The penis is traditionally perceived as a symbol of male strength, so its size has always been a concern for men. Many of them still believe that a large penis is the main characteristic of sexual and sexual superiority. The penis is usually 7 to 13 cm long at rest, and 12–20 cm when erect. 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, it is considered a micropenis.
Insufficient penis length very often leads to a decrease in a man's self-esteem and, in certain cases, serious problems in intimate life (up to and including the complete impossibility of sexual intercourse).
To solve this delicate problem, surgeons suggest performing a ligamentotomy - an operation to lengthen the penis.
Penis enlargement has two phases:
- Stage 1 - surgery (ligamentotomy). During the operation, the urologist dissects the supporting ligament of the penis.
- Stage 2 - Use the extender for at least 2-3 hours every day for 4-6 months.
Indications
As a rule, the small penis does not interfere with function and does not lead to infertility. In such cases, the penis enlargement operation is carried out exclusively at the man's request and for aesthetic reasons. If there are abnormalities in the development of an organ (such as a micropenis), a ligamentotomy is performed for medical reasons.
Contraindications
The operation for penis enlargement, 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
In order to rule out contraindications for the operation, preoperative preparation is necessary (possibly at our premises or at a location suitable for the patient):
- clinical blood test;
- general urinalysis;
- 4 mandatory tests (syphilis, HIV, hepatitis B, C);
- biochemical blood test (glucose, AST, ALT, creatinine, total bilirubin);
- Coagulogram No. 1;
- EKG (before intravenous anesthesia in patients over 45 years of age or with chronic heart disease).
In some cases, you will also need a degree from a highly specialized specialist (e. g. an endocrinologist if you suspect diabetes mellitus).
The course of the surgical intervention
The operation can be performed under local or intravenous combination anesthesia. The second option is used much more often to exclude unpleasant sensations during the 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 the ascending part of the hanging part.
During the operation, the surgeon dissects the penile support ligament, the function of which is to hold part of the penis in the body. The operation can be performed through the scrotal or pubic bone access. The duration of all phases of the operation is usually 30 to 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 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 the tissues). To get maximum results after surgery, it is necessary to wear an extender 2-3 hours a day for 4-6 months.
Features of the rehabilitation period
The penis enlargement operation is considered to be minimally invasive, the patient is under medical supervision for several hours after the operation, then he can leave the clinic independently.
Before discharge, urologists give all the necessary recommendations about wearing an extender to improve the surgical outcome, as well as care for the genitals, bandages and follow-up examinations. The rehabilitation time after ligamentotomy is only 2-3 weeks. After this time, the wound heals completely and the post-operative suture becomes completely invisible.
The most common questions in plastic surgery for penis enlargement surgery:
How much does the penis elongate after a ligamentotomy?
The final result of the operation depends directly on the anatomical and physiological characteristics of the man. After the operation and when the extender is worn daily (2-3 hours per day), the length of the penis increases by an average of 3-5 cm both in the resting state and in the state of sexual arousal.
How long do you have to refrain from sexual intercourse after the operation?
Because of 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 arise after a ligamentotomy?
After the operation, there are no side effects in the form of impaired potency or male reproductive function, since the surgeon does not affect the anatomical structures responsible for erection when performing a ligamentotomy.
How much does a ligamentotomy cost?
The cost of a ligamentotomy varies from clinic to clinic and depends on a number of factors.
The total costs of penis enlargement are made up of:
- Initial consultation with a urologist;
- Analyzes before surgery;
- Operation - ligamentotomy;
- Anesthesia (local or intravenous anesthesia);
- Extender (the patient himself buys, 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 determined by a doctor after consultation and examination.