Ligandotomy is a surgical procedure to remove the suspensory ligament of the penis, which leads to an increase in the length of the organ. It is carried out 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 risky. During recovery, you have to wear an extender every day - a special device for, in fact, lengthening the penis. The final results can only be evaluated 6-10 months after the operation.
The cost of ligation varies from $330-$2800 and depends on the pricing policy of the clinic, the services provided and the provision of the man with an extension.
Ligamentotomy - what is it?
Ligandotomy is an operation to increase the length of the penis, the essence of which is the excision of the suspensory ligament. In almost every case, men notice an increase in the penis by at least 2 cm in length, but such surgery is not suitable for everyone - there are clear contraindications.
The operation itself does not lead to an immediate increase in the length of the penis; the patient must constantly use an extension during the recovery period - the organ is stretched only after 6-10 months.
Indications for use
Ligandotomy 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 maximum sexual arousal. This problem is most often associated with the anatomical features of the structure of a related organ - the micropenis. But there are other direct indications for resection of the suspensory ligament:
- progressive cavernosal fibrosis (the cavernous bodies of the penis are replaced by connective tissue).
- suffered injuries that resulted in a reduction in penile length.
- Klinefelter and Kallman syndromes of hereditary origin were diagnosed.
- incorrect position of the opening of the urethra (hyspadias).
- complete or partial breakdown of the upper wall of the urethra (epispadias);
- Peyronie's disease, which is a severe curvature of the penis.
Contraindications
Ligandotomy has clear medical contraindications for:
- infectious diseases of the genitourinary system.
- the size of the penis is more than 12 cm in a state of excitement.
- skin pathologies with localization of symptoms in the perineum, 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 it does not bring physiological satisfaction, while the psychological satisfaction is at the right level.
Infectious diseases and skin lesions are considered conditional contraindications. Doctors will first carry out a course of treatment, achieve full recovery or introduce the chronic form of the pathology into a stage of stable remission, and only after that the man can be allowed to undergo surgery.
What results can you expect before and after ligamentectomy?
Before and after the ligature, the penis looks radically different - usually there is an increase in its size by 3-5 cm, but the result can be less "excellent". To achieve the desired result, a man must strictly follow all the recommendations of doctors:
- undergo full preparation - taking tests, examination by a cardiologist and andrologist, visiting a psychotherapist and so on.
- wound treatment during the recovery period.
- to refuse sexual intercourse for a certain period of time.
- regularly use an extender - a device for stretching the penis.
Ligamentotomy: price
The price of ligature surgery is quite high, and this is a significant disadvantage of the method of increasing the length of the penis, but it is also considered the most effective; in some clinics, they even guarantee the maximum result.
Advantages and disadvantages of ligamentotomy
Ligandotomy has its advantages:
- the safety of the procedure, because it is not a reconstruction of the penis, but plastic surgery.
- the use of local anesthesia rather than general anesthesia during the operation.
- minimal possibility of complications and side effects.
- no penile support devices need to be implanted.
- the ability to instantly increase the width of the penis during manipulation.
- durability of the result.
But some experts are categorically against ligamentotomy, because it has many disadvantages: the cost of the surgeon's work is very high, the need to abstain from sexual relations for several weeks (sometimes months), a high probability of bleeding already during the recovery period, long recoverybefore achieving the desired result.
Preparation for penis enlargement by sphincterotomy
Before prescribing penis enlargement by ligature, the patient must undergo preparation and first of all be examined to identify contraindications; the following are prescribed:
- general urinalysis, bacterial culture.
- biochemical and general blood tests.
- allergy test to determine the body's reaction to antibiotics.
- ultrasound examination of the pelvic organs.
- electrocardiogram, blood pressure check.
- chest X-ray.
In addition, a man should visit a psychologist so that the specialist can detect mental abnormalities - they are an absolute contraindication to manipulation.
