Elongation of the penis - Causes, symptoms and treatment. MF.

All methods used for elongation of the penis can be conditionally divided into three groups - vacuum, traction and surgical. The first two groups are inherently non-surgical( conservative) methods of lengthening the penis and consist in a long "training" of organ tissues for stretching.

Conservative methods of penis extension

Vacuum devices
Consist of two main components: a cylinder with one open end, into which the penis and vacuum pump are inserted. The vacuum device operates on the principle of a pressure gradient - the pump removes air from the cylinder, creates a vacuum in the cylinder, resulting in blood from the body rushes to the penis and it increases in size.

External stretching devices
These are various extenders for the permanent extension( stretching) of the penis in length. The most famous among them is the JES extender, which is a device for mechanical elongation( extension) of the penis. To achieve the effect, the JES extender should be worn for up to 6 hours a day for 3-6 months, gradually increasing the length of the boom. Thus, it is possible to lengthen the penis by 2-3 cm.( Without surgery).

Surgical extension methods

The possibility of elongation of the penis with the help of surgical intervention is inherent in the features of fixation of the cavernous bodies of the penis by the supporting ligament to the articulation. Supportive ligament is the main object of intervention in the enlarging surgery of the penis. It is especially important that this ligament determines the angle between the penis and the abdominal wall at the maximum erection.

Ligamentotomy - incision of the suspender ligament - the most common method of lengthening the penis. It is performed in combination with the plastic of the skin near the base of the penis. The principle of the method is based on eliminating the physiological curvature of the penis by crossing the supporting ligament and releasing the cavernous bodies to the level of deep arteries entering into them and then fixing the cavernous bodies in a new position at the level of the cut off supporting ligament. The technique allows to achieve the penis lengthening to 3-5 cm. However, this operation increases the penis mainly only in a relaxed state.

There are several options for performing the operation, depending on the type of access( suprapubic, over-suborach, subcoronary), although the main stage( ligamentotomy) remains unchanged.

With isolated ligamentotomy( without skin plasty), the JES extender should be used continuously after the operation, otherwise the retraction of the penis( reverse retraction) will occur with a decrease in the original length.

Circular dissection of the white shell of with implantation into a section of biological or synthetic material( corpoplasty).This technique is used only in patients with potency disorders and is complemented by simultaneous implantation of prostheses into cavernous bodies. Prostheses are designed to ensure a permanent rigidity of the body for satisfactory sexual activity. The operation allows to extend the penis by 2-5 cm.

Combined methods of penis lengthening.

For optimal effect, it is better to use ligamentotomy with simultaneous use of JES extender and vacuum device. Due to the operation it is possible to lengthen the penis by 2-4 cm, and the subsequent wearing of the apparatus in alternation with the vacuum device secures the positive result of the operation and promotes further extension of the organ. In this case, sometimes it is possible to extend the penis even by 6 cm.