Penis Lengthening Through Ligamentolysis | Dr. Jethon

Penis lengthening through ligamentolysis (Ligamentolyse) in Dr. med. Christoph Jethon’s program at PraxisClinic Jadore is a surgical technique intended to increase the visibly external portion of the penis by mobilizing a part of the internal segment that lies within the body. The method targets the anatomical suspension system rather than cutting into the penile shaft itself, aiming to achieve a natural-looking change while leaving sensitive structures at the penile root (where nerves, vessels, and the urethra run) untouched. The procedure is performed via a small incision of about 3-4 cm in the pubic hair region. The anterior suspensory ligament is released and then re-anchored, while the posterior ligament structures remain intact. By straightening the previously curved internal course and shifting the balance between the internal and external penile portions, the visible length can increase in both the flaccid and erect states, with outcomes depending on individual anatomy, including baseline angle, symphysis length, and ligament configuration. A key feature of this technique, as described for this clinic, is the avoidance of foreign materials such as silicone or implants. Instead, autologous tissue is used and stabilized with specially developed suturing methods to support the result and reduce the risk of postoperative retraction forces from scar formation, which can influence the final appearance. The intervention is designed as an outpatient procedure. Anesthesia is typically local anesthesia or twilight sedation (Dämmerschlaf); general anesthesia is generally not required but can be used if desired. The clinic estimates the average achievable increase in visible length at 3-6 cm, emphasizing that the exact result is anatomy-dependent and must be assessed individually. Aftercare focuses on protecting, healing, and stabilizing the result. During the first week, priority is placed on rest, wearing compression dressings, and regular cooling; mild swelling is considered a normal early reaction. Everyday activities are typically feasible again after 2 to 3 weeks, while sports and sexual activity are usually resumed after about 5 weeks. In patients prone to stronger scar formation, a stretching device may be recommended to support long-term stabilization, with follow-up tailored to each patient. Functionally, the erectile capability remains unchanged, and because the approach avoids incisions into the penile shaft itself, the intention is to minimize functional complication risks compared with techniques that involve direct shaft dissection.