To whom and how is a ligamentotomy performed?

A small genital man may decide on radical treatments such as surgery. In this case, the best way to enlarge the penis is with a ligamentotomy, which you will learn about in this article.

Ligamentotomy refers to a surgical procedure aimed at enlarging a man’s penis. The method is based on the intersection of the supporting tapes of the penis, which are located deep in the pelvis. After cutting, the inside of the penis is stretched to a distance of 3-5 cm. An operation is used during the operation - an extension cord.

Indications for surgery

The main indication for ligamentotomy is penis length up to 12 cm during total arousal. The most common cause of the small penis is its anatomy (congenital micropenis). But the operation is performed in other cases:

  • size reduction after injury;
  • hypospadias in which the urethral opening is not properly positioned;
  • curvature of the penis (Peyronie's disease);
  • epispadies (the upper wall of the urethra is completely or partially ruptured);
  • replacement of the cavernous body of the organ with connective tissue (cavernous fibrosis);
  • hereditary diseases - Kallman or Klinefelter syndrome.

Pros and cons

Ligament isomy can increase penis size with alternative methods. For example:

  1. Using a vacuum pump.
  2. Wearing an extension cord is temporary.
  3. Special exercises.
  4. Folk recipes.
  5. Phallus prosthesis surgery (artificial implant is inserted).
  6. Lipofilling (own biological material is introduced).
  7. Introduction of hyaluronic acid, gels or synthetic prostheses into the genitals.

Each method has advantages and disadvantages, but none can be compared to efficacy with ligamentotomy because it has the following advantages:

  1. Unlike other surgical techniques, ligamentotomy is plastic, not reconstruction, and can therefore be considered a safer method.
  2. General anesthesia is ruled out, which may be a contraindication for many men. Local anesthesia is used to reduce sensitivity.
  3. The main feature is that there is no need to insert and implant various devices in the penis - prostheses, pumps, gels, frames, etc. , Which can damage the body. And just a "harmless" extender for the rehabilitation period.
  4. Durability of the effect and short recovery time after the intervention.
  5. In addition, you can eliminate congenital and acquired defects during the operation, increasing not only its length but also its thickness.
  6. Minimum number of side effects.

Although the operation provides a 100% guarantee for penis enlargement, the end result may vary. In one person, the penis grows by 5 cm, while in another - only 2. But the result depends largely on the anatomical structure of a particular organism.

Another disadvantage is the risk of infection as well as the development of complications. But again, it depends on the patient’s body and the surgeon’s professionalism.


This plastic surgery requires special training, which consists of a preliminary examination of the patient. The following diagnostics are assigned to this:

  • blood collection for general analysis, coagulation level of biological fluid, presence of infections;
  • general collection of urine for the detection of urinary and other bacteria;
  • chest fluorography and cardiac electrocardiogram;
  • test to identify an allergic reaction to anesthetics;
  • ultrasound examination of pelvic organs;
  • consultation with a psychologist to detect discrepancies.

What the patient should do:

  • do not take alcoholic beverages or medicines on the day before surgery;
  • do not drink certain groups of medicines for three days (most often anticoagulants that inhibit blood clotting);
  • Do not eat or drink 6 hours before surgery;
  • gently shave the groin area;
  • swimming.

Prior to surgery, the surgeon should inform the patient about the course of the surgery. Some doctors are showing a drawn diagram.


The operational process consists of several stages:

  • placing the patient on a sterile couch;
  • spinal anesthesia is used;
  • monitors the reaction of the body;
  • the surgeon performs a small incision;
  • probe the ligament;
  • he dissects with a scalpel;
  • stretches your penis with slow and gentle movements to the maximum length of the ribbon (different for each person);
  • the autopsy is sewn;
  • bonding is used.

Ligament isomy can be performed according to the standard method, but another type of it is used in modern medicine - by introducing adipose tissue into the cavity to increase the diameter of the penis. In addition, the plastic differs in the type of excision - through the scrotum or pubis.

Ligamentotomy - penis enlargement surgery

Cutout in the scrotum region

This technique is considered to be the most modern and safest. If access to the tape was previously opened through the pubis, it is now done through the scrotum, which opens up new possibilities:

  • operating time is reduced to 10-20 minutes;
  • no scar;
  • reduction of soft tissue trauma;
  • it has become possible to perform surgical manipulations on large amounts of adipose tissue;
  • maximum pain relief after and during surgery.

Characteristics of the procedure:

  • the skin is cut in the area of the scrotum (the upper part of the sac) and then the soft tissues are removed;
  • access to the connecting device is opened;
  • the superficial strap-like strip intersects;
  • the support strip is highlighted;
  • hemostasis is performed.