Also, as part of the preparatory period, 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 group of anticoagulants 3 days before the conjunctotomy.
- shave the groin.
- shower the morning before the intervention.
How is penis lengthening done with ligamentotomy?
Lengthening of the penis during conjunctomy is carried out according to a clear algorithm:
- The man is placed on the couch.
- The anesthesiologist does his job - gives spinal anesthesia.
- The patient's condition is monitored - if there is nausea or vomiting, the blood pressure is measured and the sensitivity in the area below the lumbar region is checked.
- The surgeon makes an incision and feels the ligament with his fingers and immediately cuts it with a scalpel.
- Use your fingers to stretch the penis to its maximum length (individual index).
- The incision is sutured and a sterile dressing is applied to the surgical wound.
Most of the time, the standard course of surgery is changed if a simultaneous increase in penile width is required. In addition, the doctor can use different types of resection of the ligament - through the pubis or the scrotum.
Excision in the scrotal area
Features of ligature with excision in the scrotal area:
- the surgeon cuts the top of the scrotum and immediately removes the soft tissue.
- After an incision, the doctor has access to the entire ligamentous apparatus.
- the sling link is crossed.
- the floating link is cut off.
This method of manipulation is considered the safest and also has clear advantages:
- The doctor's working time is reduced to 10 minutes (in some cases - up to 20 minutes).
- there is no scar after full recovery.
- Soft tissue trauma is minimized.
- After the operation, the patient practically does not feel pain.
Excision in the scrotal area has made a sphincterotomy possible for those men who are overweight - a standard procedure not performed if there is a large amount of fatty tissue.
Dissection in the pubic area
This method is considered classic; the doctor makes an incision in the pubic cavity, which facilitates his work - it opens a field for free isolation and excision of the suspensory ligament. But the sphincterotomy in the pubic region has many disadvantages:
- Even after complete recovery, large scars remain on the pubic bone, which later transform into rough scars.
- soft tissues are severely injured and this increases the recovery period.
- it is impossible to perform the operation on men with a large amount of adipose tissue.
- after the procedure, the penis cannot take the exact upward position at the time of stimulation due to compression of the tissues by the scar.
The operation to increase the length of the penis with a dissection in the pubic area takes at least 60 minutes.
Recovery after endoscopic ligamentotomy
Endoscopic ligamentotomy involves a long recovery period, during which:
- wearing an extension - a special device that can be worn only on the second day after the operation.
- compliance with the duration of use of the extender - in the first days no more than 2 hours in a row, gradually increase this percentage to 8 hours.
- you must abstain from sexual intercourse for at least 2 weeks.
- you should strictly observe the rules of personal hygiene to avoid infection.
- the patient should visit the doctor regularly to monitor recovery.
- change the dressing on the surgical wound three times a day.
It is strictly forbidden for a man to apply ointments, creams and any drugs not prescribed by the attending physician to the stitches. The patient should refrain from physical activity for 4 weeks, after which it should be extremely moderate.
Possible complications
The most common complications after ligamentotomy are:
- changes in a man's sexual abilities - the surgeon is solely responsible for this.
- the presence of severe pain during the recovery period.
- swelling and hematomas in the perineal area, which disappear on their own 4-6 days after the operation.
- contamination of the surgical site.
- bleeding - the responsibility falls on the patient who does not comply with the rules of rehabilitation.
If an infectious agent is introduced into the surgical wound, then the process of extermination, the formation of adhesions and the development of inflammation in the tissues of the testicles and its appendages (orchiepididymitis) are possible.
Effect on patients
The patient can evaluate the final result of the ligamentotomy only 6-10 months after the operation, when the course of using the extender ends and the increase reaches the 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 improvement in the quality of sex life.
Ligandotomy is the most effective method of increasing the length of the penis, which involves surgery and a long recovery period. If the patient strictly follows the doctor's recommendations and uses the extender correctly, the results will definitely be positive.