The penis is traditionally seen as a symbol of male strength, so its size has always been a concern for men. Many of them still believe that a big 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 micropenis.
Insufficient penis length often leads to a decrease in a man's self-esteem and, in certain cases, to serious problems in intimate life (even 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 increase in length includes two stages:
- Phase 1 - surgery (ligamentotomy). During the operation, the urologist dissects the supporting ligament of the penis.
- Step 2 - Use the extender for at least 2-3 hours daily for 4-6 months.
Indications
As a rule, a small penis does not impair function and does not lead to infertility. In these cases, the penis enlargement operation is performed exclusively at the man's request and for aesthetic reasons. In the presence of anomalies in the development of an organ (eg, with a micropenis), ligamentotomy is performed for medical reasons.
Contraindications
Penis lengthening surgery, like any surgical manipulation, has a series of contraindications: bleeding disorders, cancer, diabetes mellitus, infectious and inflammatory processes in the body, etc.
The possibility of surgical intervention is determined by the physician based on the results of the preoperative examination.
Ligamentotomy Preparation
To exclude contraindications to the operation, it is necessary to carry out preoperative preparation (perhaps at our house or in any place convenient for the patient):
- clinical blood test;
- general urine analysis;
- 4 mandatory exams (syphilis, HIV, hepatitis B, C);
- biochemical blood test (glucose, AST, ALT, creatinine, total bilirubin);
- coagulogram No. 1;
- ECG (before intravenous anesthesia for patients over 45 years of age or with chronic heart disease).
In some cases, you may also need advice from strictly specialized specialists (eg an endocrinologist if you suspect diabetes mellitus).
The course of surgical intervention
The operation can be performed under local anesthesia or 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 order to increase the pendant part.
During the operation, the surgeon dissects the ligament of suspension (support) in the penis, whose function is to retain part of the penis within the body. The operation can be performed via the scrotal or pubic route. The duration of all steps of the operation is usually 30 to 60 minutes.
The result of the operation
As a result of the ligamentotomy, the length of the penile pendant 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 the physiological properties (extensibility and elasticity of tissues). For maximum results after surgery, it is necessary to wear an extender for 4 to 6 months, 2 to 3 hours a day.
Characteristics of the rehabilitation period
Penis lengthening surgery is considered to be minimally invasive, the patient is under the supervision of the medical staff for several hours after the operation, so he can leave the clinic on his own.
Before discharge, the urologist gives all the necessary recommendations about the use of an extender to improve the result of the operation, as well as about the care of the genital organs, dressings and follow-up appointments. 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 frequent doubts in plastic surgery about penis enlargement surgery:
How much does penis length increase after ligamentotomy?
The final 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 to 3 hours a day), the length of the penis increases by an average of 3 to 5 cm both at rest and in a state of sexual arousal.
How long will you have to abstain from sex after the operation?
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 sex life.
Can reproductive problems occur after a ligamentotomy?
Postoperatively, there are no side effects in the form of decreased power or male reproductive function, since, when performing the ligamentotomy, the surgeon does not affect the anatomical structures responsible for the erection.
How much does a ligamentotomy cost?
The cost of ligamentotomy differs from clinic to clinic, depending on several factors.
The total cost of penis enlargement consists of:
- Primary consultation with a urologist;
- Analyzes before surgery;
- Operation - Ligamentotomy;
- Anesthesia (local anesthesia or intravenous anesthesia);
- Extender (the patient buys on their own, following the urologist's recommendations).
- Post-operative visit to the urologist (2-3 visits).
The final cost of penis enlargement surgery can only be informed by a doctor after consultation and examination.