Plastic surgeons have developed several surgical methods to achieve the desired male height. Ligamentotomy is a way to enlarge a man's penis, which experts say adds 2-4cm in length. It is the intersection of the ligament that attaches the penis to the pubic bones, as a result of which the organ extends from the pelvis outward for several centimeters.
10 positive points
Doctors say that the operation is very popular among men and is often performed in modern clinics.
Ligamentotomy has several advantages:
- Guaranteed result.Every man undergoing surgery has an elongated organ of at least 1. 5 cm. Unlike folk remedies (such as soda) for penis enlargement, the procedure gives a quick and noticeable effect.
- Minimal trauma.A small incision is 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 in the perineal area.
- Visual leveling of anatomical defects.During the operation, due to the lengthening, small defects become less visible: 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).
- Absence of general anesthesia.Patients are often afraid of anesthesia or have medical contraindications to its implementation. The ligamentotomy is performed under local spinal anesthesia, which is well tolerated and does not cause complications.
- Improved aesthetics of the intimate area.After the procedure, the genital area acquires a more harmonious shape due to the elongation and advancement of the penis forward. This makes the man feel more confident during sex.
- Brief hospital stay.You don't need to change your work schedule or take sick leave to perform the manipulation. A man after a ligamentotomy feels well most of the time, leaves the hospital after 24 to 72 hours.
- Short rehabilitation period.Recovery after surgery takes an average of 10 to 15 days. After this period, the edema disappears, the postoperative wound heals, the discomfort disappears, the man's life resumes its usual course.
- Increase the length in the non-erect state.After the operation, the penis immediately becomes longer, which is noticeable even in the "hanging" position. This distinguishes ligamentotomy from external means for the penis, the effect of which is noticeable only on the condition of a persistent erection.
- Improved quality of sex.After an increase in dignity, a man gains self-confidence, sexual desire increases, which has a positive effect on the stability of an erection and the pleasure of intimacy.
- Absence of prolonged sexual abstinence.The procedure is not a contraindication for intercourse after the wound has healed. After 2 weeks, a man can have sex, if it doesn't cause pain.
5 disadvantages
Like any surgical procedure, there are some negative aspects to penile ligamentotomy, which are important to familiarize yourself with before deciding to enlarge the penis in this way.
- Scar visible.If a skin incision is made in the pubic area, a visible scar remains after the wound closes. It all depends on the individual characteristics of the organism: for some the scar will be small, while for others it grows and causes discomfort.
- Change the mounting angle.After the procedure, the erect penis "looks" downwards, and may also deviate to one side, causing aesthetic discomfort, and also (rarely! ) discomfort during intercourse. This is due to the peculiarities of the anatomical structure of the pelvic organs.
- Need to use a repeater.A ligament that has undergone plastic correction may return to its original state. To prevent this from happening, you should use the repeater every day for 2-6 months.
- Infections.If the postoperative scar is not properly maintained, there is a risk of bacteria entering the wound. This is fraught with inflammation and suppuration, and under unfavorable conditions, microorganisms can enter the organs of the genitourinary system, causing urethritis, orchitis, prostatitis.
- Shift the limb down. After dissection of the supporting ligaments, the human dignity acquires excessive mobility and therefore can "sag" a little. Some men complain that the organ is positioned abnormally low in relation to the pubis.
Indications and contraindications
Surgeons recommend lengthening the phalloplasty in the following situations:
- small penis size (less than 10 when erect);
- Peyronie's disease or other anatomical defects;
- the presence of complexes and erection problems due to dissatisfaction with the size of the penis;
- cavernous fibrosis;
- organ deformity after trauma;
- hypospadias or epispadias.
It should be remembered that ligamentotomy refers to surgical interventions, therefore, a number of limitations are distinguished during its implementation. The procedure should not be performed for people who are allergic to local anesthetics, as this leads to anaphylactic shock and other serious consequences.
Penis lengthening surgery is not performed in the presence of such diseases:
- decrease in blood clotting;
- diabetes mellitus;
- heart failure;
- increased intracranial pressure;
- congenital or acquired heart defects;
- mental disorders.
If at the time of ligamentotomy infectious diseases of the genitourinary system or rashes in the intimate area are detected, the date of the operation is postponed until complete recovery.
How to proceed
Before the operation, the doctor discusses the expected results with the man, conducts an examination and assesses the individual characteristics of the anatomy. Based on the data obtained, the surgeon tells the patient what maximum increase the ligamentotomy can specifically bring him. Before the procedure, a man must pass a number of tests (general blood and urine tests, tests for hepatitis and HIV virus). Be sure to take an ECG and appoint a consultation with an anesthesiologist to select 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, because the scar after it is almost invisible. The plastic surgeon then locates the supporting ligament (ligament) and cuts it, causing the penis to lengthen immediately. The specialist again examines the operating field for the absence of bleeding and damage, sutures. Handling takes an average of 20 to 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, administer the necessary drugs. After 24 hours, a bandage is made and the man is released home. The patient should visit the doctor several times: to monitor the healing of the wound, to remove stitches, which occurs on days 5-10.
After scar formation and restoration of tissue integrity, it is necessary to start wearing the stent. The doctor explains in detail how to use it correctly so that there is no discomfort. The device is used daily for 2 to 6 hours a day. The duration of the application of the penis extender is selected individually and can be from 2 to 6 months. At the same time, it is necessary to visit a doctor every month to monitor the dynamics of the effect of therapy.
Average scores for men: "BEFORE" and "AFTER"
It is important to understand that the effect of the 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 how regularly and for how long the extender is worn.
The end result is hardly affected by the initial parameters (initial size) of the penis, for example, the penis can lengthen both 1. 5 cm and 3 cm, and possibly evenmore, if it is initially at least 10 cm or 20 cm.
At a young age, the extensibility of the tissues is maximum, so that a patient up to 25-30 years old can (not always! ) rely on + 3-4, 5 cm, then the mobility of the ligamentsdecreases and the maximum increase is 1, 5-3 cm.
Price, on average - how much does the procedure cost
The average cost of a ligamentotomy includes the qualifications of the surgeon, the equipment and prestige of the clinic, the instruments and drugs used.
In addition, you have to pay for the purchase of an expander, without which the ligamentotomy does not give a lasting effect.