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 happens due to the incision of the ligaments that support the subcutaneous portion of the corpora cavernosa in the inguinal area. After the procedure, the penis lengthens and new connective tissues form at the surgical site. Ligamentotomy is a simple and safe penis enlargement technique. It is an excellent substitute for penile prostheses, hardware penis enlargement and the use of expensive drugs.

Features of surgical enlargement of the phallus.

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 member begins to decrease with age;
  • when a person is dissatisfied with the size of his penis and is faced with psychological discomfort that interferes with normal relations with the opposite sex.

Also an indication for surgery is a micropenis, penile trauma and fibrosis.

what results to expect

Choosing this technique, you should know that in 100% of cases it helps to increase the size of the penis, but the final result will be known only 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 receive +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 who are allergic to anesthesia. Also, spinal anesthesia is contraindicated in such pathologies:

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

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

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

underwater rocks

Despite the fact that plastic surgeons call ligamentotomy a safe procedure, it can have many negative consequences. The most common problem patients face is swelling under the skin in the groin. Often this happens due to insufficient sterilization of the surgical instrument or the inexperience of the medical staff.

Other disadvantages of the technique include:

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

Preparation for the procedure

Ligamentotomy of the penis is a surgical intervention, before which the patient must undergo an examination. is assigned:

  • general blood tests;
  • chest fluorography;
  • electrocardiogram;
  • anesthetic drug allergy test;
  • heart cardiogram;
  • general urinalysis;
  • Ultrasound of the pelvic organs (with suspected 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 is given a list of preparatory procedures. This list includes the following:

  • do not drink alcohol or drugs the day before the operation;
  • in the morning, 5-6 hours before going to the clinic, it is forbidden to drink and eat;
  • on the eve of the operation, you need to put yourself in order: shave the groin area and take a bath.

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

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

How is penis enlargement surgery performed?

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

  1. The patient receives spinal anesthesia and the medical staff monitors her reaction;
  2. When the lower part of the body becomes numb, the surgeon makes a small incision next to the scrotum (about 1. 5 to 2 cm);
  3. Through the incision, the doctor gropes for the connective ligament and cuts it with a scalpel;
  4. The surgeon then 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 bandage is applied on top.

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 to 20 days, new connective tissue will finish forming between the cut corpora cavernosa and the pubic bone. The stitches are then removed at the clinic. At the same time, a man can get rid of the stretcher, but the 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 first he must be careful about his "dignity". The new connective tissue is still sensitive and can be damaged during intense sex.

Important! During the rehabilitation period, a person must refuse to go to the beach. Until the scar has healed, swimming in a public pond can lead to infection of the wound and the appearance of an acute inflammatory process.

General recommendations

During rehabilitation, a man must adhere to the following rules:

  • it is necessary to monitor intimate hygiene and prevent infection from entering the wound on the skin that remains after the operation;
  • you cannot have sexual intercourse 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;
  • the sterile bandage is changed 2-3 times a day;
  • you should 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 performed 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 a 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 client wants to receive. A cheaper service is a hyaluronic acid injection. In this case, an artificial filler is inserted under the skin of the phallus, as in lip augmentation.

Ligamentotomy or penile prosthesis: which to choose?

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

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

Both procedures are related to plastic surgery, but differ from each other in the principle of execution. According to doctors, they can be called an alternative 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 by up to 7 centimeters), but they will not return the penis to its previous shape, and the implant will have to be changed every 5-6 years. In turn, ligamentotomy is a quick and somewhat safe procedure, but its effect will seem insignificant to many.

Both methods are quite effective, so it is advisable to make a choice based on the results that are needed. If you need to add a couple of centimeters, then the second option is suitable, and for a significant increase in the phallus, it is best to resort to the installation of a silicone implant.

Patient Reviews

Male, 39 years old

For a long time I could not decide to go under the surgeon's knife, but positive reviews on the clinic's website and 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's still annoying.

before and after enlarged photo

boy, 26 years old

Two years ago I had a ligamentotomy and I was satisfied. I was lucky, the penis was lengthened 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 get a real result.

Male, 31

The doctors also offered me either a prosthesis 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 out. Second, while wearing the prosthesis, the tissues of the penis were 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 amount. There were 3 more plastic surgeries, lipofilling. In general, I regretted it a hundred times, it would be better if I immediately signed up for a ligamentotomy.