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Tag: Penis Enlargement

The Shortest Distance Between two Points in a Straight Line

Posted on by Dr. Ali Thwaini

Peyronie’s disease is a rather common and potentially debilitating condition for sexually Active men.

What is Peyronie’s disease?

It must be quite unnerving in to wake up on a random morning to see one’s erect penis has “taken a turn”.

While the mainly this condition is idiopathic, some are attributed to various other clinical conditions such as Dupuytren’s contracture.

Painful erections with penile deviation to start with, however, with time, the pain settles leaving behind the penile deviation while erect, which sometimes interferes with sexual activity causing dissatisfaction for the patient and the partner

Treatment

There have been several attempts to treat this condition conservatively and most of these conservative treatments were, at best, equal to placebo.

These have ranged from a variety of supplements like vitamin E, Paraamino Benzoic Acid (Potaba) calcium channel blockers, and even local injection of steroids, with no beneficial effects

Surgical interventions on the other hand provide a definite alternative, however, they come with their inherent side effects.

These are generally divided into penile shortening and penile lengthening procedures;

While the former concentrates on shortening the healthy side of the penis to make it as short as this affected side, this inevitably results in losing some of the erect penis’s length, which all men find unsatisfactory..

Penile lengthening procedures, although seemingly appealing, they have the potential side effect of causing erectile dysfunction as it involves cutting the affected segment that’s responsible for the disease, thus causing the potentially venous leak, which will hinder the erectile process

Recently, there has been some treatment which was initially effective. Collagenase clostridium histolyticum (Xiapex) has been tried with initially promising results, however, due to its significantly high price and the potential side effects of corporal rupture, its use has faded, as with other treatments

Other physical treatments such as external shockwave treatment on Penile remodeling have been attempted with modest results

Regenerative medicine has become a viable alternative in a variety of clinical conditions, and Peyronie’s disease is no different.

Several researchers have attempted the injection of platelet-rich plasma cells (PRP) (with or without hyaluronic acid) into the area of the plaque, in addition to exposing the affected area to shockwave treatment and the results are thus far, promising

It takes one or more sessions depending on the severity of the condition and it is carried out as an outpatient procedure with minimal side effects

The immediate results are encouraging, however, we are still waiting for the intermediate long-term results

Watch the space!

References

Non-surgical methods for Penile Enhancement

Posted on by Dr. Ali Thwaini

Non surgical methods for penile enhancement There are several conservative measures that if used properly, might help in gaining some length and possibly strength during erection.

Penis stretching?

Penis stretching refers to using own hands or a device to increase the length or girth of the penis.
Although there’s evidence to suggest that stretching can increase penile size, the results are usually minimal. In some cases, they may even be temporary.

It’s important to remember that much of the evidence around penis stretching is anecdotal, as there are no randomized trials with its effects to draw a valuable conclusion.

Manual stretching exercises involve using own hand to massage the tissues along the length of the penis. This is intended to stretch the skin and create “micro-tears” in the tissue.
The tissues may appear engorged as they heal, making the penis look longer.
Some exercises also claim to increase girth. Girth exercises, such as jelqing, are also centered around tissue massage.
Consistency is key to maintaining either of these purported effects. However, excessive use of such exercises might lead to more tissue damage leading to harmful outcomes.


Penile Enhancement Exercises

Penile Enhancement Exercises


1. Stretching


This is carried out by grasping the penis just behind its head. Don’t hold it too firmly or too loose. The penis is then gently stretched initially downwards for 20-30 seconds followed by upwards stretch for another 20-30 seconds


2. Rotational stretch


This is achieved by grasping the penis just below its head and pulling it outwards firmly. It is normal to feel a stretch in the shaft but not any pain. Then the penis is moved in circular motion maintaining the stretch and grip. Each rotation should take around 30 seconds. For each direction, at least three rotations are to be performed.


3. Jelqing

Jelqing-penile enhancement


With the penis being partially erect and using a lubricant, the penis is held at the base with the thumb and index finger. Slow movement of the hand up the penis maintaining the pressure.This is one jelq and it should take you 2 to 3 seconds to do 1 jelq. This help in pushing the blood towards tip of the penis and will not cause any pain. Repeat this process.


4. Kegel


The key is to identify the Pubococcygeus muscle by stopping the flow of urine. Once recognized, the muscle is held in contraction for about five seconds and then released. This method is then repeated as many times as desired, ideally for about 30 minutes every day to see an improvement in erection.

5. Opposite stretch

After folding the tip and base of the Leno’s with each hand respectively, both hands are then pulled in opposite direction, without causing any pain. This position is held for about 30 seconds and then relax. This method is repeated as required and after enough number of stretches let your penis relax.


Research on penis stretching techniques is limited. None of the studies that have been done point to any one technique as an effective way to permanently lengthen the penis. However, a temporary increase in size may be possible.One 2010 review reported that men who used the Andropenis stretching device saw an increase in size with extended daily use. Participants used the device for six hours per day over the course of four months. They gained anywhere from 1.8 to 3.1 centimeters (cm) in length.
Stretching with a device

To use a penis pump:

  • Place your penis inside the air-filled chamber.
  • Use the pump mechanism to suck the air out of the chamber. This pulls blood into your penis, causing it to become erect.
  • Attach the included ring or clamp to your penis to keep it erect for up to 30 minutes. It’s safe to have sex or masturbate during this time.
  • Remove the ring.

