What is penis enlargement surgery "ligamentotomy"

Plastic surgeons have developed a number of surgical methods to achieve the desired male size. A ligament isomy is used to enlarge a man’s penis, which experts say is 2 to 4 inches long. The intersection of the ligament fixes the penis to the pubic bones, causing the organ to extend a few inches out of the pelvis.

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Doctors say surgery is very popular among men and is often performed in modern clinics.

Ligament isomy has several benefits:

1. Guaranteed results.Every man who undergoes surgery has an organ extended by at least 1. 5 centimeters. Unlike folk remedies for penis enlargement (such as soda), the procedure gives a quick and visible effect.
2. Minimal trauma.A small incision is made in the skin to pass through the tape. Surgeons (when selecting a normal clinic) perform manipulations very carefully so as not to touch nerves and blood vessels in the perineal zone.
3. Visual correction of anatomical defects.During surgery, minor defects are less noticeable due to prolongation: asymmetry or curvature of the organ. At the request of the patient, the physician may simultaneously increase the thickness of the penis (a combination of techniques occurs).
4. Lack of general anesthesia.Patients are often afraid of anesthesia or have medical contraindications to exercise. Ligament isomy is performed under local spinal anesthesia, which is well tolerated and does not cause complications.
5. Improving the aesthetics of the intimate zone.After the procedure, the genital area takes on a more harmonious shape due to the elongation and progression of the penis. This allows the man to be more confident during sex.
6. Short hospital stay.You do not have to change your work schedule or take sick leave to perform the manipulation. After a ligament isomy, a person feels largely well, leaving the hospital in 24-72 hours.
7. Short rehabilitation period.Recovery takes an average of 10-15 days after the procedure. After this period, the edema disappears, the postoperative wound heals, the discomfort disappears, and the man's life takes its usual course.
8. Increase the length when not standing up.After surgery, the penis lengthens immediately, which is noticeable even in the "hanging" position. This distinguishes ligament isomy from the external devices of the penis, the effect of which is observed only in the state of permanent erection.
9. Improving the quality of sex.After the dignity increases, the man becomes confident, the sexual desire increases, which has a positive effect on the stability of the erection and the pleasure of intimacy.
10. Lack of persistent sexual abstinence.The procedure is not a contraindication to sex after the wound has healed. After 2 weeks, a man can have sex if it does not cause pain.

5 disadvantages

As with any surgical procedure, there are negative aspects to penile ligament isomy that are important to know before deciding to enlarge your penis in this way.

1. Visible scar.If a skin incision is made in the pubic area, a visible scar will remain after the wound closes. It all depends on the individual characteristics of the body: for some the scar will be small, while for others it will grow and cause discomfort.
2. Change the angle of the erection.After the procedure, the erect penis "looks down" and can deviate to one side, causing aesthetic discomfort and (rarely! ) discomfort during sex. This is due to the peculiarities of the anatomical structure of the pelvic organs.
3. The need to use an extension cord.Plastic-corrected tape may return to its original state. To avoid this, you should use the extension cord for 2-6 months a day.
4. Infections.If the postoperative scar is not properly maintained, there is a risk of bacteria getting into the wound. It is full of inflammation and contamination, and under unfavorable conditions, microorganisms can enter the organs of the urogenital system, causing urethritis, orchitis, and inflammation of the prostate.
5. Offset tag down.After dissecting the straps, a person’s dignity gains too much mobility and may sag a little. Some men complain that the organ is unnaturally low relative to the pubic area.

Indications and Contraindications

Surgeons recommend extending phalloplasty in the following cases:

• small penis size (less than 10 when erect);
• Peyronie's disease or other anatomical defects;
• presence of complexes and erectile problems due to dissatisfaction with penis size;
• cavernous fibrosis;
• organ deformity after trauma;
• hypospadias or epispadias.

It should be borne in mind that ligamentotomy refers to surgical interventions, so a number of limitations are distinguished in its implementation. The procedure should not be performed on people who are allergic to local anesthetics as it has anaphylactic shock and other serious consequences.

Penis enlargement surgery is not performed for the following diseases:

• decreased blood clotting;
• diabetes mellitus;
• heart failure;
• increased intracranial pressure;
• congenital or acquired heart defects;
• mental disorders.

If infectious diseases of the urogenital system or skin rashes are detected during ligamentotomy, the date of surgery is postponed until complete recovery.

How to do it

Before surgery, your doctor will discuss the expected results with the person, perform an examination, and assess the specific features of the anatomy. Based on the data obtained, the surgeon will tell the patient what maximum growth the ligamentotomy can give him. Before the procedure, a man has to undergo several tests (general blood and urine tests, hepatitis and HIV tests). Be sure to perform an ECG and appoint an anesthesiologist to select a method of analgesia.

Penis enlargement surgery begins with anesthesia followed by an incision of the vulva or scrotum. Modern doctors prefer the second option because the scar is almost invisible. The plastic surgeon then locates the support band (tape) and cuts it, causing the penis to stretch immediately. The specialist will re-examine the surgical area for bleeding and injuries, sutures. Manipulation takes an average of 20-30 minutes.

The patient's first day (sometimes longer) is in the hospital. During this period, the vulva and scrotum hurt and the temperature may rise. Doctors closely monitor the state of health and administer the necessary medications. After 24 hours, a bandage is made and the man is released home. The patient must visit the doctor several more times: to monitor the wound healing, to remove the stitches, which is shown in Figures 5-10. It occurs during the day.

After scarring and restoring tissue integrity, you should start wearing the extender. Your doctor will tell you in detail how to use it properly to avoid any discomfort. The device is used for 2-6 hours a day. The duration of penis lengthening application is individually selected and can be 2-6 months. However, you should see a doctor every month to monitor the dynamics of the effect of your therapy.

Men's average score "BEFORE" and "AFTER"

It is important to understand that the effect of ligamentotomy is individual. This depends on the structure of the pelvic organs and the size of the "hidden" part of the penis, as well as the regularity and duration of wearing the extender.

The end result is practically unaffected by the initial parameters (initial size) of the penis, for example, the penis can lengthen by 1, 5, and 3 cm, and possibly even more, regardless of whether it is initially at least 10 cm, or 20 cm.

At a young age, the tissue extensibility is maximal, so a patient aged 25-30 years can expect + 3-4, 5 cm (not always! ), then the mobility of the ligaments decreases and the maximum growth is 1, 5-3cm.

Average

cost - how much does the procedure cost

The average cost of a ligamentotomy consists of the surgeon’s qualifications, equipment, clinic prestige, instruments used, and medications.

In addition, you will have to pay for the purchase of an extender, without which ligamentotomy will not have a lasting effect.