Saturday, 20 July 2013

Phalloplasty Alternatives

A quick search on google for "phalloplasty alternatives" reveals many different, non-surgical options that promise a bigger penis including pills, herbs, patches and everything else you can imagine! Unfortunately, none of them has been clinically tested, making the claims of such products dubious and possibly dangerous, whereas the fact that very few come with a money back guarantee has much to say..

At present, the only realistic alternative option to surgery (for penile enlargement purposes) that is recommended by real doctors and surgeons is using a penile stretcher device. As mentioned in our phalloplasty surgery article, most doctors actually suggest their clients to use such a device post-op, for the following two reasons:
  • To help with their recovery
  • To further enhance the results of surgery

As of todaySizeGenetics is considered to be the best penile stretcher device, as it has been extensively tested in real clinical studies by highly qualified doctors and surgeons.

What is SizeGenetics ?
SizeGenetics is a type 1 medical device, which means that several studies have assessed its efficacy, safety and quality. SizeGenetics can be i) used alone for penis enlargement purposes, ii) after a phalloplasty operation to enhance results iii) or in combination with several exercises (included for free) that are specifically aimed for penile enlargement. 

According to a recent study named "Treatment with penile retraction in evolutive peyronie's disease with external penis-stretching", SizeGenetics is also effective in treating penile curvatures. The study was led by Urology Specialist, Wendy Hurn at the Bristol Royal Infirmary, UK.

The SizeGenetics System

How does SizeGenetics work ? 
The main principle behind sizegenetics is very similar to the one weight lifting routines use. When you lift weights, you essentially create small micro tears in your muscle fibres, inducing the generation of new healthy and larger muscles.

Sizegenetics works in a very similar way. You simply attach the device to your penis, and without you lifting a finger, it supplies a steady and constant traction along the Copora Cavernosa (the part of the penis which holds blood during erections). This in turn causes the cells inside the Copora Cavernosa to pull away and eventually split, creating new healthy cells due to cell duplication and allowing the Copora Cavernosa to become larger. Please click here if you wish to learn more details about the process.

Sizegenetics picture (click to enlarge)

Why choose SizeGenetics and not some other device ?
There are many devices out in the market today, however only SizeGenetics  meets the following very important criteria:
  • It is currently the only commercially available device that meets the same standards as the medical grade penis extenders that have been used in numerous clinical trials. One such study reported a mean length gain of "2.3 cm for flaccid penis and 1.7 cm for stretched (erect) penis" after six months of mediocre use. The study concluded that “All patients achieved penile lengthening after traction with no complications at all”. The study, named "A pilot phase-II prospective study to test the ‘efficacy’ and tolerability of a penile-extender device in the treatment of ‘short penis’", was conducted by world-renowned University of Turin, Italy.
  • It is currently the only device recommended by the British Association Of Urological Surgeons both for penile enlargement and curvature straightening
  • It is medically endorsed by the European Union Health Authorities as a Medical Device Type 1 and carries the CE health sign. Furthermore, there are dozens of real, independent and highly qualified doctors and surgeons endorsing the product (click here for full list of doctors).
  • Manufactured in accordance with the ISO13485:2003 and ISO90001:2000 standards for Quality Management. 
  • The device is covered by a simple, no questions asked 6 month money-back guarantee. For a limited time only, SizeGenetics is also offering a full refund to anyone willing to send an anonymous testimonial along with before and after pictures to help show others that SizeGenetics™ really does work. Simply put, you have the option to get your money back whether it "works" or not (click here for more info).
  • Has a site dedicated to Australians visitors (click here to visit it)

As you see, SizeGenetics comes with a series of advantages and endorsements that no other device out there features, making it the perfect option to replace or even enhance the result of phalloplasty.

SizeGenetics Case

Other alternatives to phalloplasty surgery
As aforementioned, penile traction is the only clinically tried and medically endorsed alternative option to phalloplasty. However science changes by the day. There are many non-surgical options (like hormones) that are currently being investigated in animal models. If anything new come ups you will be the first to know. So make sure to bookmark this page and visit it from time to time!

If you are seriously contemplating the idea of buying and using a penis traction device to phalloplasty surgery then I suggest you to read the rest of the article down below. I explain the basic principles behind them, how they work and have even included two indicative studies that will give you a good idea of the gains you should expect from using one.