To use a traction device:

  • Insert your penis into the base end of the device.
  • Secure the head of your penis within the two notches at the opposite end.
  • Fasten the silicone tube around the shaft of the penis.
  • Grip the ends of the silicone tube on the bottom of the device and slowly pull your penis outward. Stop pulling if it starts to feel painful or uncomfortable.
  • Leave the penis in the stretched position for 4 to 6 hours a day.

Potential risks and complications

Being too rough with your penis can cause large tears in the tissues or damage to the ligaments that connect your penis to your body. These injuries can potentially hinder your ability to get or maintain an erection. When wearing a traction device, follow your doctor’s instructions for how long to wear it. Wearing it any longer can cause injuries that affect the penis function. After using a pump, don’t let the blood stay in your penis for more than 30 minutes. Having an erection for more than a few hours can permanently damage your penis. Stretching exercises or devices may cause:

  • itching
  • minor bruising or discoloration
  • red spots along the penile shaft
  • numbness
  • vein rupture

See your doctor if your symptoms last for more than a couple of days or are severe. Your doctor can assess your symptoms and advise you on any next steps.

Your results will depend on the approach you take and how consistent you are with use. Traction devices, for example, must be used daily — often for months at a time — in order to achieve any noticeable effects. Anecdotal reports suggest that using a penis pump can produce much faster results, but there isn’t any research to support this.It’s also unclear how much time will pass before you see results from manual stretching exercises.

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The bottom line

If you have questions or concerns about your penis size, talk to your doctor. They can discuss your options for lengthening and explain how to do so safely.Learning how your penis responds to stretching and other forms of stimulation may help you feel more comfortable with your body. You may also notice changes in appearance or performance over time.Be sure to follow any product directions or guidelines provided by your doctor. If performed incorrectly, stretching can result in injury or erectile dysfunction.Seek immediate medical attention if you experience pain or discomfort while stretching, or if you notice any change in your erectile function.

Penis Enlargement

Posted on by Dr. Ali Thwaini

Penoplasty (male enhancement)

The penile enlargement procedure is seldom discussed. Men in general are private about their privates at the best of times, and when it comes to such an intimate matter, they are even more introvert.

However, the amount of men going for penis enlargement procedures is up. 

A recent UK based study, a general questionnaire was sent to community men of various ages, They found that almost 50% would like a larger penis.

For the last five years, members of the International Society of Aesthetic Plastic Surgery carried out almost 50 000 enhancements worldwide.

There are several procedures that would increase the apparent length and the actual girth of the penis. These, however, are to be tailored to the anatomy of the patient, and also to patient expectations.

It is important to realise that there is no procedure that actually increases the real length of the penis. Penoplasty makes the penis appear longer by repositioning it in relation to the tissues around it.

Penoplasty (Penis Enlargement)

Although there are medical indications for penoplasty. However, these are rare indications, and surprisingly, the majority of men seeking penile enlargement have normal sized genital organs. The reasons for wanting a larger penis are often nothing to do with sexual performance. Most men seek this procedure mainly to enhance the appearances of their flaccid penis size, especially when going to the gym and using communal showers because.

There is a range of procedures. They can be generally split between those increase the length of flaccid penises, or more girth.

One thing you can do is use liposuction on the fat around the base of the penis — if you’ve got four inches of fat there, your penis will look four inches bigger when the fat is surgically sucked out.

The lengthening procedure, however, mainly involves making an incision at the base of the penis in an area that can be easily covered by the hairline, and dividing a ligament which is called the ‘suspensory ligament’ which connects the penis to the pubic bone.”

Once the ligament is cut, the penis will permanently come further out of the body.

Penis Enlargement Surgery

Cutting the ligament means the angle of erection will change so it’s not as upright, and there is a thing balance between cutting too much and too little of this ligament, and a skilled surgeon can keep this change to a minimum so you don’t end up with a downward-pointing erection.

Increasing the penile girth usually involves injecting material into the soft tissue underneath the skin on the penis. The most commonly used material is the patient’s own fat, usually from the abdominal area. There surgeons use a synthetic filler like hyaluronic acid, which is what women use to enhance the lips or fill gaps in cosmetic surgery. Each has its own pros and cons.

Post operatively, me are advised to refrain from having sex for at least about four weeks.

Although these procedures do not actually increase the surest penis length, as they significantly enhance the girth of the flaccid and erect penis, there will be an improvement in overall outcome, with more pleasurable for both partners.

Non-surgical methods for Penile Enhancement

penile enhancement

Non surgical methods for penile enhancement There are several conservative measures that if used properly, might help in gaining some length and possibly strength during erection.

Visit Dr. Ali Thwaini for Penis Enlargement Dubai, Complicated surgery often calls for expert surgeons

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