Male Genital Plastic Surgery

WHAT IS LIGAMENTOTOMY?

Ligamentotomy (or ligamentolysis) is a surgical procedure to lengthen the penis by cutting the ligament that supports it. This ligament attaches the penis to the pubic bone. During the procedure, the surgeon tears this ligament and moves skin from the abdomen to the shaft of the penis. [1]

PENIS ENLARGEMENT METHODS:

The first type of operation (penis lengthening) is a classic surgical penis enlargement, in which the surgeon uses the hidden part of the organ, surgically bringing it outside through a series of incisions in the area of ​​the so-called ligament of male dignity, which suspends, stretches, and then fixes it in a new position. [2]

The second method is aimed at thickening the genital organ. This is lipofilling, that is, thickening with injections of the patient’s own fat or a special drug – hyaluronic acid filler. Such an operation is considered a more procedure and is performed under the influence of a local anesthetic. When using the patient’s own fat, the surgeon first takes adipose tissue from another area of ​​the body (this procedure is also performed under local anesthesia)

And in 82% of cases, men prefer to combine the two surgeries. [3] The combination of fat grafting and ligament release can lengthen the penis by 3-5 cm. [4]

HOW DOES PENIS ENLARGEMENT OCCUR?

Penis enlargement surgery at the ANACOSMA clinic takes place in 3 stages:

1. Consultation. During which a plastic surgeon will examine you, talk about possible techniques, prescribe additional examinations, and suggest a date for surgery.
2. If the test results are good, the operation is performed. Penis enlargement is most often performed under local anesthesia, although if it is combined with large-volume liposuction, the operation can be performed under xenon anesthesia, such an opportunity in Ukraine is available only at the ANACOSMA clinic. Xenon anesthesia is considered the safest anesthesia in the world.
3. Rehabilitation. It is necessary to refrain from sexual intercourse for at least 3-5 weeks. Also during this period it is necessary to wear loose underwear, limit physical activity. The doctor may also recommend procedures to reduce swelling.

WHEN ARE THE RESULTS OF PEN ENLARGEMENT VISITED?

The result is visible immediately after the swelling subsides. But it is important to remember: patients are strictly advised to abstain from sexual activity for 3-5 weeks after surgery.

The effect of ligamentotomy lasts forever, from lipofilling up to two years, and then the procedure must be repeated, and from the introduction of fillers – up to 8 months.

List of sources used:

1. Penile enlargement: from medication to surgery. J Sex Marital Ther. 2010;36(2):118-23.
2. Spyropoulos E, Christoforidis C, Borousas D, Mavrikos S, Bourounis M, Athanasiadis S. Augmentation phalloplasty surgery for penile dysmorphophobia in young adults: considerations regarding patient selection, outcome evaluation and techniques applied. Eur Urol. 2005 Jul;48(1):121-7; discussion 127-8. 
3. Littara A, Melone R, Morales-Medina JC, Iannitti T, Palmieri B. Cosmetic penile enhancement surgery: a 3-year single-centre retrospective clinical evaluation of 355 cases. Sci Rep. 2019 Apr 19;9(1):6323.
4. Panfilov DE. Augmentative phalloplasty. Aesthetic Plast Surg. 2006 Mar-Apr;30(2):183-97.

Pavlo Denyshchuk

Information prepared by a leading plastic surgeon at the ANACOSMA clinic