The Precise Mechanism of the PE Response through Manual and Mechanical Intervention.

[Dr Ric]

The Precise Mechanism of the PE Response throughManual and Mechanical Intervention.

By

Dr. Richard R. Howard II, Dr. PH, MS, MPH

The penis is aspecialized vascular framework constructed to inflate to a rigid state called erection. The shaft consists of three chambers the CS and CC. Within these chambers are prominent slit like spaces rich in blood cells, as they are really modified veins also called vascular plexus. The slit like vascular spaces are composed of abundant amount of smooth muscle with lesser amounts of fibrous tissue, lined by endothelium, this is called erectile tissue.

Separating the CC and CS is a very thick band of connective tissue called the tunica albuginea composed mostly of bi-layered collagen and elastic fibers. The elastic fibers form an irregularly latticed networkon which collagen fibers rest. It is this elastic network that gives the penis elasticity, allowing it to expand and contract.

The limiting factor in PE is the tunica albuginea and septum composed of collagen and elastic tissue.The collagen is very tough connective tissue constructed by nature to insure optimum structural integrity or strength. Think of a tendon or ligament, this is also composed of collagen. Your body’s entire structural framework is composed mostly of collagen, including bone (calcified collagen).

To cause the penis to grow, you must overcome the structural bonds of the collagen. Through sufficient traction called critical traction when applied consistently along the length and diameter of the penis,the molecular bonds of the collagen will separate and undergo remodeling to a larger size.

The interior tissue is composed mainly of the vascular plexus consisting of epithelium lining, with abundant smooth muscles and some fibrous tissue. When sufficient traction is applied to the collagen, this results in a controlled bond breaking/separationand remodeling process making the collagen longer and larger. Think of separating a brick wall and filling it in with additional bricks resulting in alarger brick wall. The interior vascular plexus goes along for the ride, but itself is transformed into greater mass. The endothelium lining of the vascular slits undergoes mitosis, the abundant smooth muscle frame work adjacent to the endothelium undergoes hypertrophy and mitosis (there are studies that support the proposition that mitosis can occur in smooth musclecells), and the arteries and veins follow the same growth course mentioned above, with the remaining fibrous tissue undergoing remodeling. The slow growing peripheral nerves will grow and elongate when stimulated. Therefore the entire package gets bigger under sufficient constructive critical traction, with the collagenous structure being the limiting factor. If the collagen bond breaking is sufficient, with cementing, the process is likely permanent.

A brief look at “nubiegains”. A “nubie” is a person never implementing PE. Once implemented he will experience characteristic easy gains.Unchallenged or unstressed collagen has slack or crimps allowing a stretching out scenario removing these crimps resulting in quick gains for the beginner.Under this condition, the collagen bonds generally remain intact until the critical traction level is applied.

The attachment points of the penis are composed of collagenous tissue called ligaments and skeletal muscular tissue. The main ligaments are called suspensory ligaments and fundiform ligaments. The primary base muscles are called the bulbocavernosus andischiocavernosus muscles.

Ligaments are composed of densely packed collagen fibers which are white and relatively inelastic. Mechanical properties vary with shape and structural organization. This connective tissues is characterized by sparse cellularity distributed within an extracellular matrix.Cells in tendons and ligaments are called fibroblasts. These ligaments consistof 70-80% collagen and 20% fibroblasts. Upon initiating traction the crimps of the ligament collagen are pulled out or straightened first, then additional traction triggers molecular transformation via molecular bond breaking and remodeling, again resulting in longer, larger ligaments.

The skeletal muscles called bulbocavernosus and ischiocavernosus muscles are attachment points at the baseof the penis, therefore traction will elicit the same changes in them as armcurls will elicit in your biceps and triceps. Whilst under traction, all muscular tissue at the base of the penis will undergo hypertrophy, strengthen and thus enlarge.

References
1. FrankH. Netter, M.D., The Netter Collection of Medical Illustrations, Reproductive System, 1997; Volume 2, Page 9.

