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It is vital that the stretched penile length is measured preoperatively with and without a penile injection test preferably in the standing position in order to provide the patient with realistic postoperative expectations regarding size. Several surgical techniques will allow the surgeon to maximize the postoperative length including surgical approach peno-scrotal below the penis vs. Schedule a phone consultation Ask in person: Request an appointment Ask by video: Book your online video session Type of anesthesia Spinal anesthesia, as opposed to general anesthesia, will make the body numb from the waist down and blood will pool into a relaxed penis. The penis will stretch by itself allowing the surgeon to place the longest possible cylinders that will fit.
The surgeon can also immediately see the size and measure the stretched penis before the start of the surgery. General anesthesia does not have the same relaxing effect on penile tissue and the surgeon will have to manually stretch the penis to estimate the length of the penis. This is the equivalent of comparing the length of the manually stretched penis when not sexually aroused with the length when sexually active. No-Touch technique and preoperative measurement of the penis As previously mentioned, knowledge of the pre-implantation length is very useful in maximizing post-operative length.
After the cylinders Penis stretch videos inserted in the penis and before the corporotomies are closed, the cylinders are inflated and the erect penis measured. This measurement can be compared with the pre-implantation measurement. This will result in an undersized penis. Also if the penis was not measured before the implant operation, the surgeon may not be aware of the discrepancy in size. Most urologists do not measure and document the length of the stretched penis before the implant is performed. Book your online video session Surgical approach Performing the surgery through a midline scrotal incision will not only result in a better cosmetic outcome scar will be concealed by the natural raphe but also will maximize length.
Making a transverse incision above the penis or below the penis will result in a more distal closer to the glans penis incision onto the shaft of the penis often beyond the body plane or bodyline. Input cylinder tubes that exit the penis and connect the cylinders to the pump are more likely to be visible and palpable by the patient and partner. Scar tissue will also form on the part of the penis that is supposed to stretch with an erection decreasing the overall length of the erect penis. Regarding the "above the penis" surgical approach, tubing from the cylinders will exit the base of the shaft at the 12 o'clock position and make a degree turn to reach the scrotal pump.
This tubing will therefore be palpable at the base of the lateral aspect of the shaft of the penis on the right, may rub and be painful during intercourse and even limit the depth of penetration. This can be particularly annoying for the thin patient. Positioning the legs with the knees bent outward and feet touching will also enable more proximal access of the crus of the penis. With this approach tubing exiting the shaft of the penis is oriented straight down towards the pump, resulting in buried, non-palpable or visible input tubing.
This will result in a better cosmetic outcome and the tubing will not interfere with deeper penetration during intercourse. Also scar tissue will form deep in the scrotum on the fixed portion of the shaft of the penis and is less likely to decrease the stretched length. Optimal scrotal pump positioning is facilitated with this approach as well. The pump needs to be accessible far away from the shaft at the base of the penis yet concealed slightly behind the testicles. This is more difficult to perform through other surgical approaches. Most urologists perform the penile implant with the patient supine and flat on the operating table.
Book your online video session Choice of implant cylinder The AMS cylinders are tunical independent and will only expand to 18mm girth a mesh prevents further expansion. This is more than adequate for many patients. For patients requiring cylinder length of 20cm or more this lateral expansion may not be enough and better rigidity will occur with the wider Coloplast cylinders the longer cylinders expand to 21mm plus. The Coloplast cylinders are tunical dependent and if the tunica is not healthy or thin, the rigidity will not be as good as with the AMS cylinders.
The Coloplast cylinders expand fully against the tunica and overtime this can cause thinning and atrophy the tunica albuginea which will cause the penis to become very wide and less rigid.
On the other hand, use of the AMS cylinders in the larger and wider penises will cause inadequate rigidity of the penis as well as a Penis stretch videos appearance of the shaft of the erect penis. The urethra, which is usually at the bottom of the shaft, will instead nestle between the narrower AMS cylinders. It's important to have all types, makes and sizes of cylinders for every case, because often the surgeon may not have pre-operative knowledge of all the variables necessary to select the best cylinder option for that particular individual. You have to do this process for 3 times and then dry off your penis and testicles.
