Ligament ligation: what is it, indications, process of operation

Ligamentectomy is one of the most popular penis lengthening methods. Although the surgery was complicated due to the rehabilitation phase, it achieved quite high efficiency. After surgery, the penis increases by 2-5 cm in length. These indicators can be achieved only if the surgeon's recommendations are strictly followed and the stretcher is worn continuously.

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 anatomical (congenital micropenis). But the operation is performed in other cases:

  • reduction in size after trauma;
  • hypospadias, in which the urethral opening is located incorrectly;
  • curvature of the penis (Peyronie's disease);
  • anus (the upper wall of the urethra is completely or partially separated);
  • replacement of the cavernous bodies of the organ with connective tissue (cavernous fibrosis);
  • genetic diseases - Kallman or Klinefelter syndrome.
normal penis size

Contraindications to ligament cutting

  • The presence of mental illness at any stage;
  • Location of malignancies in the genital area;
  • Uncontrolled hypertension:
  • Individual patient resistance to analgesics, anticoagulants, the presence of allergic reactions to metal seams, antiseptic solutions;
  • Advanced infection of bacterial etiology;
  • Inflammatory processes in the genital area;
  • The presence of diseases characterized by poor coagulation;
  • Previously transferred surgery to this area and trauma of the genitals;
  • The presence of sexually transmitted diseases, infectious and inflammatory processes of the lower body.

Prepare for ligament cutting

The time to perform ligament surgery depends on the method and takes 20-60 minutes. Before surgery, the man must undergo a standard examination, which includes:

prepare for ligament cutting
  1. Consultation of urological surgeons and psychiatrists.
  2. Blood tests (clinical and biochemical).
  3. Urine analysis.
  4. A stain from the urethra.
  5. Blood tests for syphilis, HIV infection, and hepatitis.
  6. ECG.
  7. Meteorology.
  8. Examination by an anesthesiologist.

The preparation for the operation begins before 10 o'clock, the patient is advised not to eat or drink, the groin area is shaved.

How to lengthen the penis by cutting the ligaments?

The operation is performed under anesthesia. A skin incision is made in the middle of the scrotum, through which the surgeon accesses the suspensory ligament of the penis, which is cut with a scalpel. The duration of the operation is 0. 5-1 hour. Absorbent sutures are placed on the skin of the scrotum.

Work

Penis lengthening surgery

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 incision is sutured; a tape is applied.

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

Removal of the scrotum

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

Removal in penis enlargement surgery
  • the duration of the operation 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 scrotum (the upper part of the seminal vesicles), then the soft tissues are moved away from each other;
  • open access to the ligament apparatus;
  • superficial sling-like ligaments are stopped;
  • the supporting ligaments are released;
  • hemostasis is performed.

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

Incision in the pubic area

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

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

Differences in methods

The pain sensation of these two methods is different: in the first option, the scrotal exit is characterized by safety and painlessness for the patient, but poses certain difficulties for the surgeon. In the latter option, it is easier for the doctor to remove the ligament through an incision above the pubic area, but this holds promise for the patient's pain.

Plastic surgery is performed under local anesthesia. The duration of the operation is about 50 minutes. Finally, a bandage is applied to the postoperative area. The sutures are removed after 2 weeks.

Rehabilitation after cruciate ligament surgery. Extender

The stretching machine is a prerequisite equipment after the surgery to remove the ligament, without it there will be no effect after the surgery and the operation will be useless.

The device must be used for more than 3 months for 4 or more hours per day. It is generally accepted that most stretching occurs between the third and sixth months.

Result: before and after ligamentectomy

There is no method that can guarantee 100% penis enlargement. Even men who decide to have surgery cannot boast of the results they expect. In most cases, an elongation of the penis is observed, but these figures reach only 2-3 cm. For example, if the length of the penis of a guy in a normal state reaches only 12-13 cm, then after the removal of the supporting ligaments it will increase to 4 cm. But this does not mean that these results will be for everyone who has a ligamentectomy.

In this case, the addition of an extender plays an important role. If you wear it according to the plan outlined by the doctor, the growth of the penis will be much more noticeable than if it were to deviate from it. Ligamentectomy, the outcome of which depends directly on the specific structural features of the penis, is an effective way to enlarge the penis, but at the same time, the effectiveness of the procedure is determined by patience and diligence. patient capacity. After all, wearing a device that lasts every day for months is very difficult. Not everyone can use the device every day.

penis extender

Is cutting the ligament worth it?

So to do or not to do? Not every man can decide to cut a ligament. Firstly, this is a responsible decision, and second, it is quite expensive. On the territory of our country, the cost of surgery to remove the ligaments can reach tens of thousands of rubles, such a difference is determined by the qualifications of the plastic surgeon, the evaluation of the clinic and the price of the person. surgery.

For obvious reasons, any urology center that respects patients and performs laparotomy provides detailed information about this intimate operation on its website. Plastic penis enlargement by cutting the foreskin ligament is considered a simple and relatively safe surgery. But no clinic will give an absolute guarantee. Therefore, the choice is yours - surgery or trying to solve the problem is not so radical.

How much do penis enlargement pills cost?

The cost of surgery depends on the qualifications of the surgeon. You need to understand that this does not include specialist consultation, medical examination, hospital stay, necessary medication, postoperative follow-up.