The most effective among all known methods of penis enlargement today is corrective surgery.Other methods either do not work (miracle ointments, compresses, dietary supplements) or have a short-term effect (vacuum pump - one-time use, injections - up to 12 months + possibility of side effects).A conservative method is to use a special device for lengthening the penis, a lengthening device, which gradually stretches the soft tissues of the corpora cavernosa and blood vessels, but the device must be worn for a long time without surgery (more than six months).
Penile ligamentectomy is a relatively simple surgery that allows you to increase the length of a properly functioning reproductive organ.
Surgical intervention involves releasing the inner part of the penile shaft, hidden in the subcutaneous fat, by cutting the cartilage-like ligament that secures it to the pubic bone.The restriction removed in this way makes it possible to lengthen the genitals by 3-5 cm.After surgery, to prevent the ligament from sticking back along the incision line to its previous position, traction devices are used but for a much shorter time than with conservative treatment.
Penile ligament surgery allows you to change the physiological parameters of the penis for life.This has a positive effect on the psycho-emotional field of the man and his sexual life.
It is estimated that a total of 15,414 ligament surgeries have been performed worldwide, with almost one-fifth of these performed in Germany.
This surgery is simple, safe and much cheaper than a penile prosthesis, however, when a man, in addition to a small penis size, also suffers from severe forms of erectile dysfunction, it may not be effective.
assign
Tendonectomy is performed only in patients who have reached adulthood and may be indicated for health reasons in pathological cases:
- congenital or acquired hyperplasia of the connective tissue of the penile ligaments, which prevents the erect penis from straightening and causes pain during erection (Peyronie's disease);
- replacement of cavernous tissue cells of the penile body with connective tissue cells (cavernous fibrosis);
- micropenis, when most of its shaft is hidden in subcutaneous fatty tissue - the visible part of the erectile organ is small in size, which, objectively, complicates sexual life;
- penile injury;
- Body dysmorphophobia is a man's obsessive dissatisfaction with the size of the penis (quite normal from an anatomical point of view) in the absence of more serious psychiatric diseases (if the length of the erect penis is 180 mm or more, the patient may be refused corrective surgery).
Men who complain of a small penis despite having adequate length often suffer from penile dysmorphic disorder (BDD) or small penis anxiety (SPA).In both disorders, men consistently underestimate the size of their own penis and overestimate the average size of other men.
Indications for cosmetic surgery to increase the length of the male genital organs can be due to the patient's wishes, due to their aesthetic reasons (in the absence of contraindications), for example, the apparent length of the penis when erect is less than 120 mm.
Prepare
The preparation process begins with a consultation with a urologist, who will examine the patient, find out the reason why he had to resort to corrective surgery and make sure that he does not suffer from diseases of the genital organs.As part of the preoperative examination, the patient undergoes blood tests: clinical, glucose, biochemical composition, coagulation, blood group and Rh factor, presence of syphilis, hepatitis B and C, HIV infection.First he will have a fluoroscopy and an electrocardiogram.
The list of preoperative studies can be expanded based on the presence of chronic diseases in the patient.
The patient will talk to the anesthetist, he will be warned that since the surgery is performed under anesthesia, to avoid suffocation due to vomiting, he should not eat or drink for the next 8 hours.
Before the day of surgery, you will need to shave your pubic hair.
Ligament cutting technique
The actual surgical intervention consists of cutting the superficial cartilaginous ligament that holds the penis in a certain position.This operation allows you to pull the penis out of the womb without violating its anatomical integrity.
The surgery is performed openly through an incision, usually made in the scrotal area (in the midline) or in the lower part of the pubic bone, when the hidden part of the penile shaft is needed to the greatest extent.Usually, the approach will be discussed before surgery and determined depending on the solution to the problem.
Modern operating rooms are often equipped with endoscopic equipment, in which case microscopic incisions are made.
The classic method consists in cutting the ligaments and stretching the penis to a certain length up to 25-50 mm (depending on the length of the hidden part of the shaft).Suture and fix the stretched organ with a stretcher.
A more modern method is to use the patient's own fat, taken from places that accumulate during surgery.Fat is introduced into the cavity of the dissected ligament (lipofilling), which promotes tissue healing and prevents adhesions.Then a stitch is applied.The second type of intervention takes a little longer.
