Penis size can be a sensitive issue for many men. Although pills, injections, traction devices, and surgeries are regularly sold to men in search of larger penises, some are more effective than others. Additionally, the risks of certain procedures, especially surgery, can far outweigh any perceived benefits.
A penis enlargement procedure may be indicated for a man who has suffered an injury to the penis or has a medical condition that affects the function of the penis. In cases where penis size affects fertility or quality of life, penis enlargement may be considered under the guidance of a urologist . These include surgical procedures known as penis enlargement (also known as phalloplasty augmentation) .
The reasons for the increase
There are many reasons why a man may seek penis enlargement. There may be medical reasons, such as urination or fertility problems, or psychological reasons in which the size of the penis causes negative emotions, such as anxiety or low self-esteem.
In some cases, the male penis may be "smaller" due to a genetic or hormonal disorder that causes the micropenis . A micropenis is defined as a stretched penis less than 3 inches long (when a flaccid penis is fully extended without causing discomfort) .
A penis of this size can make it difficult for a man to control the flow of urine. It can also make sex difficult and reduce the amount of sperm that enters the upper part of the vagina .
Some men with micropenis have low testosterone levels and low sperm counts due to underlying hormonal dysfunction. In such cases, increasing the size of the penis will not improve fertility to the same extent as treating an assisted reproductive system.
There are other conditions associated with a decrease in penis size:
- Microfalls : Microfalls is an abnormally small penis with hypospadias (a birth defect in which the opening of the urethra is at the bottom of the penis).
- Peyronie's disease : Peyronie's disease is a condition in which the penis suddenly begins to bend abnormally, usually at an older age. Fibrosis (scarring) at the site of the curvature can cause shortening and / or narrowing of the penis, as well as painful erections or erectile dysfunction .
- Prostate Cancer Surgery : Radical prostatectomy, in which the entire prostate is removed along with the surrounding tissue, is known to reduce the size of the penis, as fibrosis causes internal retraction of the penis and a loss of length of up to 16%.
- Buried Penis : The term "embedded penis" is used when the penis is buried within the excess fat in the pelvis. This is common in obese prepubertal boys, many of whom have normal-size penises and will eventually outgrow the condition. Losing weight also helps.
Other men look for penis enlargement, believing it to be "smaller than average." Many of these men do not realize that a typical erect penis is 5 to 6 inches long and 4 to 5 inches in girth .
There are even some men with above-average penises who are too concerned about their size. When a concern affects your quality of life, it is usually diagnosed as penile dysmorphic disorder (DPD). This is a condition in which psychological counseling can be more beneficial than penis enlargement .
According to a 2019 review published in the Sexual Medicine Review, the counseling was effective for most men who felt worse about their penis size, with the majority finding that their penis size was normal and he didn't need a raise .
Home remedies and lifestyle
There are many websites that recommend penis exercises to increase the length or girth of the penis. The rationale behind these exercises is that the repeated rubbing of the penis creates "microcracks" in the tissues that appear swollen as they heal.
There is a popular technique called jelqing, in which the thumb and forefinger wrap around the penis to stretch the shaft from base to tip repeatedly for 20 minutes each day .
Despite claims to the contrary, there has never been evidence that exercise of any kind, including jelqing, can increase penis size. In fact, because constant rough handling of the penis can cause injury or scarring, most health professionals advise against jelqing or similar exercises .
If you want to improve the appearance of your penis because it makes you feel more confident, there are easier ways to do it:
- Lose Weight : If you are overweight, these extra pounds can shrink your penis. Losing weight reduces pelvic fat and allows you to see a bigger penis.
- Get in shape : A muscular physique can enhance this visual effect and give you confidence in your penis size.
- Take care of your pubic area : Shaving around the penis (called "manual escape") can make the penis appear larger since it is no longer buried in the hair.
Over-the-counter (OTC) treatments
Men who are not happy with the size of their penis are offered several options. While this may sound tempting, don't be fooled by false claims or anecdotal evidence. Talk to your urologist to find out what can and cannot help you.
Many companies claim that their supplements can increase penis size. At best, they will do nothing but waste your money. At worst, they may contain traces of Viagra (sildenafil) or other drugs that are dangerous for men with heart disease.
Supplements such as L-citrulline or L-arginine are believed to increase nitric oxide levels in the blood, which can improve blood circulation in the penis. While some people claim that it helps improve erections, there is no evidence that it increases penis size.
While there has never been an FDA approved penis enlargement device, there is a growing interest in products that can help increase penis length through traction. When the penis is stretched, a weighted device is attached to the shaft of the penis and placed every day for a specified period of time to gradually stretch the penis.
A medical device called Extender has been shown to improve penis length in men with Peyronie's disease, but it has not been well studied in men without Peyronie's disease.
Penis clamps and rings
These penis enlargement devices wrap around the shaft and provide gentle compressive pressure to "stretch" the penis. Some are recommended for use during an erection, while others are used when the penis is flaccid.
There is no evidence that wrapping something around the penis can lengthen it. In fact, it can block blood flow and cause bruising, bruising , and nerve damage.
Lotions, creams, and oils that are advertised as capable of enlarging the penis by applying them directly to the organ often contain hormones, vasodilators that increase blood flow, and essential oils that are said to promote cell proliferation. There is no evidence of any of these works; some can even cause skin irritation or allergies.
Vacuums and pumps
Penis pumps and vacuum cleaners are widely used as sexual aids to stimulate erections in men. Some also use them to increase penis size. These devices are placed on the penis (and sometimes the scrotum) and use suction to fill the penis with blood.
