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Discomfort with erections and traction may last several weeks.","preparation":["Specialist assessment of anatomy and expectations","Measured flaccid and stretched length and girth","Review of erectile function and medications","Stop blood-thinning medicines as advised","Stop smoking several weeks before","Fast from midnight before surgery","Shave genital area as instructed"],"recovery_timeline":[{"phase":"Days 0-7","description":"Swelling, bruising and dressing or catheter care; rest at home or nearby.","restrictions":["No sexual activity","Avoid strenuous activity","Keep dressings clean and dry"]},{"phase":"Weeks 2-6","description":"Swelling subsides; wounds heal; traction device use begins as instructed by surgeon.","restrictions":["No erection stimulation or intercourse","No heavy lifting","No vigorous exercise"]},{"phase":"Weeks 6-12","description":"Gradual return to exercise and sexual activity after clearance; continued traction.","restrictions":["Resume intercourse only after surgeon approval"]},{"phase":"Months 3-12","description":"Residual swelling resolves and scars mature; final result assessed.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery; traction use continues longer at home."},"result_longevity":"Length gain is largely permanent but modest; some loss may occur if traction is not followed or scarring pulls the penis inward.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Revision or corrective surgery within 2 years, mainly for scarring, asymmetry or dissatisfaction."},"scars":"A small scar is usually placed at the pubic base, often hidden by hair. It fades over several months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session; traction continues at home."},"stages":[{"code":"surgery","label":"Suspensory ligament release surgery","after":{"min":0,"max":1,"unit":"days","qualifier":"Performed on the day of arrival or next day."}}],"qualifier":"Single-stage procedure; revision is not part of the usual protocol."},"success":{"metric":"Gain in flaccid penile length after ligament release","value":1.5,"unit":"cm","horizon":"6-12 months","population":"Adults with normal anatomy after ligament release with traction","evidence_status":"limited"},"techniques":[{"name":"Suspensory ligament release","suits_whom":"Adults seeking flaccid length gain after assessment and counseling.","recovery":"Traction for weeks; return to intercourse after about 6-8 weeks."},{"name":"Fat grafting for girth","suits_whom":"Adults seeking modest girth increase with enough donor fat.","recovery":"Swelling for 2-3 weeks; some fat reabsorbs over months."},{"name":"Implant or graft girth augmentation","suits_whom":"Selected adults for girth augmentation after specialist assessment.","recovery":"Recovery about 4-6 weeks; revision or removal may be needed."}],"treatment_conditions":["day_case","outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for ligament release; longer if combined with skin or fat procedures."},"initial_assessment_documents":["Photos of penis flaccid and stretched","Urology report on erectile function","Prior penile surgery or filler records","Current medication and medical history list"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-7 days for early check and dressing removal. Traction follow-up at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's extensive experience with penis enlargement surgery","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/genital/penis-enlargement/selecting-surgeon","host":"theaestheticsociety.org","quote":"Does the surgeon have extensive experience with penis enlargement surgery?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check the surgeon's education, training and certification","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/genital/penis-enlargement/selecting-surgeon","host":"theaestheticsociety.org","quote":"Does the surgeon have the proper education, training, and certification?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Ask to see before and after photos of the surgeon's penis enlargement 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outcome of my penis enlargement does not meet the goals we agreed on?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information guaranteeing complete success should raise concern","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Pressure to decide quickly, or cheap time-limited offers, is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Reddened or swollen skin","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23530-penis-enlargement-surgery","host":"my.clevelandclinic.org","quote":"Call your provider if you have any symptoms that worry you, especially signs of infection, such as fever, reddened or swollen skin or problems urinating.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Loss of feeling in the penis","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/mens-health/penis-enlargement-surgery-cost","host":"healthline.com","quote":"Some people may experience side effects such as erectile dysfunction, pain, and loss of feeling in the penis.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Fever","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23530-penis-enlargement-surgery","host":"my.clevelandclinic.org","quote":"Call your provider if you have any symptoms that worry you, especially signs of infection, such as fever, reddened or swollen skin or problems urinating.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your worry about penis size causes ongoing distress","name":"Cognitive behavioral therapy","source":{"url":"https://my.clevelandclinic.org/health/diseases/9888-body-dysmorphic-disorder","host":"my.clevelandclinic.org","quote":"Cognitive behavioral therapy (CBT) is the main treatment for body dysmorphic disorder.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"suspensory-ligament-release","name":"Suspensory ligament release","how_it_works":{"text":"The ligament tying the penis to the pubic bone is cut","source":{"url":"https://my.clevelandclinic.org/health/treatments/23530-penis-enlargement-surgery","host":"my.clevelandclinic.org","quote":"The suspensory ligament that connects your penis to your pubic bone is surgically cut.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"fat-grafting","name":"Fat grafting for girth","how_it_works":{"text":"Fat is removed by liposuction and injected into the 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