Penile elongation techniques

Have you ever considered trying one of the many penis-enlargement techniques or products advertised today? The first thing you should know is that most men.
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Although this technique appears safer than other methods, there's no scientific proof it works, and it can lead to scar formation, pain and disfigurement. Stretching involves attaching a stretcher or extender device — also referred to as a penile traction device — to the penis to exert gentle tension. A few small studies have reported length increases of half an inch to almost 2 inches about 1 to 3 centimeters with these devices. Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction.

At best, surgery such as division of the suspensory ligament may add half an inch 1 centimeter to the appearance of the flaccid penis but does not change actual length of the penis. At worst, surgery can result in complications such as infection, scarring, and loss of sensation or function. When the suspensory ligament is cut, the penis may look longer because more of it hangs outside the body. The need for penis-enlargement surgery is rare. Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.

Although some surgeons offer cosmetic penis enlargement using various techniques, it's controversial and considered by many to be unnecessary and in some cases permanently harmful. These surgeries should be considered experimental. There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.

The most widely used surgical procedure to lengthen the penis involves severing the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft. When this ligament is cut, the penis appears longer because more of it hangs down. But cutting the suspensory ligament can cause an erect penis to be unstable.

Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone. A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft. Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.

This can lead to penile curvature or asymmetry and an irregular looking penis. Another technique for increasing width is grafting tissue onto the shaft of the penis. None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection. Although there's no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you're concerned about your penis size.

Get in shape and lose the belly fat. If you're overweight and have a "beer gut," your penis might appear shorter than it is. Regular exercise can make a big difference. Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex. Many men feel better with reassurance that they are "normal" or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.

Many men believe that increasing the size of their penis will make them a better lover or make them more attractive. But chances are your penis is within the normal size range. Even if your penis is smaller than average, it may not matter to your partner. In addition, there's no proven way to make a penis larger. The solution to your concerns about penis size may be as easy as talking with your partner or getting in shape. If those steps don't help, try talking with a professional counselor about your concerns.

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Can a person increase the size of their penis?

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Sign up now. Penis-enlargement products: Do they work? By Mayo Clinic Staff. References The foundation's recommendation on penile augmentation. American Urological Association. Accessed March 24, Veale D, et al. Environmental and physical risk factors for men to develop body dysmorphic disorder concerning penis size compared to men anxious about their penis size and men with no concerns: A cohort study.

Journal of Obsessive-Compulsive and Related Disorders, ;6: Casavantes L, et al. Penile girth enhancement with polymethylmethacrylate-based soft tissue fillers. The Journal of Sexual Medicine. Shaeer O. Girth augmentation of the penis using flaps "Shaeer's augmentation phalloplasty": Gerald Brock, MD for his support in preparing this manuscript. Conflicts of Interest: The authors have no conflicts of interest to declare. National Center for Biotechnology Information , U. Journal List Transl Androl Urol v. Transl Androl Urol. Jeffrey Campbell 1 and Joshua Gillis 2.

Author information Article notes Copyright and License information Disclaimer. Corresponding author.


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I Conception and design: J Campbell; II Administrative support: None; III Provision of study materials or patients: None; IV Collection and assembly of data: All authors; V Data analysis and interpretation: All authors; VI Manuscript writing: All authors; VII Final approval of manuscript: All authors. Correspondence to: Jeffrey Campbell. Received Sep 20; Accepted Sep Copyright Translational Andrology and Urology. All rights reserved.

Abstract Penile elongation surgery is less commonly performed in the public sector, but involves a collaborative approach between urology and plastic surgery. Micropenis, elongation, dysmorphophobia, surgery. Penile anatomy To fully understand limitations of small penis size and the surgical correction possibilities, we must review the relevant basic penile anatomy. Penile length Normal penile length Accurate measurement of penile length is important for both clinical and academic purposes. Table 1 Etiology of micropenis. Open in a separate window. Penile dysmorphophobia The majority of men seeking penile elongation treatment have a normal penile size, which is functionally adequate for sexual activity and micturition 14 , Non-surgical management The idea of treating actual and perceived penile shortening with intervention is controversial.


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Testosterone In cases of true micropenis, the goal of treatment should be restoration of a functional penis size in order to improve body image and self-esteem, allow normal standing micturition and enable satisfying sexual intercourse. Traction devices Penile traction devices PTD have been explored both as an independent strategy to help with penile elongation and as an augment to surgery. Surgical management Penile augmentation Different types of injectable materials have been used for penile augmentation including liquid silicone, polyacrylamide, hyaluronic acid and mineral-oil 35 - Suspensory ligament release As discussed, the suspensory ligament anchors the penis to the pubic symphysis and while providing support, acts as the mobile point for the penis during erection.

V-Y advancement Penile elongation using a dorsal V-Y incision in the congenital or acquired short penis was first described over 40 years ago. Figure 1. Suprapubic lipectomy Suprapubic lipectomy has been performed to increase perceived penis length, particularly for patients with a buried penis. Figure 2. Penile disassembly Perovic and Djordjevic describe a technique similar to sliding elongation, which they have used to treat short penises and congenital penile anomalies.

