Ligamentectomy is a surgical procedure to remove the suspensory ligament of the penis, which increases the length of the organ. It is taken only according to indications and the main thing is that the length of the penis is less than 12 cm at the time of stimulation.
The surgeon can make an incision in the scrotum or along the pubic bone, but the first option is considered less dangerous. During rehabilitation, you need to wear a stretching device every day - in fact, a special device for lengthening the penis. The final results can only be evaluated 6-10 months after surgery.
The cost of a ligamentectomy ranges from $330-2800 and depends on the clinic's pricing policy, the services offered and the man's provision of extenders.
Ligamentectomy - what is it?
Ligamentectomy is a surgery to increase the length of the penis, its essence is to remove the suspensory ligament. In almost all cases, men note an increase in penis length of at least 2 cm, but such surgical intervention is not suitable for everyone - there are obvious contraindications.
The surgery itself does not lead to an immediate increase in penis length, the patient must constantly use an extender during the recovery period - the organ is lengthened only after 6-10 months.
User manual
Ligamentectomy is performed at the request of the man, the main indication for manipulation is the length of the penis up to 12 cm in a state of peak sexual excitement. This problem is often associated with structural anatomical features of the congenital organ - micropenis. But there are other direct indications for removal of the suspensory ligament:
- progressive cavernous fibrosis (cavernous corpuscles of the penis are replaced by connective tissue);
- Injury leads to decreased penis length;
- diagnosis of Klinefelter and Kallman syndromes of genetic origin;
- incorrect location of the urethral opening (hypospadias);
- complete or partial separation of the upper wall of the urethra (epispadias);
- Peyronie's disease, is a condition where the penis is severely curved.
Contraindicated
Ligamentectomy has clear medical contraindications for:
- infectious diseases of the genitourinary system;
- penis size greater than 12 cm in a state of excitement;
- skin disease with symptoms localized to the perineum and groin;
- instability of the psycho-emotional background (this condition must be confirmed by a psychotherapist).
Surgeons refuse to perform an operation even if the length of the penis is 12 cm and does not bring physiological satisfaction, while psychological satisfaction is at an appropriate level.
Infectious diseases and skin lesions are considered conditional contraindications. Doctors will first carry out a course of therapy, achieving complete recovery or bringing the chronic form of the pathology into a stable remission phase, and only then will the man be allowed to have surgery.
What results can you expect before and after a ligamentectomy?
Before and after cutting the ligament, the penis looks completely different - its size usually increases by 3-5 cm, but the result may be less "outstanding". To achieve the desired effect, the man must strictly follow all the doctor's recommendations:
- undergo full preparation - take tests, examine by a cardiologist and an internist, visit a psychotherapist, etc. v. ;
- wound treatment during recovery;
- refuse to have sex for a certain period of time;
- regularly use an extender - a device to lengthen the penis.
Ligamentectomy: price
The cost of ligament surgery is quite high, this is a significant disadvantage of the method of increasing penis length, but it is also considered the most effective, in some clinics it even guarantees maximum results.
Advantages and disadvantages of ligament surgery
Ligamentectomy surgery has the following advantages:
- the safety of the procedure, because it is not penile reconstruction but cosmetic surgery;
- the use of local anesthesia instead of general anesthesia during surgery;
- minimal likelihood of complications and side effects;
- No need to implant support devices into the penis;
- the ability to instantly increase the width of the penis during manipulation;
- durability of results
But some experts are completely opposed to cutting the ligaments because it has many disadvantages: the cost of the surgeon's work is too high, the need to abstain from sexual intercourse for several weeks (sometimes months), the possibility ofHigh bleeding potential is present during recovery. Long recovery time to achieve the desired results.
Prepare for penis enlargement with ligament surgery
Before prescribing penile enlargement by ligamentectomy, the patient must undergo preparation and must first be examined to identify contraindications; The following are specified:
- General urine analysis, bacterial culture;
- biochemical and general blood tests;
- allergy tests to determine the body's reaction to antibiotics;
- Ultrasound examination of pelvic organs;
- electrocardiogram, blood pressure control;
- chest x-ray.
In addition, the man must visit a psychologist so that the specialist can identify mental abnormalities - they are an absolute contraindication for manipulative behavior.
