Before deciding on penis enlargement surgery, two questions must be answered:
- Do I have at least 4 hours a day to wear the extension for a long time?
- What else will I do to achieve maximum results?
The first question is purely organizational. If the extender holds up well, it can be used in the workplace if the work is not related to physical activity or while sitting in the office. As a rule, it is not visible under suits or wide pants.
The second question is more complicated. Based on the postulate that the final result depends on the initial length of the penis, consider the feasibility of the surgery.
Indications for penis enlargement surgery
The indication for surgery with penis enlargement is not only the patient's desire but also the original size of the penis.
- If the penis is smaller than 12 cm, then there are medical indications for surgery as we are talking about underdevelopment of the penis and you have to fight for every millimeter.
- If the penis length is less than 15 cm, the operation must be performed to achieve maximum results.
- If the penis length exceeds 15 cm, the operation is complementary.
Of course, such a distribution is very arbitrary, and in most cases the patient's desire is crucial.
It must be remembered that the essence of the operation is to release the inner (hidden) part of the penis, which allows the extender to act on the entire length of the penis and ultimately get the maximum result.
As for the use of hormones, in case of underdevelopment of the penis and hormonal disorders, their use is necessary for a complex effect on penile tissue. In these cases, testosterone is given by injection. If the penis length is within normal limits and there are no hormonal regulatory disorders, it makes sense to use only ointments that contain active testosterone (dihydrotestosterone).
The degree of sex elongation when using an extender depends on the following conditions:
- The original length of the penis. The longer the penis was originally, the better it lengthens. The more tissue involved in stretching, the better the result. Therefore, in some cases, a ligamentotomy operation is performed to increase the area of influence of the extender.
- Correct penis anatomy. In other words, a lot depends on how well the extender holds. If the extension does not slip off and "sits" well, there will be no problems with use (put it on and forget about it). The design of the modern extender makes it possible to correct it in almost all cases when other extenders can not be held.
- 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 aged 50-60 years. The elasticity and stretchability of the tissue can be a significant factor.
- Absence or presence of hormonal problems. A small penis can be an indirect sign of a decrease in the production of testosterone - the male sex hormone. Therefore, in some cases, before the penis is extended, a hormonal examination should be performed to determine whether it is advisable to prescribe hormone therapy during the extension period.
About the extender
- The extension should be worn on a clean, preferably pre-washed penis with soap. The skin must be dry. This is very important from a hygienic point of view, and in this way the extender holds better and does not slip.
- It may happen that once again you can not stretch the penis and put it on the barbell length that was last time by putting on the extender. Penis could simply contract, this is normal. To pull it up to its original length, just carry the extension for 15-20 minutes in reduced length (you can unscrew another 2 cm rods) and then continue to carry it in the original rod length.
- If the extension is worn down and up alternately, keep in mind that the tension in the first and second case will be different - with the same length of the rods, the tension will always be stronger if the extension 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 carrying the device downward due to the fact that the penis is bent over the base of the extender. This may be due to the fact that on the back surface of the penis after circumcision (especially ritual) there is sometimes a little skin left - with an erection in such men the skin of the scrotum is always tightened and a "sail" is formed. To avoid discomfort when carrying the appliance downwards, after a while, turn the appliance upwards and tighten the skin with your hand, after which the extension returns to its original position.
About medicine
As regards the use of various substances in the form of tablets or ointments which allegedly contain herbal substances and components and lead to increased blood circulation in the penis, the mechanism of action of these substances does not stand up to criticism from the point of view of normal penile physiology and anatomy. medical education. Of course, we can assume that on the background of a strong erection, as if there is an extension of the penis from the inside. But how long must an erection last before its action begins to be realized to lengthen the penis? And is not it easier to use an extender? In addition, the penis may actually appear somewhat larger while being super straight, due to the maximum stretch of its tissue.
At the present stage of drug development, the only effective tablet drugs for improving erection are drugs from the group of phosphodiesterase type 5 inhibitors, and the metabolically active substance that may have an effect on the penis is only active testosterone - dihydrotestosterone which are receptors for dihydrotestosteronein the penis and not to testosterone).
Use of testosterone in tablets is dangerous for the body as this method of use has a negative effect on the liver. In addition, testosterone should be used with caution in people over 45 years and only after 50 years after a special urological examination. Topical use of ointments containing only testosterone is essentially useless - testosterone still needs to be absorbed into the bloodstream, go through the metabolic pathways and become active. Furthermore, it will come in with the blood flow evenly in all organs and tissues and the importance of topical application is lost.
It is advisable to apply topically an ointment containing only dihydrotestosterone for a local metabolic effect on an organ susceptible to hormonal effects. Only relevant when using the extension. If there are hormonal disorders, a drop in testosterone levels and an underdevelopment of the penis, consult a specialist.
About clothing for penis enlargement
- Particular attention should be paid to underwear. The underpants must be loose. If the extension is directed downwards, tight pants can pull it up and reduce the tension on its rods. In addition, it is difficult or simply impossible to wear the extension in tight trousers.
- Trousers must be loose. If the extender is used in the workplace, it makes sense to wear trousers.
About sex during penis enlargement
Sex needs to be done often. Sometimes a man can have mental problems with an erection, especially if he doubts the size of his penis at rest and with erection. In addition, an erection does not always occur before you have to take your clothes off, which further aggravates stress. Due to stress, limitation and fear, the pressure rises, the blood vessels constrict and an erection may not come. Such a picture in no way means that this man has organic problems with erection, usually he has no problems with erection during masturbation. The solution to this problem may be drug support for erection with drugs - phosphodiesterase type 5 inhibitors. You just need to use the first few intercourse "on the pill" that the partner should not be informed about. On the basis of a confident erection, fear will pass and doubts about their own sexual inferiority will disappear. Although these medicines are freely available in the pharmacy network, a doctor should recommend a particular medicine and its dose for use.
What should I do if there are only 30 minutes to use the extender - 1 hour a day
In this case, the alternative way of wearing the extender must be followed. Each time the device is rotated to the maximum, and after 10-15 minutes after relaxation of the penis, the barbells are screwed out to the maximum possible length, where the extension "wears" the rest of the time. And that every time.
How long to use the device
The device should be used until the desired result is achieved, but no longer than one year. Extension usually occurs within 3 to 6 months.
How to take care of the device
The extension is a construction that does not require special maintenance. However, it is wise to rinse the belt pad with warm water and soap at regular intervals and wipe the bottom and rods with alcohol.