Most Commonly Asked Questions
After Enhancement Surgery

Always consult your doctor if  you feel that you detect signs of a harmful process.

1.  Q: I've just had surgery. My friends (family) wonder why I am walking so carefully. What can I tell them?

A: You might simply say "I have had a bit of lower abdominal surgery-very minor" or even "I've had a little corrective surgery-guy stuff' and leave it at that. Assure them that although you feel a little tender now, you will soon be fine. Most people are really only interested in your well being.

2.  Q: My scrotum is very dark and swollen after lengthening surgery - is this okay?

A: You may check with your doctor if you wish, but we hear this comment from a majority of men. The skin of the scrotum appears thickened, swollen, and sometimes very dark. This gradually goes away and things return to normal generally within 2 weeks - sometimes a little longer.

3.  Q: The area between the circumcision scar and head is much thicker than the rest of the shaft. Is something wrong?

A: This area consists of more delicate tissue and tends to swell more than the rest of the shaft. Generally, the effect goes away fairly quickly and things look close to normal at about 2 weeks. Sometimes, with dermal grafting, the penis can look unusually broad and flat for several weeks. This effect normally corrects itself over time.

4.  Q: Why do I need to use the TRAC-MAN?

A: These devices are used to help promote the healing of the penis in the most outward position. Without them most men would not gain as much length. Some would even experience a fair degree of fibrosis (shrinkage and toughening of the tissues) so that they might even appear shorter after healing. However, since patients now use the recuperative devices, severe fibrosis is very rare and increased lengths are being reported. For those men who do experience some fibrosis, continued use of traction can result in very good length gains.

5.  Q: Will I be able to get used to wearing the devices?

A: You will start with very minimal traction and only increase when you are wearing with no discomfort. Increase traction in increments of only a few ounces and you should soon be using more than you may have thought possible. Using this method, there should never be anything more than very mild discomfort.

6.  Q: How soon should I begin use of the devices? I'm too swollen or tender immediately post-op to use them. Can I wait too long?

A: Ideally, you could begin pulling gently by hand within 1 or 2 days, and minimal traction at about 4 or 5 days after surgery. Watch the incision site to be sure that the devices are not pulling the sutures open. Some patients have waited longer to begin serious use of traction, and were still able to get excellent results. I began traction at about 1-1/2 months after my surgery. I had experienced an extreme amount of fibrosis shrinkage - it was not considered essential practice yet to use recuperative devices. Although I didn't have enough pull until about 3-1/2 months post-op, I was still able to get very good results.

7.  Q: How long should I wear the devices?

A: Often patients continue to wear the devices after the initial process because they feel they are still gaining additional length. We believe most surgical patients wear the devices for 5 to 7 months, sometimes longer. Many factors contribute to the final result, and results vary broadly from man to man.

8.  Q: Since I've had the lengthening procedure, when my penis is flaccid it sometimes appears to come straight out of my torso, then abruptly bend down. Will that change?

A: Some men notice this effect. It appears that the use of traction will retrain this "bend" farther back along the shaft.

9.  Q: Now that I've had girth enhancement, condoms are too tight. The additional thickness is great, but what should I do?

A: Several manufacturers make specialty condoms which are about 15% larger than average. Some couples have found that they prefer to use the new internal "female condoms"

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10. Q: My erection seems more "bendable" at the base. Is this okay?

A: You may notice that your erect penis is more pivotal at the base. Some men also notice a change in erection elevation angle. This angle naturally varies widely among men. The ability to bend at the base may allow you to assume sexual positions which would have been uncomfortable before surgery.

11. Q: I have just had surgery. Now I wake up with painful erections several times each night. Is something wrong?

A: This is a common occurrence for patients who have had the lengthening procedure, especially. The effect generally disappears within a few days. The use of a decongestant, such as Sudafed (suphedrine), will normally stop the severe erections when taken as directed before sleep, as approved by your doctor.

12. Q: Can I take other pain medications besides what is prescribed?

A: Aspirin may promote bruising, but Tylenol (Acetaminophen) can help with the pain and reduce swelling as well.

13. Q: I've been using traction for a while now, since about one week after my surgery, but haven't seen much gain yet. What's happening?