In addition, as part of the preparatory phase, a man is prescribed:
- stop drinking alcoholic beverages at least 24 hours before the scheduled intervention date;
- stop eating and drinking 6 hours before surgery;
- exclude any drugs from the anticoagulant group 3 days before ligament resection;
- shaving the groin area;
- shower in the morning before intervention.
How to lengthen the penis with ligament surgery?
Lengthening the penis during ligament cutting is carried out according to a clear algorithm:
- The man was placed on the couch.
- The anesthesiologist does his job - administering spinal anesthesia.
- The patient's condition is monitored - for nausea or vomiting, blood pressure is measured and sensitivity is checked in the area below the lumbar region.
- The surgeon makes an incision and uses his fingers to feel the connecting ligament and then cuts it immediately with a scalpel.
- Use your fingers to stretch the penis to the maximum possible length (individual indicator).
- The incision is sutured and a sterile dressing is applied to the surgical wound.
Usually, the standard course of the operation will change if it is necessary to simultaneously increase the width of the penis. In addition, the doctor can use different methods of cutting the ligament - through the pubic bone or scrotum.
Removal of the scrotum
Characteristics of ligament surgery in the scrotal area:
- The surgeon cuts the upper portion of the seminal vesicles and immediately pushes the soft tissue apart;
- After one incision, the doctor can access the entire ligamentous apparatus;
- cruciate ligament is crossed;
- The suspensory ligament is removed.
This method of manipulation is considered the safest, and it also has obvious advantages:
- The doctor's working time is reduced to 10 minutes (in some cases – up to 20 minutes);
- No scars after complete recovery;
- Soft tissue injuries are minimized;
- After surgery, the patient feels almost no pain.
Removal of the scrotum makes it possible to perform a ligamentectomy on overweight men - a standard surgery that would not be performed if there is a large amount of fatty tissue present.
Dissection in the pubic area
This method is considered classic, the doctor makes an incision above the pubic bone, which makes his work easier - a field opens for free isolation and excision of the suspensory ligament. But cutting the ligaments in the pubic area has many disadvantages:
- even after complete recovery, large scars remain on the pubic bone, which later turn into coarse scars;
- soft tissues are severely damaged and this increases recovery time;
- Surgery cannot be performed on men with large amounts of fatty tissue;
- After the procedure, the penis cannot maintain the correct upward position at the moment of stimulation due to compression of the scar tissue.
The surgery to increase penis length by surgery in the pubic area lasts at least 60 minutes.
Recovery after endoscopic ligament surgery
Arthroscopic tendonectomy involves a long period of rehabilitation, which includes:
- wearing an extender - a special device that can be worn only on the second day after surgery;
- comply with the duration of wearing the extender - the first days no more than 2 hours continuously, gradually increase this figure to 8 hours;
- You need to abstain from sex for at least 2 weeks;
- You should strictly follow the rules of personal hygiene to avoid infection;
- Patients should regularly visit their doctor to monitor the recovery process;
- Change surgical wound dressings three times a day.
A man is strictly forbidden to apply ointments, creams and any drugs not prescribed by the attending physician to the stitches. Patients should limit physical activity for 4 weeks, after which it should be extremely moderate.
Complications may occur
The most common complications after ligament surgery are:
- changes in male sexual performance – the surgeon is solely responsible for this;
- the presence of severe pain during the recovery period;
- swelling and hematoma in the perineal area, disappearing on their own after 4-6 days after surgery;
- surgical site infection;
- bleeding - blame the patient for non-compliance with the rules of rehabilitation.
If an infectious agent is introduced into the surgical wound, suppuration, formation of adhesions and progression of inflammation in the tissues of the testicle and its appendages may occur (inflammation of the testicle and its appendages). testicular).
Effective for patients
The patient can evaluate the final results of ligamentectomy only 6-10 months after surgery, when the wearing of the extender ends and the gain reaches its maximum. Usually, the length of the penis increases by 2-7 cm, it all depends on the individual characteristics of the man's body and the anatomical features of the structure of the penis. But almost every patient claims an improved quality of sex life.
Ligamentectomy is the most effective method to increase penis length, which involves surgery and a long recovery period. If the patient strictly follows the doctor's recommendations and uses the extender properly, the results will definitely be positive.