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]