Who is tendonectomy performed on and how?

Men with small genitalia may decide to undergo radical treatments such as surgery.In this case, the best way to enlarge the penis is to cut the ligaments, which you will learn in this article.

---

Ligamentectomy is a surgical procedure aimed at enlarging the male genitalia.This method is based on the intersection of the supporting ligaments of the penis, located deep in the pelvis.After cutting them, the inside of the penis is stretched out about 3 to 5 cm.During operation, one device is used - the extender.

Indications for surgery

The main indication for ligament cutting is a length of the penis up to 12 cm when fully aroused.The most common cause of a small penis is anatomical structure (congenital micropenis).But the operation is also performed in other cases:

• reduced size after injury;
• hypospadias, in which the urethral opening is located incorrectly;
• curvature of the penis (Peyronie's disease);
• epispadias (complete or partial separation of the upper wall of the urethra);
• replacement of the cavernous bodies of the organ with connective tissue (cavernous fibrosis);
• hereditary disease - Kallman or Klinefelter syndrome.

Advantages and disadvantages

Ligamentectomy has alternative methods to increase penis size.For example:

1. Use a vacuum pump.
2. Wearing the extender is only temporary.
3. Special exercises.
4. Folk recipes.
5. Penile prosthesis surgery (artificial implant).
6. Lipofilling (separate biomaterial introduced).
7. Insertion of hyaluronic acid, gel or synthetic prosthesis into the genitals.

Each method has advantages and disadvantages, but no method can compare in effectiveness with ligament surgery because it has the following advantages:

1. Unlike other surgical techniques, ligamentectomy is a cosmetic rather than reconstructive surgery and is therefore considered a safer procedure.
2. General anesthesia is excluded, which may be contraindicated for many men.Local anesthesia is used to reduce sensitivity.
3. The main feature is that there is no need to insert or implant various devices into the genital organs - prostheses, pumps, gels, frames, etc., which can harm the body.But it's just a "harmless" extender during the recovery period.
4. Durability of effect and short recovery time after intervention.
5. During surgery, it is possible to further eliminate congenital and acquired defects, and increase the penis not only in length, but also in thickness.
6. Minimal number of adverse reactions.

Although surgery guarantees 100% penis enlargement, the final results may vary.For one man, the penis increases by 5 cm, and for another - only by 2 cm.But the result largely depends on the anatomical structure of a particular organism.

Another disadvantage is the risk of infection, as well as the development of complications.But again, this depends on the patient's anatomy and the surgeon's professionalism.

Preparation

This cosmetic surgery requires special preparation, including a preliminary examination of the patient.For this, the following diagnoses are prescribed:

• take blood for general analysis, degree of coagulation of biological fluid, presence of infection;
• general urine collection to identify urinary and other bacteria;
• chest x-ray and cardiac electrocardiogram;
• tests to detect allergic reactions to anesthetics;
• Ultrasound examination of pelvic organs;
• Consult a psychologist to detect abnormalities.

What should patients do:

• the day before surgery, do not drink alcoholic beverages or drugs;
• for three days do not use certain groups of drugs (usually anticoagulants that inhibit the clotting of blood fluid);
• 6 hours before surgery, do not eat or drink;
• Carefully shave the groin area;
• go swimming.

Before surgery, the surgeon must inform the patient about the progress of the surgery.Some doctors offer a drawn diagram.

Perform the operation

The operating process includes several stages:

• The patient is placed on a sterile couch;
• Spinal anesthesia is performed;
• monitor the body's response;
• The surgeon makes a small incision;
• Palpate the connecting ligaments;
• dissect it with a scalpel;
• With slow and careful movements, stretch the penis to the maximum length of the ligaments (it varies from person to person);
• The incision is sutured;
• a bandage is applied.

Ligamentectomy can be performed according to the standard method, but in modern medicine a different type is used - the introduction of fatty tissue into the cavity to increase the diameter of the penis.In addition, cosmetic surgery differs according to the type of excision - transscrotal or pubic.

Removal of the scrotum

This technique is considered the most modern and safe.If previously access to the ligament was performed through the pubic bone, now it is performed through the scrotum, which opens up new possibilities:

• Operating time reduced to 10-20 minutes;
• no scars;
• soft tissue injuries are reduced;
• Surgical manipulations with large amounts of fatty tissue can be performed;
• Maximum pain relief after and during surgery.

Features of the procedure:

• the skin is cut in the area of the scrotum (upper part of the seminal vesicles), then the soft tissues are pulled out;
• access to the ligamentous apparatus is opened;
• The superficial suspensory ligament is transected;
• Suspensory ligaments are highlighted;
• hemostasis is performed.

