For whom and how is a ligamentectomy performed?

A man with small genitalia may decide on radical treatments such as surgery. In this case, the best way to enlarge the penis is surgery to remove the ligaments, you will learn in this article.

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Ligamentectomy refers to a surgical procedure that aims to enlarge a man's penis. The method is based on the intersection of the supporting ligaments of the penis, which are located at the depth of the pelvis. After cutting them, the inner part of the penis is stretched to a distance of 3 to 5 cm, during the operation a device is used - a stretching instrument.

Indications for surgery

The main indication for laparotomy is the length of the penis up to 12 cm when fully aroused. The most common cause of a small penis is its anatomy (congenital micropenis). But the operation is performed in other cases:

• reduction in size after trauma;
• Hypodias, in which the urethral opening is not correctly located;
• penile curvature (Peyronie's disease);
• anus (the upper wall of the urethra is completely or partially separated);
• replacement of the organ's cavernous bodies with connective tissue (cavernous fibrosis);
• hereditary diseases - Kallman or Klinefelter syndrome.

Advantages and disadvantages

Ligamentectomy has alternative methods for penis enlargement. Eg:

1. Use a vacuum pump.
2. Carrying an extender is temporary.
3. Special exercises.
4. Folk recipes.
5. Phallus prosthetic surgery (artificial implant).
6. Lipofilling (own biomaterial introduced).
7. The introduction of hyaluronic acid, gel, or synthetic prostheses into the genitals.

Each method has its pros and cons, but no method can compare effectively with the ligamentectomy, because this method has the following advantages:

1. Unlike other surgical techniques, laparotomy is a plasticizer, not a reconstructive method, and is therefore considered a safer method.
2. General anesthesia is excluded, which may be a contraindication for many men. Local anesthetic is used to reduce sensitivity.
3. The main feature is that it is not necessary to insert and implant different devices into the penis - prostheses, pumps, gels, frames, etc. v. , can be harmful to the body. And just a "harmless" prolonger for recovery time.
4. The durability of the effect and the short recovery time after the intervention.
5. During the operation, you can additionally eliminate congenital and acquired defects, increase the penis not only in length, but also in thickness.
6. Minimal number of side effects.

Although this operation guarantees 100% penis enlargement, the final results may vary. In one man, the penis increased by 5 cm, while in another - by only 2. But the results largely depend on the anatomical structure of a particular organism.

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

Training

This plastic surgery requires special training, including a preliminary examination of the patient. For this, the following diagnoses are indicated:

• blood collection for general analysis, the degree of coagulation of the biological fluid, the presence of infection;
• Collecting urine together to detect urinary and other bacteria;
• chest radiograph and electrocardiogram;
• testing to determine an allergic reaction to the anesthetic;
• ultrasound examination of the pelvic organs;
• Consult a psychologist to detect deviations.

What should the patient do:

• a day before surgery, do not drink alcoholic beverages, drugs;
• For three days, it is forbidden to take certain groups of drugs (usually anticoagulants, which inhibit the clotting of blood fluids);
• do not eat or drink 6 hours before surgery;
• shave the groin area carefully;
• swim.

Before the surgery, the surgeon must tell the patient about the progress of the surgery. Some doctors give a drawn diagram.

Work

The operation process includes several stages:

• the patient is placed on a sterile bench;
• spinal anesthesia is performed;
• monitor the body's reaction;
• the surgeon makes a small incision;
• exploration of the connective ligament;
• dissect it with a scalpel;
• lengthen the penis with slow and careful movements to the maximum length of the ligaments (it is different for each person);
• the dissection is sutured;
• a tape is applied.

Ligamentectomy can be performed according to the standard method, but in modern medicine another type of it is used - with the introduction of fatty tissue into the cavernous body to increase the diameter of the penis. In addition, the resin differs in the type of excision - transscrotal or pubic.

Removal of the scrotum

This technique is considered the most modern and safest. If they had previously opened the way to the transpubic ligament, they now do it through the scrotum, which opens up new opportunities:

• operation time is reduced to 10-20 minutes;
• no scars;
• reduce trauma to soft tissues;
• it is possible to perform surgical manipulations with a large amount of fatty tissue;
• Maximum pain-free after and during surgery.

Procedure features:

• the skin is cut in the area of the scrotum (the upper part of the seminal vesicles), after which the soft tissues are moved out;
• access to the communication apparatus is opened;
• sling-like superficial ligaments are crossed;
• supporting ligaments are marked;
• hemostasis is performed.

