The penis is traditionally perceived as a symbol of masculine 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. Usually the length of the penis at rest varies from 7 to 13 cm, with an erection reaching the length 12-20 cm. If the size of the penis is less than 12 cm, it is considered a small penis and if the length is less than 2-3 cm 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 the intimate life (up to the complete impossibility of having intercourse).
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 phases:
- Phase 1 - surgery (ligamentotomy). During the operation, the urologist dissects the supporting ligament in the penis.
- Step 2 - use the extender for at least 2-3 hours daily 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 operation of penis enlargement is performed solely at the request of the man and for aesthetic reasons. In the presence of anomalies 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 surgical intervention is determined by the doctor based on the results of the preoperative examination.
Preparation for ligamentotomy
To rule out contraindications to the operation, it is necessary to undergo preoperative preparation (perhaps with us or any place that is 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 No. 1;
- ECG (before intravenous anesthesia in patients over 45 years of age or with chronic heart disease).
In some cases, you may also need the conclusion of narrow-minded specialists (for example, an endocrinologist if you suspect diabetes mellitus).
The course of the surgical procedure
The operation can be performed under local anesthesia or intravenous combined anesthesia. The second option is used much more often to rule out unpleasant sensations during ligamentotomy.
The essence of the surgery 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 hanging (supporting) ligament of the penis, whose function is to hold a part of the penis inside the body. The operation can be performed through scrotal or pubic approach. The duration of all stages of the operation is usually from 30 to 60 minutes.
The result of the operation
As a result of ligamentotomy, the length of the hanging part of the penis increases by 3-5 cm. The end result depends on the anatomical features of the patient's body structure (the size of the latent part of the penis) and physiological properties (extensibility and elasticity of tissues). To achieve maximum results after surgery, it is necessary to wear an extension for 4-6 months 2-3 hours a day.
Features of the rehabilitation period
Penis enlargement surgery is considered minimally invasive, the patient is under the supervision of medical staff for several hours after the operation, then he can leave the clinic on his own.
Before discharge, urologists give all the necessary recommendations to wear an extension to improve the outcome of the operation, as well as the care of the genitals, bandages 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.
Frequently Asked Questions in Plastic Surgery About Penis Enlargement Surgery:
How much does the length of the penis increase after ligamentotomy?
The end result of the operation depends directly 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 by an average of 3-5 cm both at rest and in a state of sexual arousal.
How long should you abstain from intercourse after surgery?
Due to tissue trauma, intercourse can be painful for several days. Complete healing of the wound occurs after 2-3 weeks, after which the man can resume his sexual life.
Can reproductive problems occur after a ligamentotomy?
After surgery, there are no side effects in the form of decreased strength or male reproductive function, as the surgeon does not affect the anatomical structures responsible for erection when performing ligamentotomy.
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;
- Analyzes before surgery;
- Surgery - Ligamentotomy;
- Anesthesia (local anesthesia or intravenous anesthesia);
- Extender (the patient buys on his own taking into account the urologist's recommendations).
- Postoperative visit to urologist (2-3 visits).
The final cost of penis enlargement surgery can only be stated by a doctor after consultation and examination.