During scrotal excision, the surgeon pays attention to mobilizing the ligaments located next to the branches of the dorsal vein and spermatic cord.

Dissection in the pubic area

This was the first penis enlargement method used.Its special features are as follows:

• excision is performed in the pubic area;
• Large scars remain;
• high level of soft tissue injury;
• Difficulty in operation if the patient is overweight;
• long recovery period;
• The scar formed in many cases does not allow the penis to be completely turned upward.

Although there are many disadvantages for the patient, this method is considered easier for the surgeon because after making an incision in the pubic area, you can completely access the ligamentous apparatus.

Time and cost of the activity

The duration of surgical procedures depends on the type of operation.If the excision is performed through the pubic bone, the time ranges from 50 minutes to an hour.For this type of scrotal surgery, 10-20 minutes is enough.

Tendonectomy is not performed in government agencies but mainly in private clinics.The cost of the surgery largely depends on the region, the expertise of the surgeon and clinic, and the type of surgical intervention.

Contraindicated

Ligament cutting is prohibited in the following cases:

• if the size of the genitals is larger than normal (12 cm);
• in cases where the normal length of the penis produces physical rather than psychological dissatisfaction;
• Surgery will have to be postponed in case of skin diseases because of the risk of infection;
• infectious diseases of the genitourinary system;
• Mental instability confirmed by a psychotherapist.

Consequences of surgery and possible complications

Ligamentectomy is a safe surgical procedure, but in some cases the following consequences may occur:

• subcutaneous inflammatory process in the area of excision;
• intercourse is painful at first;
• causing sutures to sap;
• pain when urinating;
• in the first month – decreased erection;
• infection;
• bleed;
• swelling;
• decreased sensitivity;
• scar formation;
• tissue necrosis;
• curvature of the penis;
• deformity of the penis;
• behind the scrotum.

Complications arise for many reasons:

• the surgeon's lack of professionalism;
• lack of appropriate sterility during surgery;
• patient non-compliance during rehabilitation;
• Use various means to speed up the healing process on your own (without consulting a doctor).

Rehabilitation

Not only does the quality of the activity affect the outcome, but it also affects the person's actions during recovery.

What is included in rehabilitation:

1. The extender can be worn only on the second day, not earlier.Wearing time is only a few hours.As you recover, wear time gradually increases, reaching 8 hours.
2. During 2 weeks, sexual intercourse in any form is strictly prohibited.Intimacy must be authorized by the attending physician after a preliminary examination.Otherwise, various complications will develop.
3. After surgery, magnetic resonance imaging is needed to clearly see the effectiveness.
4. When patients use dilators, they need to visit the doctor regularly for monitoring (visit time is determined by the doctor on an individual level).
5. Pay special attention to intimate hygiene, this will prevent infection.
6. Do not apply ointments and creams to the scar yourself.
7. Sterile dressings are changed three times a day.
8. Physical activity is excluded.
9. It is necessary to adhere to the rules of healthy eating.
10. You cannot drink alcohol or drugs.

Evaluate

• "3 years ago, I had an operation to cut the ligament through the pubic bone. The operation was successful, but I was left with an ugly scar, although it did not cause any particular discomfort. The only thing is that when fully erect, the penis does not rise completely, but in bed this is not a problem. By the way, I increased the size to 3.7 cm."
• "My husband and I had problems in bed, my length was not enough for her, although when erect, my length was 16 cm (seemed normal). Since there were no other problems, we decided to operate on me. We went to a private clinic. The price was suitable for me, but the doctors did not really want to accept it, because I had no deviations, but we were convinced. Before surgery, I had to do a lot of different tests and diagnoses, but had tosurgery.was completed in 15 minutes.As a result, the penis has increased by nearly 3 cm, sex life has improved, and there are no more scars."
• "I had a ligamentectomy. The price was of course not small, but worth it. An incision was made on the scrotum. The result was excellent, +5 cm. However, during the rehabilitation period, there was severe discomfort in the perineum and I also accidentally got an infection, but I immediately ran to the clinic. It's good that you reacted quickly. In general, I tried not to touch the wound anymore. After only 3 weeks I was free."have sex.But I warn you that in about a couple of weeks the erectile sensitivity has decreased a little, but my wife liked that ejaculation did not occur for a long time.Then everything got better."

If you decide to enlarge your penis, perform a ligamentectomy, this method has many advantages.But before that, weigh all the pros and cons so as not to regret it later, and be sure to find a clinic where real specialists work.