During scrotal resection, the surgeon pays attention to the movement of the ligaments located near the branches of the veins of the spermatic cord and the spermatic cord.

Mud dissection

This is the first penis enlargement method used. Its special features are:

• excision is performed in the pubic region;
• large scars remain;
• high degree of soft tissue trauma;
• difficulty in functioning with an overweight patient;
• long recovery time;
• Scars that form in many cases do not allow the penis to fully move upwards.

Although there are some such disadvantages for the patient, for the surgeon this method is considered easier, since after the pubic incision is made, the entire access path of the ligamentous apparatus is opened. .

Time and cost of the operation

The duration of the surgical procedure depends on the type of surgery. If resection is done through the pubic bone, the time is between 50 minutes and an hour. For scrotal surgery, 10-20 minutes is enough.

Ligamentectomy is not performed in government agencies but mainly in private clinics. The cost of surgery largely depends on the area, the qualifications of the surgeon and clinic, as well as the type of surgery.

Contraindications

Ligament cutting is prohibited in such cases:

• if the size of the penis is larger than usual (12 cm);
• in cases where the normal length of the penis creates dissatisfaction physically, and not psychologically;
• The operation will have to be postponed because of a skin disease, because of the risk of infection;
• diseases of an infectious nature of the genitourinary system;
• mentally unstable, as confirmed by a psychotherapist.

Consequences of the operation and possible complications

Ligamentectomy is a safe surgical procedure, but in some cases the following consequences arise:

• inflammatory processes under the skin in the area of resection;
• pain during intercourse at first;
• the addition of seams;
• pain when urinating;
• in the first month - reduced erection;
• infection;
• bleeding;
• swelling;
• reduced sensitivity;
• scars;
• tissue necrosis;
• curvature of the penis;
• deformity of the penile body;
• posterior scrotum.

Complications arise for several reasons:

• non-professional surgeon;
• lack of proper sterility during surgery;
• failure to comply with patient requests during rehabilitation;
• the use of various means to accelerate the healing process on their own (without consulting a doctor).

Rehabilitation

It's not just the quality of the operation that affects the outcome, but also the actions a person takes during recovery.

What is included in rehabilitation:

1. The extender can only be worn on the second day, not earlier. At the same time, the wearing time is only a few hours. As you recover, wear time gradually increases, reaching 8 hours.
2. For 2 weeks, it is strictly forbidden to have sex of any kind. Intimacy should be authorized by the attending physician after a preliminary examination. Otherwise, various complications develop.
3. After surgery, magnetic resonance imaging is required for effective clarification.
4. When a patient uses a dilator, regular doctor visits are required for control (visit time is determined by the doctor on an individual level).
5. Pay special attention to intimate hygiene, which will prevent the spread of infections.
6. Ointments and creams cannot be applied to the scar on their own.
7. Sterile dressings are changed three times a day.
8. Physical activity is excluded.
9. It is necessary to adhere to the rules of a healthy diet.
10. You cannot use alcoholic beverages or drugs.

Comment

• "I had my pubicectomy 3 years ago. The surgery was a success, but I still have an ugly scar, although it didn't cause any particular inconvenience. Only thingis that when fully erect the penis doesn't go up all the way, but in bed it doesn't matter. By the way, I've increased the size to 3. 7 cm".
• "My husband and I had problems in bed, my length was not enough for her, although in an erection I have 16 cm (as usual). Since there were no other problems, we decided toWe were going to a private clinic. The price was fine, but the doctors didn't really want to take it, because I wasn't wrong, but we were convinced. Before the operation, I had to do it. various tests and diagnoses, but only 15 minutes after the operation was completed. As a result, the penis has increased by nearly 3 cm, the intimate life has improved, there are no scars. "
• "I did a ligamentectomy. Of course the cost was not small but well worth it. An incision was made in the scrotum. The result was amazing, +5 cm. However, During the rehabilitation period, there was a severe discomfort in the perineal area, and I accidentally got an infection, but immediately ran to the clinic. It is good that I reacted quickly. Overall, I tried not to touch the wound any further. After 3 weeks he had free sex. But I warn you that in a few more weeks the sensitivity of the erection has decreased a bit, but my wifelike to ejaculate for a long time without ejaculating. After that everything was fine. "

If you decide to enlarge your penis, get a ligamentectomy, which has a lot of benefits. But before that, weigh the pros and cons, so you don't have to regret it later, and remember to find a clinic with a real professional who works.