PGAD Hard Flaccid | Dr Ahmed | Pelvic Rehabilitation Medicine [070cd7]
2025-07-30
Post Time: 2025-07-30
**Penis extenders**, also known as traction devices, are designed to help men increase the length and girth of their penis over time. While results can vary and proper usage is crucial, many men seek these devices as a non-surgical option for enhancement. This article will delve into what makes a good penis extender, discuss key factors for safe and comfortable use, and review some of the top-rated models available on the market. ## Understanding Penis Extenders and How They Work Penis extenders work based on the principle of **traction**. They apply gentle, consistent force to the penis, causing micro-tears in the tissue. As the body heals these micro-tears, it adds new cells, resulting in increased length and sometimes girth. This process requires consistent, daily use, often for several hours at a time. ### Key Factors for Choosing a Penis Extender: When choosing a penis extender, several factors must be considered to ensure effectiveness, safety, and comfort: * **Traction Mechanism:** The way the device applies traction can significantly affect comfort and results. Common types include: * **Noose-Based:** These use a loop or noose to hold the glans. They can be less comfortable and may cause pinching or restricted blood flow if not used correctly. * **Vacuum-Based:** These use a vacuum chamber to hold the glans, offering a more secure and comfortable hold, but they can be bulkier and require some practice to use. * **Hybrid:** Some extenders incorporate both noose and vacuum elements to maximize comfort and hold. * **Material Quality:** Look for devices made from medical-grade materials such as silicone, stainless steel, and polycarbonate. These are less likely to cause skin irritation and are durable. * **Adjustability:** The extender should be highly adjustable to fit the unique dimensions of your penis. This includes adjustable length, tension, and grip points. * **Comfort:** Extender should include soft and padding where it comes into contact with the skin and reduce discomfort during use. * **Ease of Use:** It should be relatively easy to put on and take off, with a straightforward mechanism for applying the proper amount of traction. * **Durability:** The extender should be made of robust materials that can withstand regular use and adjustments without breaking. * **Warranty and Customer Support:** A good warranty and responsive customer support can be beneficial if there are issues with the device. ## Top Penis Extender Models: An In-Depth Review Below are several well-regarded penis extender models on the market. The effectiveness of penis extenders can vary from person to person, therefore results cannot be guaranteed. The goal here is to provide safe and effective options based on customer reviews and the features they offer. ### 1. SizeGenetics Extender The SizeGenetics Extender is a very popular device, and the company has been in the business since the early 2000's. This is a traction-based penis extender that has a relatively low profile. | Feature | Description | |--------------------|----------------------------------------------------------------------------------------------------------------------------| | Traction Mechanism | Noose-based with foam padding. | | Material | Medical-grade stainless steel, poly-carbonate, and silicone | | Adjustability | Highly adjustable in terms of length and tension. | | Comfort | Moderate; Requires gradual break-in to reduce pinching or discomfort. | | Ease of Use | Relatively easy to assemble, requires practice for proper positioning and securing. | | Durability | Excellent. | | Cost | Higher-priced compared to some other models. | | **Pros** | Durable, highly adjustable, effective for many. | | **Cons** | Can cause pinching discomfort if not correctly positioned, some users find the noose-based system uncomfortable. | ### 2. Phallosan Forte Extender The Phallosan Forte is a vacuum-based penis extender that has a bell suction system and offers an alternative to a noose system. The Phallosan system also claims to have a dynamic traction force, and their system is an interesting hybrid of belt and extender. | Feature | Description | |---------------------|------------------------------------------------------------------------------------------| | Traction Mechanism | Vacuum-based with a comfort belt attachment. | | Material | Medical-grade silicone, with metal and plastic components for traction. | | Adjustability | Good adjustability with varying vacuum cup sizes and tension settings on the comfort belt. | | Comfort | Higher comfort level due to vacuum system. The belt-based system also reduces strain. | | Ease of Use | Requires some practice to get used to setting the vacuum and belt. | | Durability | Good quality, but may require some occasional maintenance. | | Cost | Moderate-High | | **Pros** | More comfortable than many other noose based options, relatively gentle traction, good for long term use. | | **Cons** | May be initially difficult to learn to use. | ### 3. Bathmate Hydromax The Bathmate Hydromax is a hydro-pump, and it operates differently than traditional traction-based extenders. It uses water pressure rather than traction. The Bathmate device is often marketed towards temporary size increases. | Feature | Description | |---------------------|----------------------------------------------------------------------------------------| | Traction Mechanism | Water pressure based | | Material | Medical-grade plastic and silicone | | Adjustability | Good adjustability to accommodate different lengths and girth. | | Comfort | Generally comfortable as it is a more gentle form of pressure. | | Ease of Use | Easy to use after a brief learning curve. | | Durability | Good build quality. | | Cost | Moderate. | | **Pros** | Offers instant increases in size, relatively affordable, easy to use. | | **Cons** | Primarily for temporary gains. | ## Safe Usage and Potential Risks Using a penis extender requires commitment and adherence to guidelines for safe usage. Neglecting these precautions can lead to various issues. ### Safe Usage Guidelines: * **Start Slow:** Begin with short sessions (30-60 minutes) at a low tension level and gradually increase the duration and tension over several weeks. * **Listen to Your Body:** Stop using the extender if