Penile enlargement: ligamentotomy

consultation with a doctor before penis enlargement surgery

The penis is traditionally perceived as a symbol of masculine strength, so its size has always been a cause of concern for men. Many of them still believe that a large penis is the main sign of sexual and sexual superiority. Normally, the length of the penis at rest ranges from 7 to 13 cm, with an erection the length reaches 12–20 cm. 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 cmmicropenis.

Insufficient length of the penis very often leads to a decrease in the self-esteem of a man, and in certain cases, to serious problems in intimate life (up to the complete impossibility of having sexual intercourse).

To solve this delicate problem, surgeons suggest performing a ligamentotomy - an operation to increase the length of the penis.

Penile enlargement in length includes two stages:

  • Stage 1 - surgery (ligamentotomy). During the operation, the urologist dissects the supporting ligament of the penis.
  • Stage 2 - using the extender for at least 2-3 hours daily for 4-6 months.
enlargement of the penis after surgery


As a rule, the small penis does not impair function and does not lead to infertility. In such cases, the operation of the penis enlargement is carried out exclusively at the request of the man and for aesthetic reasons. In the presence of anomalies in the development of an organ (for example, with a micropenis), ligamentotomy is performed for medical reasons.


Penis lengthening surgery, 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

To exclude contraindications to the operation, it is necessary to undergo preoperative preparation (perhaps at our place or in any place convenient for the patient):

  • clinical blood test;
  • general urine analysis;
  • 4 mandatory tests (syphilis, HIV, hepatitis B, C);
  • biochemical blood test (glucose, AST, ALT, creatinin, 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 additionally need the conclusion of narrowly specialized specialists (for example, an endocrinologist, if you suspect diabetes mellitus).

The course of the surgical intervention

The operation can be performed under local anesthesia or intravenous combined anesthesia. The second option is used much more often to exclude unpleasant sensations during ligamentotomy.

penis enlargement surgery

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 increasing the hanging part.

During the operation, the surgeon dissects the suspension (support) ligament of the penis, the function of which is to hold part of the penis inside the body. The operation can be performed through the scrotal or pubic approach. The duration of all stages of the operation is usually from 30 to 60 minutes.

The result of the operation

As a result of 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 hidden part of the penis) and physiological properties (extensibility and elasticity of tissues). To achieve maximum results after surgery, it is necessary to wear an extender for 4-6 months 2-3 hours a day.

Features of the rehabilitation period

Penis lengthening surgery is considered minimally invasive, the patient is under the supervision of medical personnel for several hours after the operation, then he can leave the clinic on his own.

Before discharge, urologists give all the necessary recommendations on wearing an extender to improve the result of the operation, as well as on the care of the genitals, dressings and follow-up visits. 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 questions in plastic surgery about penis enlargement surgery:

How much does the length of the penis increase after ligamentotomy?

The end result of the operation directly depends on the anatomical and physiological characteristics of the man. After the operation and subject to daily wearing of the extender (2-3 hours a day), the length of the penis increases by an average of 3-5 cm both at rest and in a state of sexual arousal.

How long will you have to abstain from sexual intercourse after surgery?

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 sexual life.

Can reproductive problems occur after a ligamentotomy?

After the operation, there are no side effects in the form of impaired potency or male reproductive function, since when performing ligamentotomy, the surgeon does not affect the anatomical structures responsible for erection.

How much does a ligamentotomy cost?

The cost of ligamentotomy differs from clinic to clinic depending on various factors.

The total cost of penile enlargement consists of:

  • Primary consultation with a urologist;
  • Analyzes before surgery;
  • Operation - Ligamentotomy;
  • Anesthesia (local anesthesia or intravenous anesthesia);
  • Extender (the patient buys on his own, taking into account the recommendations of the urologist).
  • Postoperative visit to urologist (2-3 visits).

The final cost of penis enlargement surgery can only be told by a doctor after consultation and examination.