Before deciding on penis enlargement surgery, you need to answer two questions:
- Will I have at least 4 hours a day to use the extender for a long time?
- What else do I want to do to achieve maximum results?
The first question is purely organizational. If the extender holds up well, it can be used at work, if work is not related to physical activity, or while sitting in the office. As a rule, it is not visible under the suit or wide pants.
The second question is more complicated. Starting from the postulate that the final result depends on the original length of the penis, you must 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 15 cm, then the operation must be performed to achieve maximum 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 wish is decisive.
It should be remembered that the essence of the operation is to free the inner (hidden) part of the penis, which allows the extender to act on the entire length of the penis and finally get the maximum result.
As for the use of hormones, in the case of underdevelopment of the penis 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 hormonal regulation disorders, then it makes sense to use only ointments containing active testosterone (dihydrotestosterone).
The degree of genital lengthening 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. That is, the more tissue is involved in stretching, the better the result. Therefore, in some cases, a ligamentotomy operation is performed to increase the area of influence of the extensor.
- Correct the anatomy of the penis. In other words, a lot depends on how well the extender holds up. If the extender does not slide and "sit" well, there will be no problems with its use (put it on and forget it). The modern extender design allows it to be attached in almost all cases when other extenders cannot be attached.
- Patient persistence. Of course, it is better to wear the extender for 2 hours, not 30 minutes at a time, and 6 to 8 hours a day, rather than 1 to 2 hours.
- Age. A young man has more prospects than a man in his 50s to 60s. The elasticity and stretchability 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 during the lengthening period.
About the extender
- The extender should be used on a clean penis, preferably pre-washed with soap. The skin must be dry. This is very important from a hygienic point of view, in addition, this way the extender 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 to the length of the bar that was last time. The penis could simply contract, this is normal. To pull it to its original length, simply wear the extender for 15-20 minutes at a reduced length (you can unscrew additional 2cm rods), and then continue to use it at the original length of the rod.
- If the extender is worn alternately down and up, it should be noted 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 extender is directed downwards. .
- In patients after foreskin circumcision, it is possible to pull the skin along the posterior surface of the penis (where the urethra passes) when using the appliance 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 posterior surface of the penis after circumcision (especially ritual) sometimes little skin remains; with an erection in such men, the scrotum skin always tightens and a "candle" forms. . To avoid discomfort when carrying the appliance down, after a while, turn the appliance up and tighten the skin by hand, after which the extender returns to its original position.
About medications
As for the use of various agents in the form of tablets or ointments, which supposedly contain plant substances and components and which lead to increased blood circulation in the penis, the mechanism of action of these agents does not withstand criticism from the point of view of normality. physiology and anatomy of the penis, and its description is calculated in people without medical education. Of course, we can assume that in the context of a strong erection, there is, as it were, an extension of the penis from the inside. But how long must an erection last for its action to begin to lengthen the penis? And isn't it easier to use an extender? Also, while super erect, the penis may appear somewhat larger than it was due to the maximum stretching of its tissues.
At the current stage of the development of medicine, the only effective tablet drugs for improving an erection are drugs from the group of phosphodiesterase type 5 inhibitors, and the metabolically active substance that can have an effect on the penis is only testosterone. active, dihydrotestosterone (there are receptors for dihydrotestosterone in the penis and not for testosterone).
The use of testosterone in tablets is dangerous for the body, since this method of use has a negative effect on the liver. Also, testosterone should be used with caution in people over 45 years old, and after 50 years only after a special urological examination. Local application of ointments containing only testosterone is essentially useless: testosterone must still be absorbed into the bloodstream, pass through metabolic pathways, and become active. In addition, it will enter with the blood flow evenly in all organs and tissues, and the meaning of local application will be lost.
It is advisable to apply an ointment containing only dihydrotestosterone topically in order to achieve a local metabolic effect on an organ susceptible to hormonal effects. Relevant only when using the extender. If there are hormonal disorders, decreased testosterone levels and an underdevelopment of the penis, you should consult a specialist.
About clothing to lengthen the penis.
- Special attention should be paid to underwear. Undergarments must be loose. If the extender is directed downward, tight pants can lift it up, reducing stress on your temples. Also, in tight pants it is difficult or simply impossible to pull the extender up.
- Pants must be loose. If the extender is worn at work, it makes sense to wear suit pants.
About sex during penis enlargement
Sex must be done frequently. Sometimes a man can have psychological problems with an erection, especially if he doubts the size of his penis at rest and with an erection. In addition, an erection does not always occur before you have to remove your clothes, which further exacerbates stress. In a context of stress, restriction, and fear, pressure increases, blood vessels constrict, and an erection may simply not occur. Such an image in no way means that this man has organic problems with erection, as a rule, he does not have any problems with erection during masturbation. The solution to this problem may be pharmacological support for erection with drugs: phosphodiesterase type 5 inhibitors. He only needs to spend the first sexual intercourse "with the pill", about which the partner should not be informed. In the context of a secure erection, the fears will pass and the doubts about his own sexual inferiority will dissipate. Although these drugs are freely available in the pharmacy network, a doctor must recommend a particular drug and its dosage for use.
What to do if there is only 30 minutes to use the extender: 1 hour a day
In this case, the alternative way of using the extender should be followed. Each time the device is turned to the maximum, and after 10-15 minutes, after the relaxation of the penis, the rods are unscrewed to the maximum possible length, in which the extender "wears out" for the rest of the time. And so always.
How long to use the device
The device should be used until the desired result is achieved, but not more than a year. As a general rule, lengthening occurs in terms of 3 to 6 months.
How to take care of the device
The extender is a construction that does not require special maintenance. However, it is advisable to periodically rinse the strap pad with warm soapy water, and clean the base and temples with rubbing alcohol.