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Has anyone heard about this surgery?

12

Has anyone heard about this surgery?

From the Mayo Clinic site, which basically trashes PE, pill, and other types of surgery - so you have to give it some credence …

“Surgeons have developed another technique — albugineal surgery with bilateral saphenous grafts — that involves grafting blood vessels from elsewhere in the body to the penis in order to increase blood flow and penis width during erection. An Italian study of 39 men who underwent the surgery for cosmetic reasons found that it increased width by an average of one-half inch without complications. These men may have been lucky.”

Anyone in the U.S. doing this?

Dangle


*I measure PRE-WORKOUT, normal erection* Started: 7 EBP x 4.9 EG. Several years on and off PE, now 8.125 EBP length x 5.5 EG midshaft (5.8 base). Working on girth (clamping) again after breaks due to injuries - fast recent gains! Pics

I personally have not heard of anyone doing this here in the U.S. However I must say it sounds very intriguing.

My stomach is doing loops just from reading this.

So basically taking veins from elsewhere and putting them in your cock?

It reminds me of the movie Guyver for some reason.


Short-Term Goal: 6.25" EG by 9/1/14

"Take it Slow and Watch it Grow"

Long-Term Goal: 10.25" BPEL and 6.5" EG ?

hey, 39 for 39 is a pretty good record! I’d take the half-inch any day! beats a year or two of squeezing, clamping, thromboses, etc…


*I measure PRE-WORKOUT, normal erection* Started: 7 EBP x 4.9 EG. Several years on and off PE, now 8.125 EBP length x 5.5 EG midshaft (5.8 base). Working on girth (clamping) again after breaks due to injuries - fast recent gains! Pics

Hmmm, I wonder if I need my Jugular Vein?


Gut Scramblin' goodness.

Is the primary purpose of this surgery to improve blood flow, presumably to treat erection problems, with increase in width just a secondary effect? Or was it primarily intended as PE?

Interestingly, this refers to an increase in width - but a half inch increase in width would translate to about a one and one-half inch increase in girth, which is major. It occurs to me that some or much of the effect in increased width may be the result of treating problems that previously prevented the penis from even attaining a good erection, and so the treatment might not have nearly as much effect on a healthy penis already capable of attaining a good erection.

FF


Starting, summer '06: 6" EL, 6.5" BPEL, 5.5" EG / Currently: Approximately .4" length and .25" girth gains / Stretched ligs .5" - .6", increasing PBFL and flacid hang

Goal: 7.25" BPEL x 5.75" EG, currently over HALF WAY THERE! on length and ACHIEVED GIRTH!

Piercings: 4 Gauge PA (currently not wearing), Two 4 Gauge upper frenums, other non-genital

Frenum: I bet they are talking about GIRTH, and no, they said it was COSMETIC, so the purpose was to increase girth, not functionality.

I don’t have the link, penismith. But, if you Google it I am sure it will pop up. In fact Google the name of that procedure and you will see several hits.


*I measure PRE-WORKOUT, normal erection* Started: 7 EBP x 4.9 EG. Several years on and off PE, now 8.125 EBP length x 5.5 EG midshaft (5.8 base). Working on girth (clamping) again after breaks due to injuries - fast recent gains! Pics

As long as I am not suffering from erectile dysfunction I would never consider dick surgery. Imagine if we 60.000 members here would all under go this operation and there were only a 1 % risk of impotence (it could well be more, like 5% I would estimate, then the cost for 60.000 dicks with improved girth would be 600 impotent forum members. I find this unacceptable.


Later - ttt

Also,

the challenge of PE cannot be beaten…


Perseverance wins

Buby: I’m lazy. I’d love to go to sleep and wake up having moved from the 70th percentile to the 90th… without all the thrombosed lymph vessels on the way. Shit, I think a year or two of serious girth work is just as dangerous as an hour under the knife.


*I measure PRE-WORKOUT, normal erection* Started: 7 EBP x 4.9 EG. Several years on and off PE, now 8.125 EBP length x 5.5 EG midshaft (5.8 base). Working on girth (clamping) again after breaks due to injuries - fast recent gains! Pics

1: Eur Urol. 2002 Sep;42(3):245-53; discussion 252-3.Click here to read Links
A new technique for augmentation phalloplasty: albugineal surgery with bilateral saphenous grafts—three years of experience.

