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

Ligamentotomy is a plastic surgery in which the outside of the male penis is enlarged. This happens due to the incision of the ligaments that hold the subcutaneous portion of the corpora cavernosa in the groin 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 replacement for penis prosthesis, hardware penis enlargement and the use of expensive drugs.

Features of surgical enlargement of the phallus

Doctors recommend penile ligamentotomy in three cases:

  • when the length of the phallus is less than 12 centimeters and the man encounters difficulties in intimate life;
  • when the member begins to decline with age;
  • when a person is dissatisfied with the size of his penis and is faced with psychological distress that interferes with normal relationships with the opposite sex.

Also an indication for surgery is micropenis, penile trauma 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 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


Dissection of the ligament in the groin 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 pain relief method is not suitable for people who have recently lost a lot of blood or are allergic to the anesthetic. Also, spinal anesthesia is contraindicated in such pathologies:

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

The operation itself is not indicated for men with venereal or urological infections and for those belonging to the higher age group (over 60 years). Also, the procedure will have to be abandoned in the presence of a smooth coronal sulcus, polyps in the urethral canal and oncology.

Important! If for some reason ligamentotomy is contraindicated, an alternative can be used - hardware elongation of the phallus. To do this, you need to purchase 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 that patients face is inflammation 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. He is assigned:

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

The man is also sent 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 listing 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, it is forbidden to drink and eat;
  • on the eve of the operation, you need to get yourself in order: shave the groin area and take a bath.

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

If it is not possible to temporarily stop taking any of the listed drugs, you should notify your doctor 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 carried out according to the following scheme:

  1. The patient is given spinal anesthesia and the medical staff monitors her reaction;
  2. When the lower body has become numb, the surgeon makes a small incision near the scrotum (approximately 1. 5-2 cm);
  3. Through the incision, the doctor palpates 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 bandage is applied to the top.

rehabilitation period

The day after the surgery, the patient is placed on an elongation device - a stretcher - over the genitals. Some call it a medical extender, but they have nothing in common. The stretcher must always be worn until the stitches are removed.

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

At the end of the recovery period, a man can enter intimacy, but in the beginning you have to be careful of your "dignity". The new connective tissue is still tender and can be damaged during hard sex.

Important! For the duration of the rehabilitation period, a person should refuse to go to the beach. Until the scar has healed, swimming in a public pond can cause the wound to become infected 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 getting into 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;
  • it is necessary to give up physical activity and switch to a healthy diet.

Where is the operation performed and how much it costs

Ligamentotomy is included in the service list 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 order 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 make the penis thicker, because a thin and long penis is ugly.

The final price of lipofilling is determined by the size of the penis that the customer wishes 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 with lip augmentation.

Ligamentotomy or penile prosthesis: what to choose?

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

  • phalloprosthesis (implantation of a silicone prosthesis in the 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 an alternative to each other, but each of the listed methods has its pros and cons. For example, penile implants give good results (sometimes the penis can be stretched up to 7 centimeters), but it will not work to return the penis to its former shape and the implant will need 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 what results are needed. If it is necessary to add a couple of centimeters, the second option is suitable, and for a significant increase in the phallus, it is better to resort to the installation of a silicone prosthesis.

Patient Reviews

Man, 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 before and after photos contributed to the decision. The operation was completed quickly, without complications. The only thing that upset me was the long recovery. It's been six months since my visit to the clinic. The scar has healed, the doctor said everything is fine, but sometimes during intercourse I feel a little pain. It doesn't bother me, but it's still annoying.

photo before and after enlargement

Boy, 26 years old

Two years ago I had a ligamentotomy and I was satisfied. I was lucky, the penis got longer 4. 5 centimeters. Before that, I tried a lot of drugs, bought an extender, all to no avail. In my opinion it makes no sense to spend money everywhere, better to pay once, even if a lot, but to get a real result.

Male, 31

Doctors also offered me - prosthesis or an incision in the ligaments. Unfortunately I chose the former. As a result, I had to face a number of unpleasant consequences. First, the plant did not take root. I had to get it out. Secondly, while wearing the prosthesis, the tissues of the penis stretched and, when removed, the penis looked like a deflated ball. To put everything back in its place, I had to pay a large sum. There were 3 other plastic surgeries, lipofilling. In general I have regretted it a hundred times, it would be better if I signed up for a ligamentotomy right away.