Penis Extenders: Some Essential Facts You Need To Know
In the last few years, numerous studies have reported the effectiveness and safety of penis extenders as an alternative to penis enlargement surgery. I am talking about real clinical studies, done by real doctors and not some skewed "facts" presented by manufacturers in an effort to legitimize their products and make sales. I am talking about independently performed research, published in top peer-reviewed medical journals like the British Journal of Urology and the Journal of Sexual Medicine . Some of these studies are presented in this article and you can simply scroll down if you want to learn more about them. But first I want to talk first a bit about the basics behind penis extenders so that you have a better understanding of how they work and what to expect:

How Does A Penis Extender Work?
The principle behind penis extenders is pretty simple and easy to understand. They apply low levels of tension (something within the range of 1.2kg – 2.5kg). This tension encourages two independent physiological processes to kick in, both of which induce penile growth and thus penis enlargement:
  • Penile Ligament Stretching
  • Cell Multiplication (Hyperplasia)

Now let's learn more about these two processes.

Penis Enlargement by Stretching the Penile Ligaments - How It Works
During this process, the penis extender applies a soft stretch to the two main penile ligaments (called the suspensory and fundiform ligaments) at the base of the penile shaft. This is crucial for the enlargement process because by stretching these ligaments, a portion of your penile shaft that is hidden inside the body is gradually pulled forward into view.This portion is actually bigger than what you may think. Just use a finger to poke below your scrotum the next time you get an erection and you will it's a couple inches long.

 If you have read other articles on our site you probably already know that phalloplasty surgery involves cutting these ligaments. Sometimes this cutting creates minor problems. For example, a common problem faced by patients who have penis enlargement surgery is that during the healing phase, the scar tissue forms a ‘false ligament’ which pulls the penis back inside the body and as a result most -if not all- length gains are lost.

These ligaments are quite elastic and possess a significant capacity to stretch, whilst maintaining full functionality. Penis traction appears to produce an effective elongation of the ligaments, without the need for surgery, which in turn encourages a gradual exposure of the "hidden" penis and thus a significant increase in penis length.

Penis Enlargement Via Cell Multiplication - How It Works 
Over time, the consistent stretching encourages another physiological process known as hyperplasia. During this process, the tissue cells multiply (increasing tissue mass) in response to the physical stress. This is what happens to muscles when you do weight lifting exercises. The muscle gets strained and it adapts to better compensate for the additional stress. Hyperplasia is a phenomenon that occurs in many of our tissues. Another example are bones. You may have heard of limb lengthening surgery, where surgeons use traction and other techniques to gradually lengthen the limbs of patients who wish to get taller or suffer from growth deficiencies or abnormalities. A penile stretcher can be used on a penis for the exact same reasons. Using traction you can lengthen your penis or/and can even resolve certain shape-related abnormalities, like peyronie's disease, by applying more tension to the problematic area.

Medical Research
As mentioned before, penis extenders have been the subject of numerous clinical trials. At this point, I would like to showcase you the results of two well-known, peer-reviewed medical studies. If you are unfamiliar with the term, "peer reviewed" means that the results of these studies were scrutinised by third-party doctors for errors or misconduct before being published in a medical journal. Once published, these studies are available essentially to everyone. We can say with confidence that the results are unbiased and accurate.

Study #1
Commercially available Medical Grade Penis Extender
The first study we are about to see was conducted in 2008 and you can find it in the medical literature
under the name "Effect of Penile-Extender Device in Increasing Penile Size in Men with Shortened Penis". The study was published in the Journal of Sexual Medicine. [1]

This was a small clinical trial that was carried out on 23 males, all of whom complained of having a "short penis". The researchers asked the patients to use a medical grade penis extender called "Golden Erect®" which is no longer available.
The participants were asked to wear Golden Erect for 4 to 6 hours everyday during the first two weeks. After this introductory period, they continued using the device for 9 hours every day for another 6 weeks.. They were also asked to increase the force (tension) of the device during pre-determined intervals.
At the end of the study the researchers reported significant length gains, both in flaccid and erect length. Specifically:
  • Mean flaccid length increased from 8.8 ± 1.2 cm to 10.1 ± 1.2 cm and 10.5 ± 1.2 cm, respectively, in the first and third month follow-up
  • Mean stretched (erect) length significantly increased from 11.5 ± 1.0 cm to respectively, 12.4 ± 1.3 cm and 13.2 ± 1.4 cm during the first and second follow-up
  • No significant difference was found regarding proximal penile girth. However, the circumference of the glans increased from 8.8 ± 0.66 cm to 9.3 ± 0.86 cm
  • No adverse effects were reported

This study showcases that the use of a penis extender is a viable alternative to penile lengthening surgery. The results also suggest the possibility of glans penis girth enhancement from the use of a penile extender.