you experience pain, numbness, or discoloration, and seek medical attention if necessary. * **Ensure Proper Fit:** Use the right size and adjust the device properly to avoid pinching, slipping, or excessive pressure. * **Use Lubricant:** Apply a high-quality lubricant when using vacuum-based extenders to minimize friction and discomfort. * **Maintain Hygiene:** Clean the device thoroughly after each use to prevent infection. ### Potential Risks and Complications: * **Skin Irritation:** Redness, rashes, blisters, and bruising can occur if the device isn't properly adjusted or if excessive pressure is used. * **Nerve Damage:** Improper or excessive use can potentially lead to nerve damage, resulting in loss of sensation. * **Peyronie's Disease:** Improper use can exacerbate the symptoms of Peyronie's disease, where scar tissue causes an abnormal curvature of the penis. * **Blood Vessel Damage:** Excessive tension may cause damage to the blood vessels. * **Reduced Sensation:** Temporary or permanent reduced sensitivity may occur due to nerve compression or tissue damage if not used carefully. ## Scientific Research on Penis Extenders Several studies have investigated the efficacy of penis extenders. **Study 1:** A 2010 study published in the *British Journal of Urology International* found that men who used a penis extender for 6 hours a day over six months had an average increase of about 1.8 cm in length. **Study 2:** A 2011 study in *The Journal of Sexual Medicine* also found significant gains in penis length and also increased girth after using penis extenders consistently over 6 months. **Study 3:** In 2014, an analysis of several studies on penis extenders published in *Current Urology Reports*, noted that while studies are limited, the current evidence is that extenders can be an effective and noninvasive method for penile lengthening. *Note: More research is needed in order to determine the long term effectiveness, and it is important to consult with a healthcare professional before beginning to use a device.* ## Final Thoughts and Recommendations Penis extenders can be a viable option for men seeking to enhance the size of their penis. However, **it's crucial to choose a device that is well-made, comfortable, and suitable for your specific needs**. It is also essential to proceed cautiously, starting with minimal usage, and follow the device's directions, paying attention to comfort levels during the process. **Key Takeaways**: * **Do your research:** Carefully review and compare the features of different devices. * **Prioritize comfort:** Choose a device that is designed for comfort, and is made of medical-grade materials. * **Use the device correctly:** Follow guidelines, use minimal pressure initially, and increase pressure and duration gradually over time. * **Seek Medical Advice**: Before starting any penile enhancement program, consult with a healthcare professional. By understanding the science behind penis extenders, carefully choosing the right device, and using it safely and consistently, you can potentially achieve the desired results while minimizing risks. Remember that individual outcomes can vary, and it is crucial to manage expectations and be realistic in your approach. Dr. Ahmed of the Great Neck, Long Island location discusses PGAD (persistent genital arousal disorder) and hard flaccid and how we can help treat it. Topics discussed include: Persistent genital arousal in men Possible symptoms Resources used for treatment and relief Dr. Tayyaba Ahmed completed the BS/DO program at New York Institute of Technology and was trained at the New York College of Osteopathic Medicine, Northwell Health Plainview Hospital and the NYU Langone Medical Center/RUSK Institute for Rehabilitation. A board-certified Physical Medicine and Rehabilitation physician, Dr. Ahmed is also a fellow of the Academy of Physical Medicine and Rehabilitation and a member of the International Pelvic Pain Society. At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day! At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms. LEARN MORE: JOIN OUR COMMUNITY and get in on the discussions happening: ✨ Facebook - ✨ Instagram - ✨ Twitter - #PelvicRehabilitationMedicine #PGAD #hardflaccidsyndrome **** Persistent genital arousal disorder was more classically thought of over the last few years as a entirely female disorder. We're learning more and more about the condition and we're seeing that men are presenting with symptoms of persistent genital arousal. Upon discussing with the patient, their male enhancement pill color symptoms, we were able to diagnose persistent genital arousal and other is there viagra for females male conditions like heart flaccid. Because of the differences in the symptoms, we've noticed that some are more classified as hard flaccid syndrome, and some are more classified as persistent genital arousal. Many of our patients who present with symptoms of hard flaccid are very distraught, they are depressed. Typically, the symptoms will present after a sexual encounter. Many of our patients are presenting with lack of sensation in their penis, sometimes many years where this is going on and they're at their last door when they come to pelvic rehabilitation medicine. So we try to open up more doors for the patient. If we are not able to solve their problems, we want to viagra and vodka find out where their problem is, whether it's structural, chemical, or muscular. Because of the complexity of this disease state, we often have to use different resources, including acupuncturists and different pelvic physical therapists who have more experience with males. We take a different focus, focusing on their sexual symptoms and improving their blood flow to the pelvis. We work with different specialists, including interventional radiologists, acupuncturists, physical therapists, and try to get the best possible imaging to evaluate the patient. We work together as a team to try to improve that patient's quality of life with these conditions. If you feel that you have any symptoms of hard placid or persistent genital arousal disorder, and you feel alone or upset that you're not able to get appropriate care or that you're dismissed by previous doctors or healthcare providers, then reach out to Pelvic Rehabilitation Medicine and we're happy and hopeful for your progress and we want to be a part of your treatment.