Warming down is also important to reduce the risk of injury. Some penis exercisers also use warming up exercise to warm down penis. Unfortunately, many marketers jump into penis enlargement market just to sell their fake copies and make few dollars. For this reason we did our own research, download few programs and finally we conclude that there are only three penis exercises that are useful. All other exercises are either ineffective or are just another variation of these three exercises. PC Muscle exercise is the most effective exercise because it helps in increasing length and girth of penis.
The more jealousy you get into your favorite the harder your local will become. For the AMS casters that diameter is only 9mm.
PC Muscle exercise also helps in providing complete control on ejaculation. With this exercise your penis will not only grow in length but it also increase in girth as well. There are many people who perform PC muscle exercise to overcome their premature ejaculation problem. According to some experts, PC muscle exercise improves penis appearance as well. All in all we can say that PC Muscle exercise provides lots of healthy benefits. How to Do it? The first step of performing PC muscle exercise is finding your PC muscle. For beginner it is little bit difficult to find this PC muscle because this muscle is located in between anus and scrotum.
To find this PC muscle you have to go to toilet and start urinating. Try to stop urinating and the muscle that gets tensed is the PC muscle. Another way to find PC muscle is getting erection and move your penis right and left without touching it. The muscle that is used to move your penis is PC muscle. This is simple but very much effective exercise for penis enlargement. The sole objective of this exercise is to increase the blood flow into the penis when you get erection. The more blood you get into your penis the harder your penis will become. Experts never set any limit for contraction and relaxation but as per our research we find 24 is the number that everyone must focus on.
At starting you have to try doing 24 contractions and relaxations and rest it for seconds and start doing till 5 sets of these. If it is too much for you then you must start from 16 and slowly build it. As we already see contraction and relaxation in previous section and in this exercise you have to connect contraction with your breathing. To start off this exercise you first need to relax and make sure you breathe in and out easily.
Now start holding your breath and count till Once you count till 20 then start releasing your PC muscle. Try to hold for more than 20 seconds and Peins till reaching strech minute. This is vireos exercise that will increase intensity in Ivdeos muscle exercise. You have to start stretcch by holding PC muscle gently and hold it for 5 seconds then your next contraction should be harder than the previous one. Once you reach your deepest contraction of PC muscle hold it for 5 minutes and restart again from the beginning. Tidal wave Prnis bit different from other exercises because you have to start from light contraction but instead of releasing it you have to stretcch its intensity steetch.
Another important penis enlargement exercise is stretching exercise. This is great exercise because it increases penis length. It is important to understand penis girth is least affected by penis stretching exercise. Before performing this exercise make sure you apply proper lubrication on your penis. Always perform this exercise with extreme care because any mistake can cause pain and skin irritation. In our own research we found that there are two variations of penis stretching exercise that are most powerful. These two variations are: Now, start moving your penis in right, left, upward and downward position slowly and gently.
Now rotate your penis 5 times in clockwise direction and 5 times in anti-clockwise direction. Pull and Slap Method: This is little bit different than twirl method. After moving your penis in right, left, upward and downward position now wait for 20 seconds and then slap your penis into your left hand 15 times and right leg 15 times. This is the combination of both the previous method. Since this is advanced exercise that is reason I want you to try above methods separately before doing this exercise. Then rotate your penis in clockwise and anti-clockwise direction for 15 times each. Now slap your penis on left leg and right leg 30 times each.
This complete one set. Jelqing is another popular exercise for penis enlargement. This exercise is very effective and that is reason many experts talk about it. Even the sellers of extender, penis pumps and pills recommend some Jelqing exercise. The gain you will get from Jelqing will remain permanent even if you stop doing this exercise.
It is important to perform this exercise properly and make sure you properly lubricant your penis before starting this tsretch. You have to do warm up exercise before performing any jelqing exercise. Although many experts recommend different variations of Jelqing exercise but in our research we discover wet jelqing and dry jelqing exercises are most effective. If your penis dries out in between the exercise then you have to stop the exercise and apply the lubricant again.