Chapter 1439: Chapter 1074: Green Lights All the Way Chapter 1439: Chapter 1074: Green Lights All the Way The Head of the Urology Department at Sanbo Hospital, President Liao, announced free surgery opportunities, which indeed tempted some people, yet aside from excitement, there were concerns. As medical students, everyone knew the pros and cons of the surgery.

If it was a simple suspensory ligament disconnection and elongation procedure, little did people know that the results often weren’t good post-operation, and it required many additional surgical methods tailored to the individual. Thus, besides being ineffective, the simple suspensory ligament disconnection and elongation procedure also caused issues like a decrease in the erection angle and a feeling of discomfort post-surgery, due to the loss of support from the suspensory ligaments.

It is unknown what the specific techniques used by Director Lu and President Liao are, and what the post-surgery experience with Hermes is like; the intrigued graduate students hesitate to ask such details. One graduate student came up with an idea: “Mr. Liao, actually when we were rotating in the urology department, we didn’t quite learn this surgical technique. Could you explain the details of these techniques to us? For instance, we know that the simple suspensory ligament disconnection and elongation procedure isn’t effective. How do you achieve such good results? I’d like to write a comprehensive review, but I’m struggling due to a lack of information.”

President Liao cares deeply about this surgery, being one of the doctors who most frequently perform this kind of surgery alongside Director Lu within the department. President Liao had heard that a top surgeon from a leading domestic hospital innovated a new elongation technique, perfecting it to the point where this became his exclusive practice. Supposedly, this top surgeon is now so successful that he flies to Japan every month, where he is revered as a master and earns enormous amounts, owning countless large properties in Beijing and Shanghai.

Therefore, President Liao harbors an aspiration to perfect this technique like this top expert, then go to Japan to make a fortune; at that point, he would count money until his hands grew tired.

President Liao glanced at the wall clock, noted there was still time, and gestured, “You guys, not attentive during your rotation, now realize this surgery is complex too, right? Today I’ll explain it to you, make sure to take notes, and don’t say you don’t know next time.”

Heading to the whiteboard, President Liao began drawing as the graduate students respectfully closed the door and simultaneously took out their notebooks, well-practiced in medical illustration which Sanbo Hospital emphasized as basic training for young doctors.

“For individuals with larger corpora cavernosa when flaccid, a simple suspensory ligament disconnection and elongation have a certain elongating effect, because the larger, heavier corpora cavernosa get pulled out somewhat by gravity. But, for those with smaller corpora cavernosa when flaccid, this surgery doesn’t work well. Why? Because the weight of the external corpora cavernosa isn’t enough for gravity to pull the retracted portions out, and even if pulled out during surgery, they will retract back eventually. So, what should we do? We need to be smart in performing surgeries, extensively consult literature and continuously learn and summarize instead of blindly following conventional methods.”

President Liao, referring to his own basic sketch, elaborated enthusiastically, “Pay attention, look closely, this here is the suspensory ligament, now we cut the ligament here, but it’s not just a simple disconnection. Many domestic doctors just do this, and when the results aren’t good, they don’t reflect on it. See, what is this?”

President Liao added a wedge-shaped figure to the sketch and colored it black to stand out. Everyone looked puzzled, not realizing what it represented.

“This wedge-shaped thing is a filler material, which we insert during the surgery. It’s placed in the subpubic space. What’s the use? The descent of the pubis allows more of the corpora cavernosa to extend outwards, exposing more. This filler is crucial, with this, the corpora cavernosa can be more exposed. Ask Old Wang, how is the effect post-surgery? 6 centimeters, what does that tell you? Think about it, right Old Wang?”

“Ah? Asking me? Yes, yes.” Old Wang, also present, nodded continuously.

“So, besides cutting the suspensory ligament, we also need to fill the subpubic space. It’s astonishing that many domestic doctors are unaware of this method. In fact, a professor from Beijing University People’s Hospital wrote a paper on this in 2019, yet many people do not study, nor review literature and remain ignorant.” President Liao now felt like a true professor, as this surgery boosts his confidence, being a domain where he sees his future dreams coming true.

“What filler material do we use? Autologous or artificial?” asked a graduate student.

President Liao replied, “Abroad, silicone blocks are generally used, but we use acellular dermal matrix as folded. Because silicone blocks are quite hard and there is not much space within the Asian subpubic gap, placing silicone blocks could cause them to protrude through the skin surface and the patients might feel pain during erection. We use folded acellular dermal matrix which is smaller and more flexible, fitting the characteristics of a smaller Asian subpubic gap, and it doesn’t cause discomfort during erection.”

“Everyone, remember, surgical elongation must be tailored, so this method isn’t omnipotent and has its shortcomings; not every male is suitable for this procedure. Clinically, there are many patients with notably small or severely retracted penises, who, even after subpubic space padding, don’t achieve significant elongation results. Thus, a key conflict is the retraction and the small size of the penis when flaccid, making it difficult to significantly improve through this method.”