minimal trauma.A small incision was made in the skin to cross the ligament. Surgeons (when choosing a normal clinic) perform manipulations very carefully so as not to touch the nerves and vessels located in the perineal zone.
- Visual leveling of anatomical defects.During the operation, due to elongation, small defects become less noticeable: asymmetry or curvature of the organ. At the request of the patient, the doctor can simultaneously increase the thickness of the penis (a combination of techniques occurs).
- Lack of general anesthesia.Patients often fear anesthesia or have medical contraindications to its use. Ligamentotomy is performed under local spinal anesthesia, which is well tolerated and does not cause complications.
- Improving the aesthetics of the intimate zone.After the procedure, the genital area takes on a more harmonious shape due to the elongation and advancement of the penis. This allows a man to feel safer during sex.
- Short stay in hospital.You do not have to change your work schedule or get sick to perform the manipulation. The man after the ligamentotomy generally feels well, leaving the hospital after 24-72 hours.
- Short rehabilitation period.Recovery after the intervention takes an average of 10-15 days. After this period, the edema disappears, the postoperative wound heals, the discomfort disappears, the man's life takes a familiar course.
- Increase the length in the non-upright position.After the operation, the penis immediately becomes longer, which is noticeable in the "hanging" position. This distinguishes ligamentotomy from external means for the penis, the effect of which is noticeable only under the condition of a permanent erection.
- Improving the quality of sex.After increasing dignity, a man becomes self-confident, sexual desire increases, which positively affects the stability of the erection and enjoyment of intimacy.
- Lack of prolonged sexual abstinence.The procedure is not a contraindication for sexual intercourse after wound healing. After 2 weeks a man is able to have sexual intercourse if it does not cause pain.
5 minus
Like any surgery, penile ligamentotomy has negative aspects, which are important to know before you decide to enlarge your penis this way.
- Visible scar.If a skin incision is made on the pubic area, a visible scar remains after the wound is closed. It all depends on the individual characteristics of the organism: for some the scar will be small, while for some it grows and causes discomfort.
- Change the erection angle.After the procedure, the erect penis “looks” downwards and can also deviate to one side, which causes aesthetic discomfort and also (rarely! ) creates discomfort during sex. This is due to the peculiarities of the anatomical structure of the pelvic organs.
- Necessity to use an extender.A ligament that has undergone plastic correction can be returned to its original state. To prevent this from happening, you must use the extension daily for 2 to 6 months.
- Infections.If the postoperative scar is not maintained properly, there is a risk of bacteria entering the wound. It is burdened with inflammation and suppuration, and under unfavorable conditions microorganisms can penetrate into the organs of the genitourinary system, causing urethritis, orchitis, prostatitis.
- Move the member down. After dissection of the supporting ligaments, a person's dignity acquires excessive mobility, so he can "sink in" a bit. Some men complain that the organ is placed unnaturally low in relation to the pubis.
Indications and contraindications
Surgeons recommend prolonging phalloplasty in the following situations:
- small penis size (less than 10 erect);
- Peyronie's disease or other anatomical defects;
- presence of complexes and erection problems due to dissatisfaction with penis size;
- cavernous fibrosis;
- organ deformation after trauma;
- hypospadias or epispadias.
It should be borne in mind that ligamentotomy refers to surgical interventions, so during its application there are a number of limitations. The procedure should not be performed for people who are allergic to local anesthetics, as this is fraught with anaphylactic shock and other serious consequences.
Penis lengthening surgery is not performed in the presence of such diseases:
- decreased blood clotting;
- diabetes mellitus;
- heart failure;
- increased intracranial pressure;
- congenital or acquired heart defects;
- mental disorders.
If infectious diseases of the genitourinary system or skin rash in the intimate area are detected at the time of ligamentotomy, the date of surgery is postponed until complete recovery.
How to do it
Before surgery, the doctor talks to the man about the expected results, performs an examination, and evaluates individual features of the anatomy. Based on the obtained data, the surgeon tells the patient how much the ligamentotomy can increase to the maximum. Prior to the procedure, the man must undergo a series of tests (general blood and urine tests, tests for hepatitis and HIV viruses). Be sure to do an ECG and make an appointment with an anesthesiologist to choose a method of pain relief.
Penis enlargement surgery begins with anesthesia, followed by an incision in the pubic area or scrotum. Modern doctors prefer the second option, since the scar after it is almost invisible. The plastic surgeon then locates the ligament of the carrier (ligament) and cuts it, due to which the penis immediately lengthens. The specialist once again examines the operative field for the absence of bleeding and damage, sutures. The manipulation takes an average of 20-30 minutes.
The first day (sometimes longer) the patient is in the hospital. During this period, there is pain in the pubis and scrotum, and the temperature may rise. Doctors carefully monitor the state of health, give the necessary medication. After 24 hours, a bandage is made and the man is released home. The patient must visit the doctor several more times: to monitor wound healing, removal of sutures, which happens 5-10. Days.
After creating the scar and restoring the integrity of the tissue, it is necessary to start wearing the extender. The doctor tells you in detail how to use it properly so that there is no discomfort. The device is used daily for 2 to 6 hours a day. The duration of the penis extension application is selected individually and can be 2-6 months. At the same time, it is necessary to visit a doctor monthly to monitor the dynamics of the effect of therapy.
Average Results for Men: "BEFORE" and "AFTER"
It is important to understand that the effect of ligamentotomy is individual. It depends on the structure of the pelvic organs and the size of the "hidden" part of the penis, as well as on the regularity and duration of wearing the extender.
The final result is practically not affected by the initial parameters (initial size) of the penis, for example, the penis can be lengthened by 1, 5 cm and 3 cm, and, possibly, even more, whether it is initially at least 10 cm or20cm.
At a young age, the elasticity of the tissue is maximum, so the patient up to 25-30 years can count (not always! ) at + 3-4, 5 cm, then the mobility of the ligaments decreases, and the maximum increase is 1, 5-3 cm.
Price, on average - how much does the procedure cost
The average cost of a ligamentotomy consists of the qualifications of the surgeon, the equipment and prestige of the clinic, the instruments and medications used.
In addition, you have to pay for the purchase of an extender without which the ligamentotomy does not give a lasting effect.