Ligamentotomy: description of the technique. Patient reviews, before and after photos

Ligamentotomy is a plastic surgery during which the outside of the male penis is enlarged. This is due to the incision of the ligaments that hold the subcutaneous portion of the corpora cavernosa in the inguinal zone. After the procedure, the penis elongates and new connective tissues are formed at the surgical site. Ligamentotomy is a simple and safe technique for penis enlargement. It is an excellent substitute for penile prostheses, hardware penis enlargement and the use of expensive medications.

Features of surgical phallus augmentation

Doctors recommend resorting to penile ligamentotomy in three cases:

  • when the length of the phallus is less than 12 centimeters and the man experiences difficulties in intimate life;
  • when the limb starts to shrink with age;
  • when a person is dissatisfied with the size of their penis and is faced with psychological discomfort that interferes with normal relationships with the opposite sex.

Also an indication for surgery is a micropenis, trauma to the penis and fibrosis.

What results to expect

When choosing this technique, you need to know that in 100% of cases it helps to increase the size of the penis, but what the final result will be will only be known after the operation. This is due to the individual characteristics of the patient's body, or rather the structure of his penis. Some men after surgery get +1. 5 centimeters, while in others the phallus increases to 3 cm or more.

penis measurement before and after enlargement surgery

Ligamentotomy. Photos before and after


Ligament dissection in the inguinal region requires the use of spinal anesthesia. In this case, the man loses the sensitivity of all parts of the body located below the waist. This method of pain relief is not suitable for people who have recently lost a lot of blood or are allergic to the anesthetic. In addition, spinal anesthesia is contraindicated in such pathologies:

  • heart disease;
  • intracranial pressure;
  • blood clotting disorder;
  • neuralgic and mental illnesses.

The operation itself is not suitable for men suffering from venereal or urological infections and for those belonging to the highest age category (above 60 years). In addition, the procedure will have to be abandoned in the presence of smoothed coronal sulcus, polyps in the urethral canal and oncology.

Important! If, for some reason, ligamentotomy is contraindicated, you can use an alternative - hardware stretching of the phallus. To do this, you need to buy an extender.

underwater rocks

Despite the fact that plastic surgeons call ligamentotomy a safe procedure, it can lead to many negative consequences. The most common problem patients face is inflammation under the skin in the groin. This often happens due to insufficient sterilization of surgical instruments or the inexperience of the medical team.

Other disadvantages of the technique include:

  • painful intercourse;
  • a long and unpleasant period of rehabilitation;
  • high probability of suppuration of the seams;
  • difficulty urinating;
  • weakened erection (first month after surgery).

Preparation for the procedure

Penile ligamentotomy is a surgical intervention, before which the patient must undergo an examination. He is designated:

  • general blood analysis;
  • chest fluorography;
  • ECG;
  • allergy testing for anesthetic drugs;
  • heart cardiogram;
  • general analysis of urine;
  • Ultrasound of Organs pelvic organs (suspected of abnormal development of the penis or scrotum).

The man is also referred for a consultation with a psychologist. This is necessary to identify mental abnormalities that are a contraindication to the procedure.

If the patient's health is normal, he will be given a list of preparatory procedures. This list includes the following:

  • do not take alcohol or drugs the day before the operation;
  • in the morning, 5-6 hours before going to the clinic, drinking and eating are prohibited;
  • on the eve of the operation, you need to organize yourself - shave the inguinal zone and shower.

Doctors also recommend not taking strong medications 2-3 days before surgery. This particularly applies to anticoagulants - drugs that inhibit blood clotting.

If it is not possible to temporarily stop taking any of the drugs listed, this must be notified to the doctor in advance.

How is penis enlargement surgery performed?

The duration of the operation is only 15-20 minutes. The procedure for incising the inguinal ligaments is carried out according to the following scheme:

  1. The patient receives spinal anesthesia and the medical team monitors his reaction;
  2. When the lower body becomes numb, the surgeon makes a small incision near the scrotum (about 1. 5-2 cm);
  3. Through the incision, the doctor feels the connective ligament and cuts it with a scalpel;
  4. Then the surgeon pulls the penis to an acceptable length. This is done slowly and carefully so as not to injure the cavernous tissues.

