From PubMed

After lig-snipping surgery a suture was used to keep the penis in a stretched position. :eek: The abstract doesn’t say for how long.

J Sex Med. 2006 Jan;3(1):155-60.
Minimizing the losses in penile lengthening: “V-Y half-skin half-fat advancement flap” and “T-closure” combined with severing the suspensory ligament.
Shaeer O, Shaeer K, el-Sebaie A.

Department of Andrology, Faculty of Medicine, Cairo University, Egypt.

INTRODUCTION: The technique most commonly used for penile lengthening is the release of the suspensory ligament in combination with an inverted V-Y skin plasty. This technique has drawbacks such as the possibility of reattachment of the penis to the pubis, a hump that forms at the base of the penis, in addition to alteration in the angle of erection. AIM: In this work, we describe a new technique that overrides these drawbacks and minimize the loss of gained length. METHODS: The suspensory ligament was released through a penopubic incision. The caudal flap of the resected ligaments was reflected caudally and sutured to the Buck’s fascia. The V flap was incised. The caudal half of the V was deskinned, leaving a cranial skin-covered V flap, and a caudal, rectangular fat flap. The fat flap was pulled into the gap between the base of the penis and the pubis and secured in position by suturing its deep surface and lower edge to the pubis. This maneuver filled up the gap. The V incision was closed as a Y. The penopubic incision was closed as a T shape, to avoid pulling the penis back at skin closure. A stay suture stretched from the glans to the thigh, maintaining the penis in the stretched position. A urinary catheter was inserted. RESULTS: Six months after surgery, there was no loss in the length gained. The angle of erection (as reported by the patient) was similar to that prior to the procedure. The skin incisions left no hump and a faint scar that was not troublesome to the patient. CONCLUSION: “V-Y half-skin half-fat advancement flap” and “T-closure” may improve the results of suspensory ligament release for penile lengthening. The reported techniques minimize the losses compromising length gain, whether in-surgery or following it.

PMID: 16409230 [PubMed - indexed for MEDLINE]

This study didn’t find any significant length increase from pumping. PEers who pump usually combine it with other techniques.

BJU Int. 2006 Apr;97(4):777-8.
A vacuum device for penile elongation: fact or fiction?
Aghamir MK, Hosseini R, Alizadeh F.

Department of Urology, Tehran University of Medical Sciences, Iran.

OBJECTIVE: To assess the efficacy of a vacuum device as a noninvasive method for penile elongation. PATIENTS AND METHODS: Between September 2003 and November 2004, 37 sexually active men with a stretched penis length of <10 cm were given vacuum treatment three times a week, for 20 min on each occasion, for 6 months. RESULTS: After 6 months, the mean penile length had increased from 7.6 cm to 7.9 cm (no significant difference). The efficacy of vacuum treatment was approximately 10%, and the patient satisfaction rate was 30%. There was one case of haematoma of the penis and one of glans numbness, both resolved spontaneously without any intervention. CONCLUSION: Vacuum treatment of the penis is not an effective method for penile elongation, but provides psychological satisfaction for some men.

PMID: 16536772 [PubMed - indexed for MEDLINE]

23 out of 25 thrombosed veins cleared with only conservative treatment. I don’t think heparin ointment is available in the U.S. The thrombosed veins I’ve had cleared without it.

Urology. 2006 Mar;67(3):586-8.
Subcutaneous penile vein thrombosis (Penile Mondor’s Disease): pathogenesis, diagnosis, and therapy.
Al-Mwalad M, Loertzer H, Wicht A, Fornara P.

University Clinic and Policlinic for Urology, Martin-Luther University Halle-Wittenberg, Halle, Germany.

OBJECTIVES: In international studies, only a few data are available on subcutaneous penile vein thrombosis. The pathogenesis is unknown, and no general recommendation exists regarding therapy. METHODS: A total of 25 patients with the clinical picture of a “superficial penile vein thrombosis” were treated at our policlinic. All patients had noted sudden and almost painless indurations on the penile dorsal surface. The extent of the thrombosis varied. Detailed anamnesis, ultrasonography, and routine laboratory tests were performed for all patients, knowing that primary therapy was conservative. RESULTS: No patient indicated any pain. Some reported a feeling of tension in the area of the thrombosis. In all patients, the thrombosis occurred in the dorsal penis shaft. It was close to the sulcus coronarius in 21 patients, near the penis root in 3, and in the entire penis shaft in 1 patient. The length of the thrombotic vein was between 2 and 4 cm. The ultrasound results were similar for all patients. The primary treatment was conservative for all patients. Recovery was achieved in more than 92% of cases (23 of 25 patients) using conservative therapy, which consisted of local dressing with heparin ointment (10,000 IU) and oral application of an antiphlogistic for 14 days. In 2 cases, thrombectomy was necessary. CONCLUSIONS: Extended imaging diagnosis does not improve the evaluation of the extent of a superficial penile vein thrombosis. Conservative primary therapy consisting of heparin ointment and oral application of antiphlogistics is sufficient. If the thrombosis persists after conservative therapy, surgery is indicated.

PMID: 16527584 [PubMed - indexed for MEDLINE]

Very interesting. Thanks Hobby.

