Recommend
Official website Maral Gel

Penis Enlargement Surgery

Before deciding on penis enlargement surgery, two questions need to be answered:

  • 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 the work is not related to physical activity, or while sitting in the office. As a rule, it is not visible under the suit or baggy pants.

    The second question is more complicated. Based on the postulate that the final result depends on the original length of the penis, the feasibility of the operation must be considered.

    Indications for Penis Enlargement Surgery

    The indication for penile enlargement surgery is not just the patient's desire, but also the original size of the penis.

    • If the penis is less than 12 cm, then there is a medical indication for surgery, as we are talking about penis underdevelopment, and you have to fight every millimeter.
    • If the length of the penis is less than 15 cm, the operation should be performed for maximum results.
    • If the length of the penis exceeds 15 cm, the operation is complementary.

    Of course, this 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 release the inner (hidden) part of the penis, which allows the extender to work over the entire length of the penis and ultimately obtain the maximum result.

    penis enlargement surgery

    As for the use of hormones, in the case of penile underdevelopment and hormonal disturbances, their use is necessary for a complex effect on penile tissues. In these cases, testosterone is administered by injection. If the length of the penis is within normal limits and there are no disturbances in hormonal regulation, it makes sense to use only ointments containing active testosterone (dihydrotestosterone).

    The degree of genital 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 stretches. In other words, the more tissue involved in the stretching, the better the result. Therefore, in some cases, a ligamentotomy operation is performed to increase the area of influence of the extensor.
    • Correct anatomy of the penis. In other words, a lot depends on how well the extender will handle. If the extender doesn't slide and "snap" well, there's no problem using it (put it on and forget it). The modern extender design allows it to be secured in almost all cases when other extenders cannot be secured.
    • Patient persistence. Obviously, it's better to use the extender for 2 hours, not 30 minutes at a time, and 6 to 8 hours a day instead of 1 to 2 hours.
    • It was. A young man has more prospects than a 50-60 year old man. The elasticity and stretchability of tissues can be a significant factor.
    • Absence or presence of hormonal problems. A small penis may 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 test should be taken to decide whether it is advisable to prescribe hormone therapy for the lengthening period.

    about the extender

  • The extender must 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, moreover, so the extender will hold better and not slip.
  • It may happen that, once again, when putting the extender on, you are unable to stretch the penis and fix it at the length of the bar that it was on last time. The penis may simply contract, this is normal. To pull it to its original length, simply use the extender for 15-20 minutes on a reduced length (you can unscrew additional 2 cm rods) and then continue using it at the original length of the rod.
  • If the stent is alternately worn downwards and upwards, it should be borne in mind that the tension in the first and second cases will be different - with the same length of the rods, the tension will always be stronger if the stent 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 using the device downwards because the penis is bent over the base of the extensor. This may be due to the fact that on the posterior surface of the penis after circumcision (especially ritual) there is sometimes little skin left - with an erection in such men, the skin of the scrotum is always stretched and a "candle" is formed. To avoid discomfort when wearing the appliance downwards, after a while, turn the appliance upside down and stretch the skin with your hands, after which the extender returns to its original position.

    • About medications

    As for the use of various agents in the form of pills or ointments, supposedly containing plant substances and components, and leading to increased blood circulation in the penis, the mechanism of action of these agents does not withstand criticism from the point of view of normal physiology and anatomy of the penis, and its description is calculated in persons without medical training. 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 out. But how long must an erection last for its action to start taking place to lengthen the penis? And isn't it easier to use an extender? Also, although super-erect, the penis may actually appear a little bigger than it once was due to the maximum stretching of its tissues.

    At the current stage of medical development, the only drugs in tablets that are effective in increasing 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 active testosterone - dihydrotestosterone (There are receptors for dihydrotestosterone in the penis, not testosterone).

    Using testosterone tablets is dangerous for the body as this method of use has a negative effect on the liver. Furthermore, testosterone should be used with caution in people over 45 years of age and after 50 years only after a special urological examination. The local application of ointments containing only testosterone is essentially useless - testosterone must still be absorbed into the bloodstream, travel through the metabolic pathways and become active. Furthermore, it will enter the blood flow evenly into all organs and tissues, and the meaning of local application will be lost.

    It is advisable to topically apply an ointment containing only dihydrotestosterone for the purpose of local metabolism in an organ susceptible to hormonal effects. Relevant only when using the extender. If there are hormonal disturbances, decreased testosterone levels, and penile underdevelopment, you should consult a specialist.

    penis enlargement pills

    About clothes to lengthen the penis

  • Special attention must be paid to underwear. The underwear must be loose. If the extender is pointed down, tight pants can pull it up, reducing the tension on its shafts. Also, in tight pants it is difficult or simply impossible to carry the extender up.
  • Pants must be loose. If the extender is used at work, it makes sense to wear a suit pants.

    • About Sex During Penis Elongation

    Sex needs to 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. Also, an erection doesn't always occur before you have to take off your clothes, which adds to the stress. In the context of stress, embarrassment, and fear, pressure builds, blood vessels constrict, and an erection may simply not occur. This image in no way means that this man has organic erection problems, as a rule he does not have erection problems during masturbation. The solution to this problem may be drug support for the erection with drugs - phosphodiesterase type 5 inhibitors. You only need to spend the first intercourse "on the pill", which the partner should not be informed about. In the context of a confident erection, fears will pass and doubts about your own sexual inferiority will dissipate. Although these drugs are available free of charge from the pharmacy network, the doctor must recommend a particular drug and its dose 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 must be followed. Each time the device is twisted to the maximum, and after 10-15 minutes after the penis has relaxed, the dumbbells are unscrewed to the maximum possible length, at which the extender is "worn out" for the rest of the time. And so always.

    how long to use the device

    The device must be used until the desired result, but not for more than a year. As a rule, stretching takes place in periods of 3 to 6 months.

    How to care for the device

    The extender is a construction that requires no special maintenance. However, it is advisable to periodically rinse the strap pad with warm soapy water and clean the base and stems with alcohol.