2. Gerald Brock, Geng-Long Hsu, Lora Nunes, Burkhard von Heyden, TomF. Lue -"The Anatomy of the Tunica Albuginea in the Normal Penis andPeyronie's Disease" - J Urol. 1997;Volume 157, Issue 1, 276-281

3. Robert F. Diegelmann, PhD, CollagenMetabolism, Medical College of Virginia,Virginia Commonwealth University, Richmond, VirginiaPosted: 02/04/2002;Wounds. 2001;13(5) © 2001 Health Management Publications,Inc.

4. Tetsuya Nakatani Takashi Marui Toshiaki Hitora Minoru Doita KotaroNishida Masahiro Kurosaka. Mechanical stretching force promotes collagensynthesis by cultured cells from human ligamentum flavum via transforminggrowth factor‐β1. J Orthopaedic Res. November 2002; Volume 20,Issue 6, Pages: 1380–1386.

5. 5.5 Hsu G-L , Brock GB , Martinez-Pineiro L , Nunes L , vonHeyden B , Lue TF . The three-dimensional structure of the tunicaalbuginea: anatomical and ultrastructural levels. . Int. J. Impotence Res. .1992;4:117 .
6. BalestriniJL, Billiar KL. Magnitude and durationof stretch modulate fibroblast remodeling. J Biomech Eng. 2009 May;131(5):051005.
I
7. Baek SR et al, JElast 80:13–31, 2005.

8. Driessen NJB et al,Biomechan Model Mechanobiol.7:93–103, .2008.

9. Humphrey JD et al, Math Models Methods ApplSci 12:407–430, 2002

[BTBrian]

Great post. Thanks

[rbi99]

Interesting stuff, until I went to his link. The dude wants $90 a month. On top of that he claims to have added 5" in length to his own penis. Perhaps nothing is impossible, but that sure does sound like bs to me. I also found it a little bit interesting that though he claims to have added girth, he doesn't say how much.

[Padawan787]

It is a lot of money, but is linked with Big Al's program and is endorsed by this site, as they added an ad for that site yesterday

I still wouldn't pay that much though

[4Samson]

Haha I noticed the claim in the ad on the site's main page that he added over 5 inches to his dick. Made me ignore the ad after after...

[Dr Ric]

Dear friends,

The most important thing to take away from this thread isthe extremely useful information on how PE actually works. What is stated inthis paper is scientific fact. Study it if you will and you have insights thatwill ENABLE YOU in your PE endeavors. Knowledge is a source of strength, toknow the exact mechanism is to know how to construct the best protocol inachieving your PE goals. Think about it. Henry Ford had to have great technicalscientific knowledge to design the car, the Wright Brothers the same inaviation, Jonas Salk had scientific clarity in the monolithic achievement ofdeveloping the polio vaccine and virtually eradicated this dread disease, andso on…………………. It is time for science and scientists to intervene in PE, and I should think the PE community is generally delighted.

Passion plus detailed scientific knowledge allows one toexpress to others hope and help and formulate protocols that will make thedifference. Again, it is called ENABLINGothers with empathy, good will, and the desire to make the difference.

Here are the facts and why I choose to be a part of thiswork:

Fact: I gained 5” total inches in my penis, 3” was inlength and 2” in girth- no question!!!! This is what motivated me to be here today and available. Another who gained much more than me was “Bigger”, the maker ofthe BIB Hanger, he gained 4.5” (from 6” to 10.5” ) length and approximately1.75” (5” to 6.75”) in girth totaling 6.25” inches. And there are others aswell.

Fact: Here is what one client of mine said, you will fine this interesting- “Dr. Howard has been working with me forthree years and was able to precisely pinpoint the methods that would beideally suited for my goals… He also explained to methe mechanism of how PE works on each component of the penis structure. As inbodybuilding, knowing the insertion points of the muscles, aids greatly inobtaining optimum results. This is true of PE too. He determined what was requiredto reach my ambitious goals. He taught me the proper technique and theprogression that would be appropriate. In 2.5 years, I gained approximately 3”in length and 1.75” in girth which is exactly my original (ambitious) goal. Iwould have never been able to make such amazing gains on my own, and wouldstill have been lost sorting through the monolithic volume of information andmisinformation on the internet. Coaches are badly needed as they know theprecise and best movements tailored for the individual’s goals.”

