Before deciding on penis enlargement surgery, two questions need to be answered:
- Can I wear an extender for at least 4 hours a day?
- What else do I want to achieve the most results?
The first problem is purely an organizational problem. If the extender is kept well, then it can be used at work, if work has nothing to do with physical activity, or when sitting in an office. Usually, it is not visible under a suit or wide pants.
The second question is more complicated. Based on the assumption that the final result depends on the original length of the penis, you should consider the feasibility of surgery.
Indications for penis enlargement surgery
The indication for penis enlargement surgery is not only the patient's wishes, but also the original size of the penis.
- If the penis is less than 12 cm, then there is medical indication for surgery. Since we are talking about penile hypoplasia, we must fight for every millimeter.
- If the length of the penis is less than 15 cm, surgery should be performed to achieve the maximum effect.
- If the penis is longer than 15 cm, the surgery is complementary.
Of course, this allocation is very arbitrary, and in most cases, the patient's wishes are decisive.
It must be remembered that the essence of surgery is to release the inner (hidden) part of the penis, allowing the extender to act on the entire length of the penis, and ultimately get the greatest effect.
As for the use of hormones, in the case of penile dysplasia and hormonal disorders, their use is necessary for the complex effects of penile tissues. In these cases, testosterone is administered by injection. If the penis length is within the normal range and there is no hormonal regulation disorder, it makes sense to use only ointments containing active testosterone (dihydrotestosterone).
The extent of genital extension when using an extension device depends on the following:
- The original length of the penis. The longer the penis turns out, the longer it will be. In other words, the more organizations involved in stretching, the better the effect. Therefore, in some cases, a ligamentotomy will be performed to increase the area affected by the extender.
- The correct anatomical structure of the penis. In other words, it largely depends on the retention effect of the expander. If the extender does not slip off and "sit down", there will be no problems with its use (put it on and forget it). The design of modern extenders allows it to be fixed in almost all situations where other extenders cannot be held.
- Persevere patiently. Of course, the extender is best worn for 2 hours instead of 30 minutes at a time, 6-8 hours a day instead of 1-2 hours.
- age. A young man is more promising than a 50-60 year old man. The elasticity and stretchability of the tissue may be an important factor.
- There are no or hormonal problems. A small penis may be indirect evidence of decreased testosterone (male sex hormone) production. Therefore, in some cases, before lengthening the penis, a hormonal test should be performed to determine whether hormonal therapy is recommended during the prolongation period.
About the extender
- The extender should be worn on a clean penis, preferably pre-washed with soap. The skin must be dry. This is very important from a hygiene point of view, besides, this way the expander will be better held and will not slip.
- It may happen again, wearing an extender, you will not be able to stretch the penis and fix it to the length of the last barbell. The penis can simply contract, which is normal. To pull it to its original length, simply wear the extender at the shortened length for 15-20 minutes (you can unscrew the extra 2 cm rod), and then continue to wear it at the original rod length.
- If the extender wears up and down alternately, it should be remembered that the tension in the first and second cases is different-in the case of the same rod length, if the extender is facing downwards, the tension will always be greater.
- In patients after circumcision, because the penis is bent over the base of the extender, when the device is worn down, the skin may be pulled along the back surface of the penis (where the urethra passes). This may be due to circumcision (especially for rituals) and sometimes very little skin remains on the back of the penis-when these men have erections, the skin of the scrotum always tightens and forms a "sail. "If you feel unwell, please wait for a while, turn the device upwards and tighten the skin with your hands, then the extender returns to its original position.
About medicine
As for the use of various drugs in the form of tablets or ointments that are said to contain plant substances and ingredients and cause increased penile blood circulation, the mechanism of action of these drugs cannot withstand criticism from a normal point of view. The description of the physiology and anatomy of the penis is based on calculations by people without medical education. Of course, we can assume that in the context of a strong erection, the penis extends from the inside. But how long should an erection last before you begin to realize the effect of lengthening the penis? Isn't it easier to use an extender? In addition, although super erect, the penis may actually look larger than it actually is due to the maximum stretch of its tissues.
In the current stage of medical development, the only effective tablet drug to promote erection is the phosphodiesterase 5 inhibitor group, and the only metabolically active substance that affects the penis is the active testosterone-dihydrotestosterone (there are two in the penis). Hydrotestosterone receptor, not testosterone).
The use of testosterone in tablets is dangerous to the body because this method of use has a negative effect on the liver. In addition, people over 45 years of age should use testosterone with caution, and after 50 years of age, they need to undergo special urological examinations before using it. The topical use of ointments containing only testosterone is basically futile-testosterone must still be absorbed into the blood, through the metabolic pathway, and become active. Furthermore, it will evenly enter various organs and tissues along with the blood flow, and lose the meaning of local application.
In order to produce local metabolism for organs that are susceptible to hormones, it is recommended to use ointments containing only dihydrotestosterone locally. Only relevant when using extenders. If you have hormonal imbalances, decreased testosterone levels, and penile dysplasia, you should consult a specialist.
About penis extension clothes
- Pay special attention to underwear. Underwear must be loose. If the extender is facing down, the leggings can pull it up, thereby reducing the tension on the rod. In addition, it is difficult or impossible to lift the extender in tights.
- The pants should be loose. If you use an extender at work, it makes sense to wear suit pants.
Regarding sexual behavior during penis extension
Sexual life needs to be carried out frequently. Sometimes, a man may have psychological problems during erection, especially when he suspects the size of his penis at rest and erection. In addition, you don’t always get an erection before you have to take off your clothes, which can further aggravate the stress. In the context of stress, restraint, and fear, pressure rises, blood vessels constrict, and erections may not come at all. Such a picture by no means means that the person has physical problems with erections. Usually, he does not have any erection problems during masturbation. The solution to this problem can be the use of medications to support erections-phosphodiesterase type 5 inhibitors. You only need to "take medicine" during the first few sexual intercourses, and you should not notify your partner. In the context of a confident erection, fear will pass, and doubts about your own sexual inferiority will dissipate. Although these drugs are freely available in the pharmacy network, doctors should recommend specific drugs and their dosages.
What to do if you only have 30 minutes to use the extender-1 hour per day
In this case, the alternative way of wearing an extender should be followed. Every time the device is twisted to the maximum, 10-15 minutes later, after the penis is relaxed, unscrew the barbell to the maximum possible length, and the extender "wears" in the remaining time. This is always the case.
How long is the device used
The equipment should be used until the desired effect is achieved, but not more than one year. Usually, the extension time is 3 to 6 months.
How to maintain equipment
The expander is a structure that does not require special maintenance. However, it is wise to regularly rinse the strap pad with warm water and soap, and wipe the base and rod with alcohol.