A: Initially, the resistance of fibrosis during the healing process may prevent length gains. In essence the devices may only help to prevent shrinkage at this point. Later, after the effects of fibrosis have passed, traction will help to promote additional length. Remember that for some men, length gains through use of the penile tissue expanding devices may be a slow, steady process - possibly only 1/2 to 3/4 mm gain per week. Additional wearing time should equal additional length gains.

14. Q: I'm afraid a new sexual partner might ask me about my scar. I don't know what to say. Any suggestions?

A: Don't lie. If they ask (in most cases they won't even notice) you might respond as in answer #1 above. Most men don't realize that any scars from this surgery would be very similar to scars created by any number of different types of surgery. At any rate, hair re-growth will generally hide the scars.

15. Q: I have a raised keloid scar at the incision site. Will it go away?

A: With time, probably yes, to a certain degree. The use of the TRAC-MAN also seems to flatten out the scars somewhat. It is possible to use injections of cortisone to reduce stubborn keloids. We offer a simple scar treatment called CELL GEL that really seems to soften and refine these scars. Give us a call and we'll be glad to send you some at a minimal cost. Several men have told me that the small "bump" of a scar appears to be in such a place that their female partners would not wish for it to be reduced!

16. Q: It has been a short while (days or weeks) since my fat transfer girth enhancement surgery. Now I see dents, bulges or bumps in a few places along the shaft. Did I do something wrong?

A: It's possible that bending or putting pressure against the newly fat-injected penis could cause this effect. Sometimes, despite your best efforts, fat cells die creating a void, or a fat nodule may develop. These are not serious and may be corrected with minor surgery by your doctor after 3 months. Sometimes these dents or cysts diminish by themselves over time.  Keep in mind that you are not necessarily looking at the finished product - the appearance can change drastically with healing and use of the devices.

17. Q: The itch of hair re-growth is driving me crazy! What can I do?

A: The itch will disappear when the hair attains a length of about 1/4 inch. In the mean time, a little talcum powder can work wonders. The talc should be kept out of the incision sites, if possible. Also, some men isolate the penis from the surrounding tissues by placing a small, loose "ankle" sock over the penis and then getting dressed as usual.

18. Q: It has been a while (weeks, days, hours!) since my surgery and I really want to have sex! Would it hurt anything?

A: You should follow your doctor's orders and refrain from penetrating sex for the recommended 5 to 6 weeks. Putting that much pressure on your penis could move the implanted material around and cause large bumps and dents, necessitating additional surgery. It may be possible to have very gentle oral sex or masturbation. Ask your doctor for approval on this.

19. Q: Although flaccid length has increased with surgery, I don't appear to be too much longer erect. Did I do something wrong?

A: Length gains are dependent on many factors, i.e. position of the suspensory ligament and penis, amount of pubic fat pad, possibly even tissue type, etc. When you have an erection, your penis attempts to return to it's original position, which it has held for your entire life to this point. It is necessary to "retrain" it in a longer, more outward position. Even if the suspensory ligament were to have healed in its original position, you should still be able to make gains, assuming minimum scar tissue buildup. We know that primitive cultures and men who have not had the suspensory ligament cut at all still show length gains from traction - the Indian Sadhus, Peruvian Cholemecs, Cook Islanders, and other primitives, for example, attain lengths of 12" to 18" and more!

You may have seen anywhere from 1/4" to 2" of length gain initially from surgery, and the tissue expanding devices will help you gain lengths beyond that. Normally, flaccid length appears to increase faster than erect length, with some men reporting that they are now longer flaccid than they used to be when erect before surgery.

Maximized, unrelenting pull creates an effect known as "Maximum Tissue Fatigue". This is the point where the tissues have stretched and relaxed and will go no further during that session. It is advantageous to continue traction beyond this point since greatest gains may be realized then.

20. Q: Can I go back to the doctor for additional length and girth enhancement?

A: The lengthening procedure is normally only performed once, if it is done correctly. Wearing the TRAC-MAN should increase length over time. Stubborn cases may benefit from a few injections of cortisone deep in the base. It is possible to add more dermal grafts or another fat layer for added girth. Your doctor will discuss the aesthetics of additional thickness, as well as the slightly increased risk of complications from this procedure. Generally, fat transfer will be retained better upon subsequent injections. There is, of course, a charge for this additional girth as mentioned in your doctor's literature.

If you have questions or comments which are not covered here please call your doctor.