OBJECTIVES: Penile augmentation surgery is a highly controversial issue due to the low level of standardisation of surgical techniques. The aim of the study is to illustrate a new technique to solve the problem of enlarging the penis by means of additive surgery on the albuginea of the corpora cavernosa, guaranteeing a real increase in size of the erect penis. METHODS: Between 1995 and 1997, 39 patients who requested an increase in the diameter of their penises underwent augmentation phalloplasty with bilateral saphena grafts. The patients considered eligible for surgery were patients with either hypoplasia of the penis or functional penile dysmorphophobia. All the patients included in our study presented normal erection at screening. The average penis diameter in a flaccid state and during erection was found to be 2.1cm (1.6-2.7 cm) and 2.9 cm (2.2-3.7 cm), respectively.Before surgery the patients were informed of the experimental nature of the surgical procedure. The increase in volume of the corpora cavernosa was achieved by applying saphena grafts to longitudinal openings made bilaterally in the albuginea along the whole length of the penis. RESULTS: No major complications and specifically no losses of sensitivity of the penis or erection deficiencies occurred during the post-operative follow-up period. All the patients resumed their sexual activity in 4 months. A measurement of the penile dimensions was carried out 9 months after surgery. No clinical meaningful increases in the diameter of the flaccid penis were documented. The average penis diameter during erection was found to be 4.2 cm (3.4-4.9) with post-surgery increases in diameter varying from 1.1 to 2.1cm (p<0.01). CONCLUSIONS: The penile enlargement phalloplasty technique with albuginea surgery suggested by the authors definitely is indicated for increasing the volume of the corpora cavernosa during erection. Albuginea surgery with saphena grafts has been found to be free from aesthetic and functional complications with excellent patient satisfaction.
PMID: 12234509 [PubMed - indexed for MEDLINE]

http://www.ncbi.nlm.nih.gov/entrez/…4509&dopt=Books

SIGN ME UP!!!!!

Dangle


*I measure PRE-WORKOUT, normal erection* Started: 7 EBP x 4.9 EG. Several years on and off PE, now 8.125 EBP length x 5.5 EG midshaft (5.8 base). Working on girth (clamping) again after breaks due to injuries - fast recent gains! Pics

1: J Sex Med. 2006 Jan;3(1):164-9.Click here to read Links
Penile girth augmentation using flaps “Shaeer’s augmentation phalloplasty”

Department of Andrology, Faculty of Medicine, Cairo University, Egypt. dr-osama@link.net

INTRODUCTION: Current girth augmentation techniques rely either on liposuction/injection or on the use of dermal fat grafts. These procedures have serious disadvantages, including regression in gained size, deformities, irregular contour, and asymmetry. Ideally, the augmentation technique should ensure durability and symmetry. This case report describes the first application of a flap (superficial circumflex iliac artery island flap) in penile girth augmentation. MATERIALS AND METHODS: The superficial circumflex iliac vessels were identified and the groin flap was elevated from lateral to medial, rotated toward the penis, and tunneled into a penopubic incision. It was wrapped around the penis short of the corpus spongiosum and insinuated under the glans. RESULTS: Six months after surgery, the patient had an erect girth of 19.5 cm and a flaccid girth of 16.5 cm, compared with 11 cm and 7 cm, respectively, before surgery, thus maintaining the intraoperative girth gain. The outer surface felt smooth with no lobulation. The size of the glans was proportionate to the shaft’s girth. CONCLUSION: This case report shows that the application of flaps in penile girth augmentation may provide a reliable alternative to the currently applied techniques. Glans flaring promotes the aesthetic results and is applicable with other techniques of penile girth augmentation.

PMID: 16409232 [PubMed - indexed for MEDLINE]

http://www.ncbi.nlm.nih.gov/entrez/…t_uids=16409232

Original Article:http://www.mayoclinic.com/health/penis/MC00026
Beware of penis-enlargement scams

If you’ve seen the “Austin Powers” movies, you may have laughed at Austin for owning a penis-enlargement pump. But you also may have been thinking, “Hmm. I wonder if something like that could give me an extra inch or two.”

Penis-enlargement products aren’t difficult to find. Men’s magazines, sports radio shows and Internet sites are filled with advertisements for pumps, pills, weights, exercises and surgeries — all of which supposedly can increase the length and width (girth) of your penis. Even if you’ve never visited an Internet porn site, you’ve likely received many unsolicited e-mails for products and services that promise to make you more of a man.

These come-ons are based on several stereotypes about men’s insecurities. The “male enhancement” industry assumes that every man:

* Is afraid he has a small penis
* Believes he’d be a better lover if he had a bigger penis
* Is looking for a way to safely and effectively increase his penis size

Don’t fall for it. No scientific research supports the use of any nonsurgical method to enlarge the penis, and no reputable medical society endorses penis-enlargement surgery performed for purely cosmetic reasons. Because many of these techniques can damage your penis and even cause impotence, think twice before trying any of them.
Penis size: What’s normal, what’s not?

When you were a boy, a locker room bully may have taunted you about the size of your penis. As you compared yourself with other boys in the shower, you may have concluded that he was right. A cylinder-shaped object such as a penis always looks smaller when viewed from above than it does when viewed from the side.

As you grew older, you may have seen super-sized penises in X-rated movies and magazines. Such experiences may have left you with a distorted image of what’s normal and what’s not.

Most likely, your size is perfectly normal. Research shows that more than 70 percent of men have penises that measure between 5 and 7 inches when erect. A penis is considered abnormally small only if it measures less than 3 inches when erect, and even then it might not matter. Researchers have documented many cases in which men with so-called micropenises have been fully capable of having sex and fathering children.
The partner perspective: How they view penis size

E-mail advertisements would have you believe that women care deeply about penis size. But women responding to magazine surveys say they don’t care about size at all.

