Who is Ligatotomy performed on and how is it performed?

Men with smaller reproductive organs may decide to pursue radical treatments such as surgery.In this case, the best way to enlarge the penis is ligamentotomy, which you will learn about in this article.

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Lipotomy is a surgical procedure designed to enlarge the male reproductive organs.The method is based on the intersection of the penile supporting ligaments located deep in the pelvis.After cutting, lengthen the inside of the penis to a distance of 3 to 5 centimeters.During the operation, a device - an extender is used.

Indications for surgery

The main indication for ligamentotomy is when the penis reaches 12 cm in length during full sexual arousal.The most common cause of a small penis is anatomical (congenital micropenis).But it does this in other cases too:

• Reduction in body size after injury;
• Hypospadias, an incorrect position of the urethral opening;
• Curvature of the penis (Peyronie's disease);
• Epispadias (a complete or partial split in the upper wall of the urethra);
• Replacement of the organ's cavernous bodies with connective tissue (cavernosal fibrosis);
• Genetic disorders - Kallman or Klinefelter syndrome.

Advantages and Disadvantages

There are alternatives to ligament surgery to increase penis size.For example:

1. Use a vacuum pump.
2. Wearing an extender is temporary.
3. Special exercises.
4. Folk recipes.
5. Penile prosthesis surgery (fitting of artificial implants).
6. Lipofilling (introducing your own biological material).
7. Hyaluronic acid, gel, or synthetic prostheses are introduced into the reproductive organs.

Each method has its advantages and disadvantages, but none compares to ligamentotomy because it offers the following advantages:

1. Unlike other surgical techniques, ligamentotomy is a plastic surgery rather than a reconstructive surgery and is therefore considered a safer method.
2. General anesthesia is excluded, which may be a contraindication for many men.Local anesthesia is used to reduce sensitivity.
3. The main feature is that there is no need to insert or implant various devices in the reproductive organs that can cause harm to the body - prostheses, pumps, gels, frames, etc.But this is just a “harmless” extension of the recovery period.
4. The effects of the intervention are long-lasting and the recovery period is short.
5. During the procedure, congenital and acquired defects can be additionally eliminated, and not only the length of the penis can be increased, but also its thickness.
6. Adverse reactions are minimal.

While surgery is 100% guaranteed to enlarge your penis, the final results may vary.For one man, the penis increased by 5 centimeters, while for another man, the penis increased by only 2 centimeters.But the results depend greatly on the anatomy of the particular organism.

Another disadvantage is the risk of infection and the development of complications.But again, it depends on the patient's body and the surgeon's expertise.

Prepare

This type of plastic surgery requires special preparation, which includes an initial examination of the patient.For this purpose, the following diagnoses are prescribed:

• Blood collection for general analysis, coagulation levels of biological fluids, presence of infection;
• General urine collection to identify urine and other bacteria;
• Chest X-ray and cardiac electrocardiogram;
• Tests to detect allergic reactions to anesthetics;
• Ultrasound examination of pelvic organs;
• Consult a psychologist to detect abnormalities.

What patients should do:

• Do not consume alcoholic beverages or medications the day before surgery;
• Do not take certain medications (most commonly anticoagulants that inhibit blood clotting) for three days;
• Do not eat or drink 6 hours before surgery;
• Carefully shave the groin area;
• swim.

Before surgery, the surgeon must tell the patient how the surgery is going.Some doctors showed drawn charts.

perform operations

The operation process includes several stages:

• Place patient on sterile couch;
• Administer spinal anesthesia;
• Monitor body reactions;
• The surgeon makes a small incision;
• Palpate the connective ligaments;
• dissect it with a scalpel;
• With slow and careful movements, stretch the penis to the maximum length of the ligament (everyone is different);
• Suturing the incision;
• Use a bandage.

Ligamentotomy can be performed according to standard methods, but in modern medicine another type is used - the introduction of fatty tissue into the cavity to increase the diameter of the penis.Additionally, plastic surgery procedures vary depending on the type of removal (through the scrotum or pubic bone).

Scrotal area resection

This technology is considered the most modern and safest.If previously access to the ligament was through the pubic bone, now it is done through the scrotum, which opens up new possibilities:

• The operating time is shortened to 10-20 minutes;
• No scars;
• Reduced soft tissue trauma;
• Surgical access to large amounts of adipose tissue becomes possible;
• Maximum painlessness after and during surgery.

Features of this program:

• Cut the skin in the area of the scrotum (upper seminal vesicle) and pull the soft tissue apart;
• Open access to the ligamentous apparatus;
• The superficial sling ligament is transected;
• Suspensory ligament highlighted;
• To stop bleeding.

