The penis is traditionally perceived as a symbol of male strength, so its size has always been a cause for concern for men. Many of them still believe that a large penis is the main sign of sexual and sexual superiority. Normally, the length of the penis at rest varies from 7 to 13 cm, with an erection the length reaches 12-20 cm. If the penis size is less than 12 cm, it is considered a small penis and if the length is less than 2-3 cm of micropenis.
Insufficient length of the penis very often leads to a decrease in a man's self-esteem and, in some cases, to serious problems in intimate life (up to the complete impossibility of having sex).
To solve this delicate problem, surgeons suggest performing a ligamentotomy, an operation to increase the length of the penis.
Penis enlargement in length includes two stages:
- Stage 1 - surgery (ligamentotomy). During the operation, the urologist dissects the supporting ligament of the penis.
- Step 2: Using the extender for at least 2-3 hours a day for 4-6 months.
indications
As a rule, the small penis does not impair function and does not lead to infertility. In such cases, the penis enlargement operation is performed exclusively at the request of the man and for aesthetic reasons. In the presence of abnormalities in the development of an organ (for example, with a micropenis), ligamentotomy is performed for medical reasons.
Contraindications
Penis enlargement surgery, like any surgical manipulation, has a number of contraindications: bleeding disorders, cancer, diabetes mellitus, infectious and inflammatory processes in the body, etc.
The possibility of surgery is determined by the doctor based on the results of the preoperative examination.
Preparation for ligamentotomy
To exclude contraindications to the operation, it is necessary to undergo preoperative preparation (perhaps at our office or in any place convenient for the patient):
- clinical blood test;
- general urine analysis;
- 4 mandatory tests (syphilis, HIV, hepatitis B, C);
- biochemical blood test (glucose, AST, ALT, creatinine, total bilirubin);
- coagulogram n. 1;
- ECG (before intravenous anesthesia for patients over 45 years of age or with chronic heart disease).
In some cases, you may also need the conclusion of strictly specialized specialists (for example, an endocrinologist, if you suspect diabetes mellitus).
The course of surgical intervention
The operation can be performed under local anesthesia or under combined intravenous anesthesia. The second option is used much more often to exclude unpleasant sensations during ligamentotomy.
The essence of the operation is to lengthen the penis by dissecting the ligament and redistributing the length of the penis in the direction of increasing the hanging part.
During the operation, the surgeon dissects the suspension (support) ligament of the penis, the function of which is to hold part of the penis inside the body. The operation can be performed through the scrotal or pubic approach. The duration of all stages of the operation is usually between 30 and 60 minutes.
The result of the operation
As a result of the ligamentotomy, the length of the hanging part of the penis increases by 3-5 cm. The final result depends on the anatomical characteristics of the patient's body structure (the size of the latent part of the penis) and on the physiological properties (extensibility and elasticity of the tissues). For maximum results after surgery, you need to wear an extender for 4-6 months 2-3 hours a day.
Features of the rehabilitation period
Penis enlargement surgery is considered to be minimally invasive, the patient is under the supervision of medical personnel for several hours after the operation, so he can leave the clinic alone.
Before discharge, urologists provide all the necessary recommendations on the use of an extender to improve the result of the operation, as well as on the care of the genitals, dressings and follow-up visits. The rehabilitation period after ligamentotomy is only 2-3 weeks. After this time, the wound heals completely and the postoperative suture becomes completely invisible.
The most frequently asked questions in plastic surgery about penis enlargement surgery:
How much does the length of the penis increase after ligamentotomy?
The final result of the operation directly depends on the anatomical and physiological characteristics of the man. After the operation and subject to daily use of the extender (2-3 hours a day), the length of the penis increases on average by 3-5 cm both at rest and in a state of sexual arousal.
How long will you have to abstain from sexual intercourse after the operation?
Due to tissue trauma, intercourse can be painful for several days. Complete wound healing occurs after 2-3 weeks, after which the man can resume his sex life.
Can reproductive problems occur after a ligamentotomy?
After the operation, there are no side effects in the form of reduced male reproductive potency or function, since while performing the ligamentotomy, the surgeon does not affect the anatomical structures responsible for erection.
How much does a ligamentotomy cost?
The cost of ligamentotomy varies from clinic to clinic depending on various factors.
The total cost of penis enlargement consists of:
- Primary consultation with a urologist;
- Analysis before surgery;
- Operation - Ligamentotomy;
- Anesthesia (local anesthesia or intravenous anesthesia);
- Extender (the patient buys on his own, taking into account the recommendations of the urologist).
- Post-operative visit to the urologist (2-3 visits).
The final cost of penis enlargement surgery can only be communicated by a doctor after consultation and examination.