What’s the truth? A Dutch study of 375 sexually active women who had recently given birth suggests that the surveys are accurate — to a point. Seventy-nine percent of the women said that penis length is unimportant, and 69 percent of them said the same about penis girth.

E-mail advertisements would also have you believe that gay men are obsessed with penis size. But individual preferences vary. Average penis size is the same in both gay and straight men.

So, unless your partner tells you otherwise, it’s probably safe to assume that you’re fine just the way you are. Understanding your partner’s physical and emotional needs and desires may do far more to improve your sexual relationship than would changing the size of your penis.
Nonsurgical methods of penis enlargement

Marketers offer many different types of nonsurgical penis enlargement, and often promote them with serious-looking advertisements that include endorsements from “scientific” researchers.

But if you look and read closely, you’ll see that claims of safety and effectiveness are completely groundless. Because no reputable scientific research validates any type of nonsurgical penis enlargement, marketers rely on testimonials and before-and-after photos that may not be authentic.

At the bottom of such advertisements, you’ll usually find a sentence such as “These statements have not been evaluated by the Food and Drug Administration.” Well, of course they haven’t been. The Food and Drug Administration, the government agency that regulates medications and medical devices, has never approved any medications or devices for enlarging a penis.

There are four basic types of nonsurgical penis enlargement:

* Manual stretching or squeezing (jelquing). These exercises are supposed to be performed 30 minutes a day for an indefinite period of time. Although they may be safer than other methods, they can lead to scar formation, pain and disfigurement.
* Stretching with penile weights. This technique is very likely to cause permanent penile damage.
* Vacuum pumps. Because pumps draw blood into the penis and make it swell, they’re useful in the treatment of impotence (erectile dysfunction). This may create an illusion of a larger penis, but results are seldom permanent. Repeated use can damage elastic tissue in the penis, leading to less-firm erections.
* Pills and lotions. These usually contain vitamins, minerals, herbs or hormones such as testosterone. Although topical testosterone is sometimes used on adolescent boys to accelerate puberty, there’s no evidence that it or any other substance can increase penis size in adult men. In 2002, authorities in the state of Arizona seized the assets of a penis-pill company, in part because the owners fraudulently claimed their product would deliver a permanent gain of 1 to 3 inches. The company owners also refused to honor their money-back guarantee, committing yet another fraud.

Surgical methods of penis enlargement
CLICK TO ENLARGE
Illustration of suspensory ligament Suspensory ligament

Cosmetic surgeons have developed several different enlargement techniques, none of them endorsed by medical organizations. The American Urological Association, the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons have all issued policy statements against cosmetic surgical procedures to enhance the penis.

To lengthen a penis, surgery typically involves snipping the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft. The suspensory ligament stabilizes and gives an upward tilt to an erect penis.

When this ligament is cut, the penis may look longer because more of it hangs outside the body. But cutting the suspensory ligament can cause an erect penis to wobble and position itself at odd angles, particularly when erect.

Surgery to make the penis thicker involves suctioning fat from a fleshy part of the body and injecting the fat into the penis. Another technique is simply to graft fat cut away from the buttocks or abdomen onto the penile shaft. Some practitioners use tissue from cadavers.

None of these techniques have been shown to be safe or effective. The American Society of Plastic Surgeons describes injecting fat into the penis as “a new and unproven cosmetic procedure of unknown safety” with potential risks that include infection, skin or sensory loss, excessive bleeding and loss of function.

Surgeons have developed another technique — albugineal surgery with bilateral saphenous grafts — that involves grafting blood vessels from elsewhere in the body to the penis in order to increase blood flow and penis width during erection. An Italian study of 39 men who underwent the surgery for cosmetic reasons found that it increased width by an average of one-half inch without complications. These men may have been lucky.

Following various types of cosmetic penile enhancement surgery, some men have had to undergo additional operations to correct deformities caused by the original procedure. The ill effects include scarring, shorter penises, hair on the base of the penis, low-hanging penis, loss of sensitivity, and bumps, lumps, and clumps of fat. Other complaints include impotence, urinary incontinence and persistent pain.

Then there’s the cost: about $10,000 for a typical penis-enlargement surgery that doesn’t require additional corrective surgery. Because cosmetic surgery is seldom covered by insurance, you’ll likely have to bear the entire expense.
When surgery may be an option

Surgeons have devised reconstructive procedures for penises that have been amputated or damaged by circumcisions, animal bites, motor vehicle accidents and physical assaults, among other causes. A penis can be constructed in sex-change operations and to correct birth defects.
And this might work: Achieve a healthy body weight

One place that size might count is your abdomen — not your penis. If your lower abdomen hangs over your genitalia, you might look as if you have a shorter, smaller penis than you actually do. Fat can obscure some or much of the upper part of the penis. For this, the best treatment is to achieve a healthy weight.

By Mayo Clinic Staff
May 24, 2005
© 1998-2006 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. “Mayo,” “Mayo Clinic,” “MayoClinic.com,” “Mayo Clinic Health Information,” “Reliable information for a healthier life” and the triple-shield Mayo logo are trademarks of Mayo Foundation for Medical Education and Research.

MC00026

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