During scrotal resection, the surgeon pays attention to the mobilization of the ligaments located next to the dorsal veins and spermatic branches.

Pussy anatomy

This was the first penis enlargement method used.Its salient features are as follows:

• Resection is performed in the pubic area;
• Leaves large scars;
• severe soft tissue trauma;
• If the patient is overweight, the procedure is difficult;
• Long recovery period;
• In many cases the scars that form do not allow the penis to fully adopt an upward direction.

Despite its many disadvantages for the patient, this approach is considered easier for the surgeon because full access to the ligamentous apparatus is achieved after the pubic part is incised.

Duration and cost of surgery

The duration of the surgical procedure depends on the type of surgery.If the resection is performed through the pubic bone, the time varies from 50 minutes to 1 hour.For scrotal type surgery, 10-20 minutes is enough.

Lagotomy is not performed in government facilities and is mainly performed in private clinics.The cost of surgery depends largely on the region, the level of qualifications of the surgeon and clinic itself, and the type of surgical intervention.

Contraindications

Ligamentotomy is prohibited in the following situations:

• If the size of the reproductive organs is larger than normal (12 cm);
• If the normal length of the penis causes physical dissatisfaction rather than psychological and emotional dissatisfaction;
• If you have a skin disease, surgery may need to be postponed because of the risk of infection;
• Urogenital infectious diseases;
• Mental instability confirmed by a psychotherapist.

Consequences of surgery and possible complications

Ligamentotomy is a safe surgical procedure, but in some cases the following consequences can occur:

• Inflammatory processes under the skin in the area of resection;
• Pain during first sexual intercourse;
• suppuration of sutures;
• pain during urination;
• First month – decreased erection;
• Infect;
• bleeding;
• swelling;
• reduced sensitivity;
• scarring;
• tissue necrosis;
• the curvature of the penis;
• Penis deformation;
• Scrotal prolapse.

Complications can occur for a variety of reasons:

• unprofessionalism of the surgeon;
• Lack of proper sterility during surgery;
• Patient failure to comply during recovery;
• Use various methods to speed up the healing process on your own (without consulting a doctor).

Rehabilitation

It’s not just the quality of the surgery that affects the outcome, but also the person’s behavior during recovery.

What does rehabilitation treatment include:

1. Extenders can only be used the next day, not earlier.Wear time is only a few hours.As you recover, the time you wear the device gradually increases to 8 hours.
2. Sexual contact of any kind is strictly prohibited for two weeks.Intimacy should be approved by the attending physician after an initial examination.Otherwise various complications may occur.
3. Magnetic resonance imaging is required after surgery to confirm the effect.
4. When patients use dilators, they need to visit their doctor frequently for monitoring (the visit time is set by the doctor based on individual circumstances).
5. Pay special attention to intimate hygiene, which will prevent infection.
6. Do not apply ointments and creams to scars yourself.
7. Sterile dressings were changed 3 times a day.
8. Physical activity is not included.
9. It is necessary to follow the rules of healthy eating.
10. You cannot drink alcohol or take drugs.

Comment

• "Three years ago I had a pubic ligament surgery. The surgery was successful, but I was left with an ugly scar, although it didn't cause any particular discomfort. The only problem is that when fully erect, the penis doesn't rise all the way up, but that doesn't matter in bed. By the way, I've increased my size by 3.7 centimeters."
• "My wife and I had problems in bed, my length was not enough for her, although my length in the erect state was 16 cm (seemingly normal). Since there were no other problems, we decided to operate on me. We went to a private clinic. The price suited me, but the doctor was not willing to accept it because I had no deviation, but we convinced it. Before the operation, I had to do a lot of tests and various diagnoses, but the operation went smoothly." Completed in 15 minutes.As a result, the penis was enlarged by nearly 3 centimeters and the sex life improved without scars."
• "I had a ligamentotomy, which was certainly not cheap, but it was worth it. I made an incision in the scrotum, which was very effective, +5 cm. However, during the recovery period, I had severe discomfort in the perineum, and I accidentally got an infection, but I ran to the clinic immediately. Fortunately, you responded quickly. Under normal circumstances, I try not to touch the wound again. After only three weeks, I recovered." Have sex freely.But I warn you, over the course of a few weeks or so, erection sensitivity decreases slightly, but my wife likes to go long periods without ejaculating.Everything got better after that."

If you decide to enlarge your penis, there are many advantages to having a ligamentectomy.But before you do that, weigh all the pros and cons so you don’t regret it later, and be sure to find a clinic where real professionals work.