Gaining at Higher Angles

I don’t know if these can help:

“The suspensory ligament of the penis: an anatomic and radiologic description.
Hoznek A1, Rahmouni A, Abbou C, Delmas V, Colombel M.
Author information
Abstract
The suspensory system of the penis acquires clinical importance in reparative surgery, traumatology and through its role in erection. The aim of this study was to identify the different anatomic structures constituting the suspensory ligament by dissection and by magnetic resonance imaging (MRI). Ten unembalmed male subjects were used for dissection of the region of the base of the penis. Ten volunteer patients underwent MRI of the penis before and after the injection of prostaglandin (PGE1). The suspensory apparatus consisted of separate ligamentous structures: the fundiform ligament, which is lateral, superficial and not adherent to the tunica albuginea of the corpora cavernosa; the suspensory ligament properly so-called, further back, stretching between the pubis and the tunica albuginea of the corpora cavernosa and consisting of two lateral, circumferential, and one median bundles, which circumscribed the dorsal vein of the penis.

These structures were identifiable in MRI and their supporting role was evidenced during tests of erection. The suspensory ligament seemed to maintain the base of the penis in front of the pubis and to behave as a major point of support for the mobile portion of the penis during erection.”

The suspensory ligament of the penis: an anatomic and radiologic description

“Urol Clin North Am. 1995 Nov;22(4):887-902.
Augmentation phalloplasty.
Alter GJ.
Author information
Abstract
Aesthetic procedures can increase the girth and visual length of the penis. Dermal-fat grafts increase penile circumference without the complications that result from fat injections.

Release of the suspensory ligaments with skin advancement may increase flaccid penile length. Suprapubic lipectomy and Z-plasty of a penoscrotal web enhance penile appearance. Accurate diagnosis and meticulous technique are mandatory.”

Augmentation phalloplasty

I don’t think pics are a bad idea, after all, so here another one, which, like a previous before, illustrates why the idea of gaining erect length throught penis cut is wrong: in normal males, the penis is straight while erect.

Now I am using an image I posted before: it illustrates what could happens when the ligs are cut, thanks to gravity. It is a rough deformation, just to give you an idea of how I visualize the thing.

Hey marinera in that picture you just posted it looks like their is a hand holding up that one testicle , thought it was funny , made me laugh, sorry for getting off topic . Maybe its a sign . Do not cut.

Yeah it looks funny.

Ok, now we are on the right track. I finally think I understand how you see it.

In those first two pictures, when I say “straight from the body” I’m not talking about a straight line as that is a straight line in the erect picture, but straight as in parallel to the floor. So a straight line (90° erection angle), parallel to the floor, traveling from the inferior pubic rami where the penis attaches (when viewed from the side as the penis splits inside the body) to the tip of the glans.

Now the second picture. First, I really wish I knew how to do that morphing thing, that would come in handy here. This is really what I am talking about, and that picture shows me why you think lig elongation can only produce flaccid gains. To an extent, this is true in lig snipping as the suspensory ligament is not cut all the way back, only the distal portion is cut. That small amount of release produces significant flaccid gains, but only modest erect gains, as pretty much all of our posted research has shown. When the penis rotates around the axis formed by that proximal (deepest inside the body) portion of the ligament that is still intact and straightens most of the length gains disappear. This is what you have described as “rotating around the base” when becoming erect.

Now look at that second picture yourself. See the area directly to the right of the arrow where the pubic symphysis is? The suspensory ligament actually travels all the way back to the back of the pubic symphysis. If you cut all the way back to the proximal end of the suspensory ligament, cutting it entirely, the entire shaft would drop down. They don’t do this because without a suspensory ligament the penis would lose its erection angle completely. Not to mention if you completely clipped the fundiform ligament the scrotum and testes would no longer have a suspensory structure. But when we stretch, if we can elongate that entire ligament, front to back, the penis will hang lower as you have shown with your arrow but will still retain its suspensory structure.

I’m going to illustrate this as I think the words might be confusing.

I did that with Gimp. It is free and easy to use. There is a distortion function from the menu.

I have Linux on my computer and have GIMP, but I have never played with it. I am gonna have to try it out!

Ok so my question is that if upward angles hit the tunica more, which is to be said to be harder to gain, why did I notice a measurable result after only a few days? Is it because I “loosened” my ligs enough to allow the majority of force go straight to the tunica? Seems like even if that were the case, gains should still be slow consideringball the information ive seen. Just curious as to what the reasoning is behind it.

Actually the higher you hang or stretch, the less both ligs and tunica get the stress.

Ok so does it not make sense physiologically that im gaining at high angles and not low?

My extender arrived and I’ve been trying it out while reading these posts. Just to see the extension capacity, I measured. Curiously, I read one post and it measures longer, read the next post and it measures less. Is this a case of Schrödinger’s Penis?

Each of us has a specific built so I wouldn’t say ‘it not make sense physiologically’. It would be interesting to see how are you hanging and even placing the hanger. Are your gains erect gains, stretched gains or both?

This remembered me a curiosity: some penis enlargement clinics don’t accept patients for penis lengthening if they have a previous (natural) PE story. If you have worn an extender for example. This is curious, since the same clinics recommend wearing an extender or weights or pumps after the surgery. Funny, isn’t it?

Physicians prefer a bit of a shroud around potential contributory events that they may perceive as affecting their surgical outcome. Not uncommon at all and more likely due to the profession being conditioned to legal liability.

To chime in on the discussion at hand, there is a certain degree of variance in what is being discussed while conclusions are being made on the premise that there is significant agreement on the elements of each. To say the least, it seems quite muddled. As inferred above, certain gains in tunica are achieved in the process of ligament change. But regardless of that. Let’s stop and lay some ground rules. The most important result, I think most would agree for the purpose of discussion here, is in erect length gains. What determines erection length? Expansion of blood filled chambers. The length of these chambers is fixed as they terminate in the glans. The proximal end of the CC and CS are attached firmly to the pubic arch and the perineal membrane respectively. The weight of the body of the penis is supported by two ligaments, the fundiform and suspensory. They both attach at different points and degrees to the fascia penis. Because of this, lengthening these, in itself, will not give you increased erect length. That is unless through some other means which may have been achieved, a lengthening of the tunica, septum and cellular material making up the CC and CS has occurred. Perhaps it has, whether through hanging or stretching. This is where I have not been able to find any histology research specifically. Given that, I think what would suffice to me is clinical evidence from you guys that have increased your erect length and that would be not bone pressed because of too much variability in pubic fat. Anyway it’s been a great review of my Gray’s Anatomy 35th British edition, W.B Saunders Company 1973. Maybe more later. Cheers.