Feel free to add more PE related abstracts.

Here’s another I posted months ago in this thread, showing there are differences in the way our tunicas are constructed.

Arch Androl. 2006 Jan-Feb;52(1):1-8.
Histologic study of the tunica albuginea of the penis and mode of cavernosus muscles’ insertion in it.
Shafik A, El-Sharkawy A, Khamis A, Zaghloul S, Abdel Gawad M, Elwy D.
Department of Surgery and Experimental Research, Faculty of Medicine, Cairo University, Cairo, Egypt.

The tunica albuginea (TA) is the outer covering of the corpora cavernosa (CCs) and corpus spongiosum (CS) of the penile shaft. The different histoanatomical patterns of the TA, as well as the mode of attachment of the ischio-/bulbo-cavernosus muscles (ICM, BCM) to the TA, were studied, aiming at elucidating their role in the mechanism of erection. Twenty-eight cadaveric specimens (18 adults, 10 neonatal deaths) were studied morphologically and histologically after staining with hematoxylin and eosin and Verhoeff-van Gieson stains. The TA consisted in 20 specimens of 2 layers: inner circular and outer longitudinal, in 6 specimens of 3 layers: inner circular, longitudinal and outer circular, and in 2 of only one longitudinal layer. The CS TA was formed of one layer of longitudinal fibers. The mode of cavernosus muscles insertion into the TA revealed 3 patterns. The conjoint BCM and ICM formed a fibrous belt over the CCs in 18 specimens, a muscular belt in 6 and no belt in 4. The functional role of the variations in the TA morphological structure is not exactly known. We hypothesize that the 3-layered TA gives more penile rigidity than the double and single layers. Considering the type of cavernosus muscles insertion into the TA, it appears that the fibrous belt exerts more CC compression than the other 2 types of insertion.

Great thread, Hobby.

The illustrations and info (warning: GRAPHIC!!!) in the first article may be of interest to some of you.

Thanks.

“…both the stay suture and the urinary catheter were removed after 5 days.”

It is amusing in a sad way that doctors are jumping through such hoops to prevent retraction after surgery advertised to make the penis longer.

Hopefully one of these days we’ll see some legitimate studies done on manual PE techniques.

Hobby-good thread!

Para-that link should be a standard reply to anyone considering surgery. No need for words…:D

When I started pumping years ago I didn’t even know what the word “jelk” means, let alone all the exercises we promote here. I did only pumping and gained 1 inch L in about 5 mos.

Does this mean I have to give that inch back?

:)

No, you can keep it. Pumping by itself doesn’t seem to cause permanent size increase for most guys, at least the way it is typically done. If it did, a lot of recreational pumpers would have made good gains.

Keep in mind that a single study usually doesn’t show the whole picture. It’s possible the results would be different using a different protocol, subjects or measuring method (how precise was their measuring technique?).

First, thanks for the posting of scientific studies.

As regards the study on vacuum pumping, they followed a very minimal regimen of 20 minutes 3 times a week, so it’s not surprising the results were minimal. I’d say it’s actually a poorly designed study. Certainly from a PE perspective, what’s missing is something like a test of a second group with more 20 min pumping sessions per day and/or per week to compare more rigorous pumping for efficacy.

The sophisticated Brava breast enlargement pump system, which was well studied in its approval process for the FDA and for which I believe there should be a published scientific study available, was demonstrated to work very effectively by applying minimal vacuum over an extended period consistently every day. It seems to me that any subsequent study on tissue increase via vaccum, would be remiss not to have explored the application of vacuum daily and for longer periods.

FF

Anyone got that breast augmentation study? I wasn’t aware that it had been ratified by the FDA.

That might interesting.

I just have time for a quick reply. See:

I would think the somewhat spongy results often obtained by pumping would be exceptable on breasts.

Although I’d like to see how they prevent simple skin swelling and actually transfer the forces to the internal tissues.
.

The two tissues may not be precisely comparable. The breast growth achieved actually seems to be pretty firm, and in fact they indicate that it can even at least partly counter the visual effect of sagging breasts.

The key seems to be low vacuum over an extended period of time, 8-10 hours per day, consistently every day. That seems to cause the whole mass to expand, rather than just superficial tissue swelling. I think I have noticed similar effects with penis pumping, going for longer periods at lower pressures - at least I think I have observed that I get less tissue swelling like “turkey neck”.

Some of the more medically-oriented PE systems, such as the post-surgery weight hanging regimen, also seem to rely on less stress (weight or vacuum) for longer and more consistent periods. The scientific studies for the Andro-Penis stretcher indicate it is intended to be used at forces equivalent to .6 up to 1.2 kg of weight, or about 1.25 to 2.5 pounds, 10 hours per day.

I do wonder if it would be possible to develop a similar extended pumping system and technique suitable for overnight PE use. With the penis, particularly regarding erections and blood flow, it would seem to be more complex, though even with the breast system they apparently expect the user to have to sleep on their backs consistently during the treatment.

FF

Wonder when they will start injecting stem cells into the penis? I’m sure one could gain, at least girth, this way.

Stem cells?

I’m confused. Please explain yourself.

PS: Thanks FrenumFellow.