When the penis is stretched to the limit, the incision is sutured and a sterile dressing is applied over it.

rehabilitation period

The day after surgery, the patient is placed on a stretching device - a stretcher - on the genitals. Some call it a medical extender, but they have nothing in common. The stretcher must be used at all times until the stitches are removed.

After 14-20 days, new connective tissue will finish forming between the cut corpora cavernosa and the pubic bone. Then the stitches are removed at the clinic. At the same time, a man can get rid of stretcher, but doctors still insist on using it for 30-45 days after the operation.

At the end of the recovery period, a man can enter into intimacy, but at the beginning you need to be careful about his "dignity". The new connective tissue is still sensitive and can be damaged during hard sex.

Important! During the rehabilitation period, a person must refuse to go to the beach. Until the scar heals, swimming in a public lake can cause wound infection and the onset of an acute inflammatory process.

general recommendations

During rehabilitation, a man must comply with the following rules:

  • it is necessary to monitor intimate hygiene and prevent the infection from entering the wound on the skin left after the operation;
  • you cannot have sex and use devices designed for masturbation or penis enlargement (vacuum pumps, extenders, etc. );
  • it is forbidden to treat the scar with creams, ointments and other cosmetics;
  • the stretcher cannot be removed;
  • sterile dressing is changed 2-3 times a day;
  • you need to give up physical activity and switch to a healthy diet.

Where is the operation performed and how much does it cost

Ligamentotomy is included in the list of services of any major plastic surgery center. This procedure is not done in the city hospital.

The average price of the operation is low and affordable for almost all segments of the population. If desired, the patient can request lipofilling. The essence of the service is to fill the penis with fat taken from a man's thighs, buttocks or abdomen. This is an auxiliary technique that allows you to thicken the penis, because a thin and long penis is ugly.

The final price of lipofilling is determined by the size of the penis that the customer wants to receive. A cheaper service is a hyaluronic acid injection. In this case, an artificial filler is introduced under the skin of the phallus, as in lip augmentation.

Ligamentotomy or penile prosthesis - what to choose?

For men who want to build a penis, surgeons offer two options:

  • phalloprosthesis (silicone implant implant in cavernous tissues);
  • ligamentotomy.

Both procedures are related to plastic surgery, but they differ from each other in the principle of execution. According to doctors, they can be called alternatives to each other, but each of the listed methods has its pros and cons. For example, penile prostheses give good results (sometimes the penis can be lengthened up to 7 centimeters), but it will not work to return the penis to its previous shape, and the implant will have to be changed every 5-6 years. On the other hand, ligamentotomy is a quick and somewhat safe procedure, but the effect of it will seem insignificant to many.

Both methods are quite effective, so it is advisable to make a choice based on the required results. If you need to add a few centimeters, then the second option is suitable, and for a significant increase in the phallus, it is better to resort to installing a silicone implant.

patient reviews

Male, 39 years old

For a long time I couldn't decide to go under the surgeon's knife, but the positive reviews on the clinic's website and the before and after photos contributed to the decision. The operation was completed quickly, without complications. The only thing that bothered me was the long recovery. Six months have passed since my visit to the clinic. The scar has healed, the doctor said that everything is in order, but sometimes during intercourse I feel a slight pain. It doesn't bother me, but it still does.

photo before and after enlargement

Dude, 26 years old

Two years ago I had a ligamentotomy and I was satisfied. I was lucky, the penis increased by 4. 5 centimeters. Before that, I tried a bunch of drugs, bought an extender - all to no avail. In my opinion, it makes no sense to spend money anywhere, it is better to pay once, albeit a lot, but to get a real result.

man, 31

The doctors also offered me - prosthetics or an incision in the ligaments. Unfortunately, I chose the former. As a result, I faced a series of unpleasant consequences. First, the implant did not take root. I had to take it off. Second, when using the prosthesis, the tissues in the penis stretched and when it was removed, the penis looked like a deflated ball. To return everything to its place, I had to pay a large sum. There were 3 more plastic surgeries, lipofilling. In general, I regretted it a hundred times, it would be better if I applied immediately for a ligamentotomy.