Before deciding on penile surgery, two questions need to be answered:
- Will I have at least 4 hours a day to wear the extension for a long time?
- What else do I want to do to achieve maximum results?
The first question is purely organizational. If the extension holds up well, then it can be used at work, if the work is not related to physical activity, or while you are sitting at the desk. As a rule, it is not visible with a suit or baggy pants.
The second question is more complicated. Based on the premise that the final result depends on the initial length of the penis, you should consider the expediency of the operation.
Indications for penile surgery
The indication for surgical penis enlargement is not only the patient's desire, but also the initial size of the penis.
- If the penis is less than 12 cm, then there are medical indications for surgery, as we are talking about penile underdevelopment and you have to fight for every millimeter.
- If the length of the penis is less than 15 cm, then surgery should be performed to achieve maximum results.
- If the length of the penis exceeds 15 cm, the operation is additional.
Of course, such a distribution is very arbitrary and in most cases the patient's desire is decisive.
We must remember that the essence of the operation is to release the inner (hidden) part of the penis, which allows the extension to act along the entire length of the penis and ultimately have the maximum effect.
Regarding 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 hormonal regulation disorders, then it makes sense to use only ointments that contain active testosterone (dihydrotestosterone).
The degree of elongation of the genitals when using an extension depends on the following conditions:
- The initial length of the penis. The longer the penis was originally, the better it lengthens. That is, the more tissue involved in the stretch, the better the result. Therefore, in some cases, a ligandotomy operation is performed to increase the area of influence of the extension.
- Correct anatomy of the penis. In other words, a lot depends on how well the extension will hold. If the extension does not slip and "sits" well, there will be no problems with its use (put it on and forget it). The design of its modern extension allows it to be fastened in almost all cases where no other expander can be kept.
- Patient persistence. Of course, it is better to wear the extension for 2 hours, not 30 minutes at a time and 6-8 hours a day, instead of 1-2 hours.
- Age. A young man has more prospects than a man aged 50-60. Tissue elasticity and ability to stretch can be an important factor.
- The absence or presence of hormonal problems. A small penis may be an indirect sign of a decrease in the production of testosterone - the male sex hormone. Therefore, in some cases, before the penis lengthening, a hormonal test should be done to decide whether to prescribe hormone therapy for the lengthening period.
About expansion
- The extension should be worn on a clean, preferably pre-washed soapy penis. The skin must be dry. This is very important in terms of hygiene, in addition, this way the extension will hold better and will not slip.
- It can happen again, wearing the extension, you will not be able to stretch the penis and fasten it to the length of the bar that was the last time. The penis can just shrink, this is normal. To pull it to its original length, simply wear the extension for 15-20 minutes at a reduced length (you can unscrew extra 2 cm rods) and then continue to wear it to the original length of the bar.
- If the extension is worn alternately and upwards, then it must be borne in mind that the intensity in the first and second cases will be different - with the same length of bars, the intensity will always be stronger if the extension 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 wearing the device down due to the fact that the penis bends above the base of the extension. This may be due to the fact that on the back surface of the penis after circumcision (especially ritual) sometimes there is a little skin - with an erection in these men, the skin of the scrotum is always tight and a "cloth" 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 returns to its original position.
About drugs
Regarding the use of various agents in the form of tablets or ointments, which are said to contain plant substances and ingredients, and lead to increased blood circulation in the penis, the mechanism of action of these agents does not withstand criticism from the physiological point of view of its physiology and anatomy. 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 does it take for an erection to begin its action to lengthen the penis? And isn't it easier to use an extension? In addition, while it is very erect, the penis may actually look slightly larger than it is due to the maximum stretching of its tissues.
At the present stage of drug development, the only effective tablet drugs to enhance erection are drugs from the group of phosphodiesterase type 5 inhibitors and the metabolically active substance that can affect the penis is only active testosterone - dihydrotestosterone (there are receptors fordihydrotestosterone in the penis and not testosterone).
The 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 of age and after 50 years only after a special urological examination. Topical application of testosterone-only ointments is virtually futile - testosterone must continue to be absorbed into the bloodstream, pass through the metabolic pathways and be activated. Further, it will enter with blood flow evenly to all organs and tissues and the sense of local application is lost.
It is recommended to apply an ointment containing dihydrotestosterone only locally in order to have a local metabolic effect on a hormone sensitive organ. Relevant only when using the extension. If you have hormonal disorders, low testosterone levels and penile underdevelopment, you should consult a specialist.
About clothes for penis enlargement
- Particular attention should be paid to underwear. Underwear should be loose. If the extension is directed downwards, then the tight pants can pull it upwards, reducing the tension in its bars. In addition, in tight pants it is difficult or simply impossible to lift the extension upwards.
- Pants should be loose. If the extension is used at work, it makes sense to wear 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 at rest and with an erection. In addition, an erection does not always occur before you have to take off your clothes, which further aggravates the stress. Under stress, restraint and fear, the pressure rises, the blood vessels constrict and an erection may simply not come. Such an image in no way means that this man has organic problems with erection, as a rule, he has no problems with erection during masturbation. The solution to this problem may be the support of erection drugs with drugs - phosphodiesterase type 5 inhibitors. You just have to spend the first few contacts "on the pill", about which the partner should not be informed. As part of a confident erection, fears will pass and doubts about their own sexual inferiority will disappear. Although these drugs are freely available in the pharmacy network, a doctor must recommend a specific drug and its dosage for use.
What to do if there are only 30 minutes to use the extension - 1 hour a day
In this case, the alternative use of the extension must be followed. Each time the device rotates to the maximum, and after 10-15 minutes, after the penis relaxes, the bars are unscrewed to the maximum possible length, at which the extension "wears 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 one year. As a rule, the elongation occurs in 3 to 6 months.
How to care for the device
The extension is a construction that does not require special maintenance. However, it is wise to periodically rinse the strap with warm soapy water and wipe the base and bars with alcohol.