With continued use over a long period, they can make the skin on the penis "spongy" and thicker. Despite their popularity, there is no evidence that vacuum cleaners or pumps can increase penis length .
LNVD may be prescribed after men have had their prostate removed for cancer as part of a penile rehabilitation program. Studies have shown that the use of LNVD increases the flow of blood and oxygen to the penis, which can help return a natural erection after surgery.
Vacuum pumps can cause injury if the suction is too strong or if the device is used for too long. Due to the rupture of the superficial veins of the penis, bleeding and bruising can occur in the urethra.
Operations and procedures under the guidance of a specialist.
Some men need injections of natural and synthetic fillers to increase the girth of the penis. Others seek surgery if a smaller penis or an abnormality of the penis (such as hypospadias) interferes with urination or quality of life. A small penis is generally not an indication for infertility surgery. In such cases, assisted reproductive medicine procedures may be the best option.
Injections into the penis have been used since the early 1900s, are often performed by non-medical professionals, and often have disastrous results. In recent years, aesthetics have used three injectables to increase the girth of the penis, each with its pros and cons :
- Autologous fat injections involve the removal of fat using liposuction, which is then strategically injected along the shaft of the penis. While safe, most of the injected fat is reabsorbed. Inserting too much fat can cause uneven absorption, resulting in an abnormal curvature or shape of the penis.
- Hyaluronic acid injections include a natural sticky compound known as hyaluronic acid (HA) or hyaluronan. Although effective, a high level of skill is required to administer HA in a consistent manner. Like autologous fat, HA can be reabsorbed by the body, albeit at a slower rate. Loss of tactile sensations is not uncommon among men who undergo the procedure.
- Polymethylmethacrylate (PMMA) microspheres are a new product made from small acrylic spheres. Although PMMA injections last longer than hyaluronic acid and some results last up to seven years, they have a higher rate of complications, including the formation of dents, hard ridges, and nodules.
The use of these injections is considered experimental.
Warning about the dangers of smoking
Some men have been known to inject synthetic materials like silicone and paraffin in an attempt to increase the girth of their penis. These practices are dangerous and can lead to infections, abscesses, induration (hardening of the tissues), necrosis of the tissues (death of the skin) and even the loss of the penis .
There are no FDA-approved surgical treatments for penis enlargement, but that hasn't stopped men and plastic surgeons from trying them. These procedures can be broadly classified into penis enlargement (lengthening) operations and penis enlargement (girth) operations, and can be used alone or in combination.
The most common penis enlargement procedures include:
- Free Fat Transplantation (FFT) begins with the removal of fatty (fat-storing) tissue from the thighs of lean men, the lower abdomen in men of normal weight, or from the pelvis in men who are overweight. The tissues are centrifuged (spinning at high speed) to destroy the cells and inserted into the penis with a syringe or a flexible tube called a cannula. This last step helps prevent irregular accumulation of fat cells. Since the body reabsorbs between 20% and 80% of fat cells in the first year, several treatments may be required .
- Sebum graft (DFG) involves the removal of an area of skin from the patient's own body (usually the lower back, lower abdomen, or buttocks) along with a layer of fat. After the skin is removed from the penis, the removed tissue is transplanted into place. Because the skin removed is thicker, the girth of the penis increases. When tissue is removed from the patient's own body, the risk of rejection is low .
- VY plasty is a surgical technique in which the supporting ligament that attaches the penis to the pelvic bone is torn, releasing the shaft and allowing it to slide forward. This procedure is so called because it includes a triangular incision, the edges of which are brought together and sutured in a "Y" shape. While it is effective in lengthening the penis, it also makes it less stable when erect .
- Suprapubic lipectomy is performed primarily in overweight men for whom weight loss has not improved the appearance of the hidden penis. The procedure consists of removing part of the skin and trapezoidal fat that is above the penis. The ends are sutured, lifting the pelvic skin, exposing the underlying penis. The procedure is relatively safe; side effects are limited to postoperative pain, bleeding, or infection .
- Sliding lengthening is sometimes used in men who have experienced a shortening of the penis due to Peyronie's disease. The procedure involves temporary "peeling" of the skin and underlying tissues of the penile shaft. The narrow sheath surrounding the shaft tears, allowing the penis to straighten and lengthen. Although the operation does not involve a transplant, nerve damage is possible .
- Penis disassembly is a more invasive form of penis enlargement surgery, in which the removed shaft is cut completely just below the glans of the penis. The space is then filled with a piece of rib cartilage taken from the patient and reassembled by suturing the removed tissue in place. Although this surgery is used less frequently, it can be effective for men with a micropenis, birth defects, or deformities resulting from penile cancer.
- Penile implants are generally intended for men with impotence, as they do nothing to enlarge the penis. That being said , they are often used in VY grafting, sliding enlargement, or dismantling of the penis to help stabilize the penis and increase its girth.
Get the word of drug information
If you think your penis is too small, make sure you measure it accurately . Even if it is shorter than average, it is important to consider your penis size in context and ask yourself why it is causing you so much distress. Sometimes it helps to talk to a counselor who can help you sort through your feelings and suggest what you need.
If you decide to go ahead with penis enlargement, consult your urologist to discuss the benefits and risks of the procedure. Ask about the response rate and possible complications. If you are concerned about infertility, speak with a fertility specialist first to get an accurate picture of your sperm count and motility.