Study #2
The second study we will see was carried out in 2006 and you can find it in the medical literature under the name "A pilot phase-II prospective study to test the ‘efficacy’ and tolerability of a penile-extender device in the treatment of ‘short penis’". The study was published  in the BJU International journal. [2]

In  this study, the researchers treated 30 guys who complained about "having a short penis". This trial lasted more than the previous one, approximately 6 months. The researchers asked all patients to use a medical grade penis extender for at least 4 hours per day and preferably up to 6 hours per day. The median wearing time was 5 hours during the second month, 5 hours during the third month and 4 hours during the sixth month.

This time the gains were much more significant. After the 6 months of use, the patients had a mean length gain of 2.3 cm for flaccid sizea nd 1.7 cm length gain for erect penis. Measurements were retaken six months after the end of the study and it was found that the gains were full retained despite of not using the device.

This study clearly shows that yes, penis extender do work. But most importantly, they provide long term, possibly permanent gains without requiring the re-use of a penis extender!

Study #3
You are probably getting tired so I am gonna be brief about this one. Conducted in 2002, this small clinical trial by Colpi et al.  is one of the first studies that proved the efficacy of penile stretching as an alternative to penis enlargement surgery. The researchers reported a stretched penis augmentation of +1.8 cm (range +0.5 to  +3.1 cm) after 4 months of wearing of a penis extender (Andropenis) for at least  6 h/day.

The Longer the Commitment the Bigger and Quicker the Gains
As you have probably noticed by now, these two studies clearly show that:
  • Using a traction device is a great alternative (or a great complement!) to penis enlargement surgery
  • If you commit more time you will get greater. Results from penile traction appear to be proportional to the length of time the device is worn so the more you put in.. the more you get out.

Both these findings are backed by numerous clinical trials not mentioned here. By reviewing all the studies that have been published as of 2016 and other anecdotal evidence we can get a rough estimate of how many hours of wearing time are required to gain an inch of penile length. On average, you should expect about 1 inch of erect length growth for every 1000 hours of wearing time. Of course, this is just that. An average number. Some men will get 2 inches and others just 0.5 for the same hours of wearing time.

Penile Traction VS Penis Enlargement Surgery: Which one is the best?
The medical data don't lie. Penis traction is a great alternative to penis enlargement surgery that is both safe and effective. However, like so many things in life, it comes with its' own advantages and disadvantages. Do you have the time and will power to commit 4-6 hours daily and wear a traction device? If yes, penis traction is the perfect choice for you. You will pay only a fraction compared to surgery, avoid all risks and rehab associated with phalloplasty and after 6 months your penis will probably be bigger compared to what you would get from surgery. You want fast results and money is an issue? Then penis lengthening surgery is what you should opt for.

Still can't make up your mind? Here's a quick overview of the facts:
  • Penis enlargement surgery offers immediate results, expect gains ranging from 0.5 to 1.5 inches, depending on the anatomy of your penis. It costs approximately 10.000 $
  • Penis traction does work but requires time. Gains of 2 inches are not uncommon, however you need to clock many hours wearing a traction device. Don't expect "2 inches in two weeks" as some dubious manufacturers claim. On average, 1000 hours of wearing time will result in gains of 1 inch. Clocking 2000 hours within a year is a feasible goal. Expect to pay around 300 $ for a medical grade traction device.

Hopefully this article has helped you to make a more informed decision in making the best option for you. Don't hesitate to leave a comment if you have any more questions!

1) Nikoobakht, Mohammadreza. (2011-11--1) Effect of Penile-Extender Device in Increasing Penile Size in Men with Shortened Penis
2) Paolo Gontero, Massimiliano Di Marco, Gianluca Giubilei, Riccardo Bartoletti, Giovanni Pappagallo, Alessandro Tizzani, Nicola Mondaini (2008). A pilot phase-II prospective study to test the ‘efficacy’ and tolerability of a penile-extender device in the treatment of ‘short penis’ BJU International
3) Colpi GM, Martini P, Scroppo FI,  Mancini M, Castiglioni F. Efficacy of  daily penis stretching technique to  elongate the ‘small penis’.

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