Ligamentotomy is a surgical operation to sever the penile ligament. 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 through the aforementioned ligament, which is a formation similar to cartilage.
As a result of the weakening of the attachment of the penis to the bones, conditions are created to increase its size by 3 to 5 centimeters. Posterior lengthening of the penis is performed with 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, 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 penis size in an erect state 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 illnesses, the course of which may worsen after the operation or serious complications may occur, such illnesses include:
- uncontrolled hypertension;
- diabetes;
- severe disorders of the blood clotting system.
Preparation
Preoperative preparation consists of passing a simple exam, 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 must refuse to eat and drink. The groin must be shaved immediately before surgery.
How to lengthen the penis through 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 gains access to the penile ligament suspension, which is then cut with a scalpel. Duration of operation is 0, 5-1 hour. Absorbent sutures are applied to the skin of the scrotum.
Postoperative complications
The observation of the patient in clinics that perform ligamentotomy is carried out for 1 day, after which the patient is discharged from the hospital. The scrotum suture heals in 5 to 7 days. Before discharge, the patient undergoes an appointment with a urologist, where the need to use an extender for 3 to 4 months is explained.
Ligamentotomy complications are extremely rare. The most common are postoperative suture bleeding and suppuration. Currently, the rate of complications does not exceed 0. 1% of the total number of operations.
Additional Information
The potential to increase the size of the penis through 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 a ligamentotomy. An extender is a special device suspended from the penis and pulling it out due to mechanical action.
The effectiveness of ligamentotomy is far greater than any other method of 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 virtually ineffective.