Before deciding on penis enlargement surgery, two questions need to be answered:
- Will I have to wear the extension cord for a long time at least 4 hours a day?
- What else do I want to do to get maximum results?
The first issue is purely organizational. If the extender holds up well, it can also be used in the workplace if the work is not related to physical activity or while sitting in the office. Usually not visible under a suit or wide pants.
The second question is more complicated. Based on the postulate that the end result depends on the original length of the penis, you should consider the feasibility of the operation.
Indications for penile enlargement surgery
The indication for penis enlargement surgery is not only the patient’s desire but also the original size of the penis.
- If the penis is less than 12 cm, then there are medical indications for surgery, as we are talking about the underdevelopment of the penis and every millimeter has to be fought for.
- If the length of the penis is less than 15 cm, the operation 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.
It should be recalled that the essence of the operation is to release the inner (hidden) part of the penis, which allows the extender to act along the entire length of the penis and ultimately achieve maximum results.
As for the use of hormones, in the case of penile underdevelopment and hormonal disorders, their use is necessary for the complex effect of the tissues of the penis. In these cases, testosterone is given as an injection. If the length of the penis is within normal limits and there are no hormonal dysfunction, it is reasonable to use ointments containing only active testosterone (dihydrotestosterone).
The extent of genital extension when using an extender depends on the following conditions:
- The original length of the penis. The longer the penis was originally, the more elongated it was. That is, the more tissue involved in stretching, the better the result. Therefore, in some cases, a ligamentotomy operation is performed in order to increase the area of influence of the extender.
- Correct anatomy of the penis. In other words, a lot depends on how well the extender will hold. If the extension cord doesn’t slide down and "sits well, " there will be no problem using it (put it on and forget it). The design of the modern extension cord allows it to be fixed in almost all cases when other extension cords cannot be held.
- Patient endurance. Of course, it is better to wear the extension for 2 hours, not 30 minutes at a time, and for 6-8 hours a day, rather than 1-2 hours.
- Disease. A young man has more prospects than a 50-60 year old man. The elasticity and stretching ability of the fabrics can be a significant factor.
- Absence or presence of hormonal problems. The small penis may be indirect evidence of a decrease in the production of testosterone, the male sex hormone. Therefore, in some cases, a hormonal test should be performed before penile extension to determine if it is advisable to prescribe hormone therapy for the duration of the extension.
About the extension cord
- The extension cord should be worn on a clean penis, preferably pre-washed with soap. The skin should be dry. This is very important from a hygienic point of view, plus the extension will hold better and not slip.
- Once again, by pulling in the extension, you may not be able to stretch the penis and secure it along the length of the dumbbell that was last. The penis can easily contract, this is normal. To pull it up to its original length, wear the extension length in reduced length for only 15-20 minutes (you can unscrew additional 2 cm bars) and then continue on the original bar length.
- If the extension cord is worn down and up alternately, it should be borne in mind that the tension will be different in the first and second cases - for rods of the same length, the tension will always be stronger when the extender is directed downwards.
- After circumcision of the foreskin, patients can wear the device downwards and pull it along the back surface of the penis (where the urethra passes) as the penis bends over the base of the extender. This may be due to the fact that there is sometimes little skin left on the back surface of the penis after circumcision (especially ritual) - in such men, the skin of the scrotum is always stretched and a "sail" is formed with an erection. To avoid discomfort when wearing the appliance downwards, turn the appliance upwards after a while and tighten the skin by hand, then the extension cord returns to its original position.
About drugs
As for the use in the form of various tablets or ointments allegedly containing herbal substances and ingredients and resulting in increased blood circulation in the penis, the mechanism of action of these agents cannot be criticized from a normal point of view. physiology and anatomy of the penis, its description is calculated for people without medical education. Of course, we can assume that in the background of a strong erection, it is as if the penis is elongated from the inside. But how long does an erection have to last until the effect of penis lengthening starts? And isn’t it easier to use an extension cord? In addition, although the male is super straight, the penis may indeed appear slightly larger than the maximum elongation of its tissues.
At the current stage of medical development, the only effective tablets for enhancing erection are drugs belonging to the group of phosphodiesterase type 5 inhibitors, and the metabolically active substance that may affect the penis is only active testosterone - dihydrotestosterone (there are dihydrotestosterone receptors in the penis and nottestosterone).
The use of testosterone in tablets is dangerous for the body as this method has a negative effect on the liver. In addition, testosterone should be used with caution in persons over 45 years of age and only after special urological examination after 50 years. Topical application of testosterone-only ointments is essentially futile - testosterone still needs to be absorbed into the bloodstream, metabolised, and become active. In addition, it enters all organs and tissues evenly with blood flow, and the meaning of topical application is lost.
It is advisable to apply ointments containing only dihydrotestosterone topically for the local metabolic effect of organs susceptible to hormonal effects. Relevant only when using an extension cord. If you have hormonal abnormalities, low testosterone levels, and penile underdevelopment, you should consult a specialist.
About clothes for penis extension
- Particular attention should be paid to underwear. The underpants should be loose. If the extension is pointing down, the tight pants can pull it up, reducing the tension of the bars. Plus, in tight pants, it’s hard or simply impossible to lift the extension cord.
- The pants should be loose. If the extension cord is used in the workplace, it makes sense to wear suit pants.
About sex when extending a penis
Sex should be done often. Sometimes a person 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 happen before you have to take off your clothes, which further increases stress. Against the background of stress, compulsion, and fear, the pressure rises, the blood vessels constrict, and an erection simply does not occur. Such a picture by no means means that this man has organic problems with erection, usually he has no problems with erection during masturbation. Medication support for erection - phosphodiesterase type 5 inhibitors may solve the problem. You just have to spend the first couple of intercourse "on the tablet", about which the partner should not be informed. Fear goes away in the background of a confident erection, and doubt about your own sexual inferiority is dispelled. Although these drugs are freely available in the pharmacy network, the doctor must recommend a particular drug and its dose.
What to do if you only have 30 minutes to use the extension cord - 1 hour a day
In this case, an alternative way to wear the extender should be followed. Each time the device is twisted to the maximum, and 10-15 minutes after the penis has relaxed, the weights are unscrewed to the greatest possible length, at which point the extension cord "wears out" for the remaining time. And so every time.
How long to use the device
The device must be used until the desired result is achieved, but for a maximum of one year. The extension is usually for 3 to 6 months.
How to take care of the device
An extension cord is a structure that does not require special maintenance. However, it is wise to rinse the strap pad regularly with warm water and soap and wipe the base and rods with alcohol.