Complete release of the corpora cavernosa from the pubic ramus is associated with the risk of significant disruption of the neurovascular bundles of the penis, causing nerve rupture and penile vascular loss.
The operation lasts about 30-60 minutes, the patient stays in the clinic for one day, however, its success is also facilitated by appropriate postoperative care, which is the second and necessary stage of penis lengthening.
Contraindications to implementation
The possibility of surgery is not considered until the patient reaches 18 years of age.
He should not suffer from mental diseases, easy bleeding, diseases of the genitourinary tract, malignant tumors or diabetes.
Surgery was not performed during the patient's acute infectious disease and/or exacerbation of chronic disease.
Consequences after the procedure
After ligament resection, genital functions (urination and erection) are usually completely preserved;The muscle tissue, ligaments and vessels responsible for these functions are not affected during surgery.Lymphatic drainage should not be interfered with during ligament resection because the lymphatic vessels will not be damaged if the operation is performed properly.However, there may be slight swelling in the surgical area as well as bruising.Transscrotal access is more tolerable, and sutures heal faster, but pubic incisions are often more complicated by hematoma and swelling.
As a result of general anesthesia, drowsiness and impaired attention coordination usually disappear within 24 hours, even in the most sensitive patients.
Complications after the procedure
Paradoxically, the main side effects of this procedure are recurrence, shortening of the penis, and lack of support for the penis when erect, leading to difficulty with intercourse and difficulty in penetration.
Post-procedure complications can certainly occur.However, this is an activity.If unwanted consequences occur, you should consult a doctor for advice on taking necessary measures.
Sealing the seam after cutting the ligament is a normal process.Scar formation is always dense;then it softens.The stitches will heal in about three weeks.For some it's sooner, for others it's later.
Suture festering indicates a bacterial infection and does not necessarily mean "the infection occurred during surgery".Perhaps the patient has a chronic course of infection.Infections are usually treated with antibacterial medications.To prescribe them, you need to consult your doctor.
Plaques should not appear after cutting the ligament.They, which cause curvature of the penis and cause pain, will be surgically removed during this surgery.This is the proliferation of fibrous tissue in the tunica albuginea of the corpora cavernosa.The main reason for their appearance is believed to be micro-trauma to the penis (usually during sexual intercourse) along with the development of micro-bleeds, where areas of connective tissue are then formed.If the plaques reappear, you should first see your doctor, and second, ask him about what caused their appearance.
A scar may appear after cutting the ligament, as postoperative scars form during any surgery.Over time they become softer and more separate.Much depends on the quality of the patient's skin and the skill of the surgeon.Physical therapy and other methods are used to address scarring after surgery.If the scar bothers you, you can consult your doctor about this.
Post-procedure care
In the postoperative period, analgesics may be prescribed to relieve pain.Bandaging is done every 2-3 days, sutures are usually removed 14 days after surgery.Sexual intercourse should be avoided for 1-1.5 months.
The mandatory postoperative period for any type of surgery is first to wear a stretcher (first three weeks, sometimes for a longer period), then an extended stretcher;Without this, the surgery may be pointless, as the ligament will heal along the line of the rupture and the penis will return to its original position.In addition, stretching the genital organ allows you to lengthen it by 15-25 mm.
The minimum time to wear the extender is two months.On the days following surgery, it is worn for only one to two hours, after which it is worn six to eight hours per day.Be sure to take it off at night.
The ligament heals under the influence of the stretcher, but not along the cut line, but in a stretched position.The presence of the patient's own fat in the surgical wound cavity promotes rapid tissue granulation.
You need to stretch your penis slowly and carefully, avoid causing pain, and strictly follow your doctor's advice.Just feel a little stressed.
Evaluate
Reviews about the operation are different.Some complained of complications, hematomas and fever.Basically, such complaints are typical in the early postoperative period and should be addressed with the doctor.Each body is individual and stitches take at least 10-14 days to heal.
The results of ligament cutting are not always favorable.Patient and partner satisfaction ranges from 30 to 65%.On average, surgery increases the resting length of the penis by 1–3 cm.Low satisfaction rates make this surgical technique unfavorable for many patients.
In addition, the question is often asked whether it is possible to lengthen the penis and increase its thickness at the same time.This is not recommended.Experts recommend first performing a ligamentectomy, and only after stopping all measures of penis lengthening using extenders that clamp the organ, which are unacceptable after increasing the thickness of the penis, can you move on to the next stage.