Before deciding on penis enlargement surgery, two questions must be answered:
- Will I have at least 4 hours a day to wear the extender for a long time?
- What else do I want to do to get the best results?
The first question is purely organizational. If the extender holds well, it can be used at work, if the work is not related to physical activity, or while sitting at the desk. As a rule, it is not visible under a suit or wide pants.
The second question is more complicated. Based on the premise that the end result depends on the initial length of the penis, you need to consider the feasibility of the operation.
Indications for penis enlargement surgery
The indication for penis enlargement surgery is not only the desire of the patient, but also the original size of the penis.
- If the penis is less than 12 cm, then there are medical indications for surgery, since we are talking about underdevelopment of the penis, and you have to fight for every millimeter.
- If the length of the penis is less than 15cm, the operation should be performed for optimal results.
- If the length of the penis exceeds 15 cm, the operation is complementary.
Of course, such a distribution is very arbitrary, and in most cases the patient's desire is decisive.
It must be remembered that the essence of the operation is to free the internal (hidden) part of the penis, which allows the extender to act over the entire length of the penis and ultimately obtain the maximum result.
<1_img_centerxx>As for the use of hormones, in case of penile underdevelopment and hormonal disorders, their use is necessary for a complex effect on the tissues of the penis. In these cases, testosterone is given by injection. If the length of the penis is within normal limits, and there are no disturbances in hormonal regulation, then it makes sense to use only ointments that contain active testosterone (dihydrotestosterone).
The degree of genital lengthening when using a stent depends on the following conditions:
- The original length of the penis. The longer the penis was originally, the better it stretches. That is, the more tissue is involved in the stretch, the better the result. Therefore, in some cases, a ligamentotomy operation is performed in order to increase the area of influence of the stent.
- Correct the anatomy of the penis. In other words, it all depends on the hold of the expander. If the extension cord does not slip and "sit" well, there will be no problem with use (put it on and forget it). The design of the modern extender allows it to be secured in almost any case when other extension cords cannot be maintained.
- Patient persistence. Of course, it is better to wear the extender for 2 hours, not 30 minutes at a time, and 6-8 hours a day, rather than 1-2 hours.
- Age. A young man has more prospects than a man of 50-60 years. The elasticity and stretch ability of tissues can be an important factor.
- The absence or presence of hormonal problems. A small penis can be indirect evidence of a decrease in the production of testosterone - the male sex hormone. Therefore, in some cases, before lengthening the penis, a hormonal examination should be carried out to decide whether it is advisable to prescribe hormone therapy for the lengthening period.
About the extender
- The extender should be worn on a clean penis, preferably previously washed with soap. The skin should be dry. This is very important from a hygienic point of view, moreover, this way the extension will hold better and will not slip.
- It may happen that once again, putting on the extender, you cannot stretch the penis and fix it on the length of the bar that was the last time. The penis might just contract, this is normal. To pull it back to its original length, just wear the extension for 15-20 minutes at a reduced length (you can unscrew additional 2cm rods), then continue to wear it to the length of theoriginal rod.
- If the extension is alternately worn down and up, it should be borne in mind that the tension in the first and the second case will be different - with the same length of rods, the tension will always be higher if theextension is directed downwards.
- In patients after circumcision of the foreskin, it is possible to pull the skin along the posterior surface of the penis (where the urethra passes) when wearing the device downward due to the fact that the penis is bent overthe base of the expander. This may be due to the fact that on the back surface of the penis after circumcision (especially ritualistic) there is sometimes little skin left - with an erection in these men, the skin of the scrotum is still tightened and a "veil" is formed. To avoid discomfort when wearing the device down, after a while turn the device up and tighten the skin by hand, after which the extension will return to its original position.
About Medication
As for the use of various agents in the form of tablets or ointments, allegedly containing plant substances and components, and leading to increased blood circulation in the penis, the mechanism of action of these agents does not resist thecritical from the point of view of normal. physiology and anatomy of the penis, and its description is calculated on people without medical training. Of course, it can be assumed that against the background of a strong erection there is, so to speak, an extension of the penis from the inside. But how long must an erection last for its action to begin to take place to lengthen the penis? And isn't it easier to use an extension cord? Additionally, although super-erect, the penis can actually appear a bit bigger than it used to be due to the maximum stretch of its tissues.
At the present stage of the development of medicine, the only effective tablets for improving erection are drugs from the group of phosphodiesterase type 5 inhibitors, and the metabolically active substance which can have an effect on the penis is only theactive testosterone - dihydrotestosterone (there are receptors for dihydrotestosterone in the penis, not testosterone).
The use of testosterone in tablets is dangerous for the body, since this method of use has a negative effect on the liver. In addition, testosterone should be used with caution in people over 45 years old, and only after 50 years after a special urological examination. Topical application of ointments containing only testosterone is essentially futile - testosterone must always be absorbed into the bloodstream, follow the metabolic pathways and become active. In addition, it will enter with the blood flow evenly to all organs and tissues, and the sense of local application is lost.
It is advisable to apply topically an ointment containing only dihydrotestosterone for a local metabolic effect on an organ sensitive to hormonal effects. Relevant only when using the extension cord. If there are hormonal disorders, a decrease in testosterone levels and underdevelopment of the penis, you should consult a specialist.
About clothes to lengthen the penis
- Particular attention should be paid to underwear. Underwear should be loose. If the extension cord is pointed down, tight pants can pull it up, reducing the strain on its rods. In addition, in tight pants it is difficult, if not impossible, to wear the expander upwards.
- Pants should be loose. If the extension cord is used at work, it makes sense to wear dress pants.
About sex during penis lengthening
Sex should be done often. Sometimes a man can have psychological problems with an erection, especially if he doubts the size of his penis while resting and erect. Plus, an erection doesn't always happen before you have to undress, which makes stress even worse. Against the background of stress, compulsion and fear, the pressure rises, the blood vessels constrict, and an erection may simply not occur. Such a picture in no way means that this man has organic erection problems, as a rule, during masturbation he does not have any erection problems. The solution to this problem can be drug support for erection with drugs - phosphodiesterase type 5 inhibitors. You just need to spend the first sexual intercourse "on the pill", about which the partner should not be informed. Against the background of a confident erection, fears will pass, and doubts about their own sexual inferiority will dissipate. Although these drugs are freely available in the pharmacy network, a doctor should recommend a particular drug and its dose of use.
What to do if there are only 30 minutes left to use the repeater - 1 hour per day
In this case, the alternative way of carrying the extension cord should be followed. Each time the device is twisted to the maximum, and after 10-15 minutes, after relaxation of the penis, the dumbbells are unscrewed to the maximum possible length, at which the expander is "worn out" for the rest of the time. And so every time.
How long to use the device
The device should be used until the desired result is achieved, but not more than a year. Typically, lengthening occurs in terms of 3 to 6 months.
How to take care of the device
The extension is a construction which does not require any particular maintenance. However, it is wise to periodically rinse the strap pad with lukewarm water and soap, and wipe down the base and rods with alcohol.