Assertion: Regardingthe $90 fee for one or several months, please note this is not per hour whichit should be. The amount of effort I put into this far exceeds this amount. I write multiple detailed emails with the cutting edge knowledge to optimize mystudent/clients progression for which I believe they are grateful. My going rate for health management is substantiallymore than this per hour, so my students/clients are getting one HELL of a greatdeal! In addition, this amount is shared with various other expenses includingprofessional site maintenance and colleague collaboration.

Fact: A partial summary of credentials:

Biography of Dr. Richard R. Howard II
Areas of expertise are Health and Fitness Advisor,Researcher, and Financier (Stock Market, Real Estate).

Degrees earned are B.B.A., Loyola University, New Orleans; M.P.H ., M.S., Dr. P.H. Tulane University 1988.

Researcher OrganicChemistry Loyola University , educator Dominican College, New Orleans ;researcher Biochemistry Tulane University School of Medicine 1978-88; health andfitness advisor Howard Medical Clinic 1982-1990.

Author, Vitamin C andOphthalmic Wound Healing 1988 and other research papers.

Veterans Administration grantee 1984; Member of Tri BetaNational Biological Honor Society; Biography listed in Marquis Who’s Who in America 1992- and Who’sWho in Science and Engineering 1992- .

Dr. Howard has been along time student of the stock market and economic trends. Now, in the field of penis enhancement, he hasenthusiastically researched, studied and applied “new frontier” principles ofsexual enhancement focusing on optimal methodologies of penis enhancement, enlargement(PE). “I have spent a number of years professionally counseling in the areas ofhealth, fitness, nutrition and supplementation. I have a passion for helping others achievetheir dreams in physical wholeness and health. The advent of penis enhancement,enlargement has brought forth a new paradigm of exciting and amazingpossibilities until recently not thought possible, contributing greatly tosexuality.”

I pose thequestion, isn’t it time that science and scientists took an active interest in the profound paradigm evolution as sexuality? Do you want a larger, enabled penis on not?

[BTBrian]

We appreciate any information that you wish to share with us here about PE. In fact, anything new you tell us about is GREATLY appreciated. However, and I'm sure many member will agree, if any of us are interested in your program we will click on the adds on the site and read about your promises and why we should choose you over other trainers (like Big Al). This forum is designed to spread information and help those in need, not for advertising and trying to sell a product. We've all seen your new adds on the website and I'm sure you're very legit otherwise the site wouldn't have your adds on here. But let your adds do the advertising please, leave the forums for sharing any information you'd like, like your original post.

If I'm out of line with this post please let me know mods, I know it's not my business to police the boards.

[rbi99]

We appreciate any information that you wish to share with us here about PE. In fact, anything new you tell us about is GREATLY appreciated. However, and I'm sure many member will agree, if any of us are interested in your program we will click on the adds on the site and read about your promises and why we should choose you over other trainers (like Big Al). This forum is designed to spread information and help those in need, not for advertising and trying to sell a product. We've all seen your new adds on the website and I'm sure you're very legit otherwise the site wouldn't have your adds on here. But let your adds do the advertising please, leave the forums for sharing any information you'd like, like your original post.

If I'm out of line with this post please let me know mods, I know it's not my business to police the boards.

I agree with you. If every legit guy out there who wanted money came in here and told us about their miracle practice, there would be no room for regular posts. I am not putting Dr. Ric down at all, I appreciate his first post (his second post was mostly about why you should pay him $90 a month), but if we are going to let one guy advertise here then where do you draw the line? If nothing else, make another forum where guys like Dr. Ric can post all they want about why they are better than the next guy.

[schwing]

Guys, I think Dr. Rick forgot one thing. TRUST IS EARNED. Guys like Big Al payed his dues and earned people's trust. It doesn't happen overnight and you can't force it. And you certainly can't buy it with ads.

Just my 2 cents.

[jd10021]

If Dr. Ric wants to take me on as a pro bono client for a few months, I'll be happy to report on my progress on here as a real life testimonial....