When excising the scrotum, the surgeon pays attention to mobilizing the ligaments located near the branches of the dorsal vein and the spermatic cords.

Pubic autopsy

This is the first penis enlargement method used. Its special features are:

  • excision occurs in the pubic space;
  • large scars remain;
  • high level soft tissue trauma;
  • difficulties in dealing with an overweight patient;
  • long rehabilitation period;
  • the scar formed in many cases does not allow the penis to take the direction completely upwards.

Despite the fact that the patient has so many disadvantages, this method can be considered easier for the surgeon, since after the incision of the pubic part, full access to the tape-like device is given.

Duration and cost of the operation

The duration of surgery depends on the type of surgery. If excision is made through the pubis, the time is between 50 minutes and one hour. For a scrotum-type operation, 10-20 minutes is sufficient.

Ligamentotomy is not performed in public organs but mainly in private clinics. The cost of surgery depends largely on the region, the level of qualification of the surgeon and clinic, and the type of surgery.


Ligamentotomy is contraindicated in the following cases:

  • if the size of the penis is larger than usual (12 cm);
  • in cases where the normal length of the phallus causes physical dissatisfaction and is not psycho-emotional;
  • surgery should be postponed due to skin conditions as there is a risk of infection;
  • infectious diseases of the urogenital system;
  • mental instability confirmed by a psychotherapist.

Consequences and possible complications of surgery

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

  • inflammatory processes under the skin in the area of excision;
  • the pain of intercourse first;
  • clogging of the seams;
  • pain when urinating;
  • in the first month - decreased erection;
  • infection;
  • bleeding;
  • swelling;
  • decreased sensitivity;
  • scarring;
  • tissue necrosis;
  • curvature of the penis;
  • deformation of the phallus;
  • scrotal prolapse.

Complications occur for a variety of reasons:

  • unprofessional surgeon;
  • lack of adequate sterility during surgery;
  • the patient does not meet the requirements during the rehabilitation period;
  • use of various tools to self-accelerate the healing process (without consulting your doctor).


Not only the quality of the operation affects the outcome, but also the actions of a person during the recovery period.

Doctor's consultation on rehabilitation after penis enlargement by ligamentotomy

What rehabilitation includes:

  1. The extension can only be worn on the second day, not earlier. However, the wearing time is only a few hours. As it recovers, the wear time of the device gradually increases, reaching 8 hours.
  2. For 2 weeks, sexual intercourse in any form is strictly prohibited. Intimacy must be approved by your doctor after a preliminary examination. Otherwise, various complications develop.
  3. Postoperative magnetic resonance imaging is mandatory to clarify efficacy.
  4. When the patient is using the dilator, they should visit the doctor regularly for a check-up (the time of visit is determined by the doctor at the individual level).
  5. Particular attention is paid to intimate hygiene, which prevents infections from becoming infected.
  6. Ointments and creams alone should not be applied to scars.
  7. The sterile dressing is changed three times a day.
  8. Physical activity is excluded.
  9. It is necessary to follow the rules of healthy eating.
  10. You must not use alcoholic beverages or drugs.


  • "I did a ligament removal through the pubis 3 years ago. The operation was successful, but I still have a nasty scar, although it doesn’t cause any particular inconvenience. The only thing is that when a full erection occurs, the penis does not rise completely, but in bed it doesn’t matter. By the way, I increased the size by 3. 7 cm. "
  • "My wife and I had problems in bed, my height wasn’t enough for her, although I’m 16cm in an erect state (like normal). Since there were no other problems, we decided to operate. We went to a private clinic. The price was okay, but the doctors didn’t really want to take it because I had no discrepancies, but we were convinced. Before the surgery, I had to do a lot of tests, perform various diagnoses, but the operation was completed in 15 minutes. As a result, the penis grew by almost 3 cm, intimate life improved, no scars. "
  • "I did a ligament isomy. The price is of course not small, but worth it. An incision was made in the scrotum. The result is excellent, +5 cm. However, during the rehabilitation period, there was a severe discomfort in the perineal area and I accidentally brought an infection but ran to the clinic immediately. It's good that I reacted quickly. Usually I tried not to touch the wound anymore. After 3 weeks, she had free sex. But I warn you that for another couple of weeks, erectile sensitivity decreased slightly, but my wife liked that ejaculation didn’t come for long. After that, everything was fine. "

If you decide to enlarge your penis, perform a ligamentotomy, which has several benefits. But first, weigh the pros and cons so you don’t regret it later, and be sure to look for a clinic where real professionals work.