00:00so we talked about division of the suspensory ligament for men who want to
00:06elongate the penis what about enhancing the girth and that is
00:11actually using injectables in order to make the penis more bulking
00:22the use of injectables in urology is actually quite common that actually is
00:28for things such as incontinence of urine when a woman has got stress unit
00:33incontinence the bulking agent that injected in the urethra will cause
00:37prevention of leakage of urine however when this is used in the actual penis
00:45itself it can cause the girth to be engorged but it doesn't cause elongation
00:51and that's exactly what some men want historically many many foreign body has
00:57been used in order to bulk up the actual penis itself not include paraffin imagine
01:04that paraffin is injected into the penis and many men who still continue to have
01:09that in their 60s and 70s when they injected in their youth and that
01:14created a lot of problems and that includes granulation scarring and
01:20rejections of these foreign bodies and sometimes actual ulcerations of the skin
01:25and obviously the development of other bulking agent occurs and that includes
01:31liquid silicon and liquid silicon such as microplastique actually are foreign
01:37inert bodies that's injected into them it will have similar impact but it
01:42cosmetically will cause these nodular appearance and many men find that quite
01:47repulsive and of course with that nodular appearance it also may cause scarring
01:52repulsions and then sometimes it stay there for a long long time and you can't
01:57get rid of it even with an operation to remove them but in some people that might
02:02even cause infection and erectile dysfunction because that itself will
02:07change the sensation of the penis later on we begin to have other form of
02:13injectables because cosmetically a lot of fillers used for facials actually is
02:20being pipped in the penis allegedly the efficacy of that is as big as two to four
02:27centimeters of enlargement of the girth but the reality is that it depends on how
02:33much you inject and a lot of that may or may not stay in the penis itself and that
02:39will only have a transient short-term efficacy because a lot of that will dissolve
02:45especially if you use something like hyaluronic acid because hyaluronic acid can
02:51be dissolved by another form of chemicals and sometimes people also use calcium
02:57hydroxyapatite which actually is another foreign body may cause some nodular
03:03appearance but that itself is not obviously as traumatically damaging as the
03:10paraffin injection but overall the actual satisfactions of this may be reported to
03:18be transiently satisfactory for men who injected it but the true impact of that
03:25in a scientific scrutiny is never there for the following week we're going to talk
03:30about various form of accessories such as penile ring Prince Albert in various form
03:36of jewelries that people put on the penis itself so if you're interested in the
03:41spirit of Christmas stay tuned for next week's putting dr. G on the spot
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