Figure 3. Flap reconstruction Local, regional and free flap options exist to lengthen the penis. Figure 4. Conclusions Men complaining of short penis need to be clinically assessed for evidence of true micropenis and screened for PDD. Acknowledgements The authors would like to thank Alison Wong, MD for preparing the diagrams to supplement the surgical descriptions within this manuscript. Footnotes Conflicts of Interest: References 1. The inconspicuous penis in children. Nat Rev Urol ; Surgical anatomy of the penis in hypospadias: Urology ; Johnson P, Maxwell D.

Fetal penile length. Ultrasound Obstet Gynecol ; The development of the fetal penis--an in utero sonographic evaluation. Hughes IA. The testes: Sperling MA. Pediatric Endocrinology. Philadelphia, PA: Saunders; ; Sex determination and disorders of sex development according to the revised nomenclature and classification in 46,XX individuals. Hormones Athens ; 9: Endocrinology of fetal development.

Williams Textbook of Endocrinology. Sounders, ; Grumbach MM. A window of opportunity: J Clin Endocrinol Metab ; Am I normal? A systematic review and construction of nomograms for flaccid and erect penis length and circumference in up to 15, men. BJU Int ; Penile length in the flaccid and erect states: J Urol ; A Cohort Study. Sex Med ; 3: Aaronson IA. Wiygul J, Palmer LS. ScientificWorldJournal ; Position paper: Management of men complaining of a small penis despite an actually normal size.

J Sex Med ; Penile length is normal in most men seeking penile lengthening procedures. Int J Impot Res ; American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th ed. Arlington, VA: American Psychiatric Publishing; Relationship between self-discrepancy and worries about penis size in men with body dysmorphic disorder. Body Image ; Wylie KR, Eardley I. Penile size and the 'small penis syndrome'. Fox C. Sizing up the man: Sexologies ; S1, S Penile Dysmorphic Disorder: Development of a Screening Scale. Arch Sex Behav ; Vardi Y.

Is penile enlargement an ethical procedure for patients with a normal-sized penis? Eur Urol ; Congenital hypogonadotropic hypogonadism and micropenis: J Pediatr ; Early determination of androgen-responsiveness is important in the management of microphallus. Lancet ; 2: Transdermal dihydrotestosterone therapy and its effects on patients with microphallus.

Techniques for penile elongation.

Penile growth in response to hormone treatment in children with micropenis. Indian J Urol ; Topically applied testosterone and phallic growth. Its effects in male children with hypopituitarism and microphallus. Am J Dis Child ; The effect of prepubertal androgen exposure on adult penile length. The effects of long-term androgen deprivation therapy on penile length in patients with prostate cancer: J Sex Med ; 8: A pilot phase-II prospective study to test the 'efficacy' and tolerability of a penile-extender device in the treatment of 'short penis'.

FastSize Medical Extender for the treatment of Peyronie's disease. Expert Rev Med Devices ; 5: Effect of penile-extender device in increasing penile size in men with shortened penis: Oderda M, Gontero P. Non-invasive methods of penile lengthening: Penile traction therapy for treatment of Peyronie's disease: J Sex Med ; 5: Levine LA, Rybak J. Traction therapy for men with shortened penis prior to penile prosthesis implantation: Panfilov DE.

Augmentative phalloplasty. Aesthetic Plast Surg ; A critical analysis of penile enhancement procedures for patients with normal penile size: Coleman SR. Facial recontouring with lipostructure. Clin Plast Surg ; Hand rejuvenation with structural fat grafting. Plast Reconstr Surg ; Human adipose stem cells: Plast Reconstr Surg ; Current practice in autologous fat transplantation: Ann Plast Surg ; Autologous human fat grafting: Is V-Y plasty necessary for penile lengthening?

Girth enhancement and increased length solely through circumcision: Asian J Androl ; The suspensory ligament of the penis: Surg Radiol Anat ; Penile suspensory ligament division for penile augmentation: Bilateral rhomboid flaps for reconstruction of the external genitalia in epispadias-exstrophy.

Penis ligaments: Anatomical description in human cadavers and clinical results of a phalloplasty series. Ann Ital Chir ; Penile elongation and girth enhancement.

Penis Enlargement Methods - Penile Enlargement Exercises

AUA Update Series ; Penile lengthening procedure with V-Y advancement flap and an interposing silicone sheath: A novel methodology. Management of "buried" penis in adulthood: Aesthetic surgery of the male genitalia. Semin Plast Surg ; A new, innovative, lengthening surgical procedure for Peyronie's disease by penile prosthesis implantation with double dorsal-ventral patch graft: J Sex Med ; 9: Penile lengthening and widening without grafting according to a modified 'sliding' technique.

Penile length and girth restoration in severe Peyronie's disease using circular and longitudinal grafting. A prospective multicentric international study on the surgical outcomes and patients' satisfaction rates of the 'sliding' technique for end-stage Peyronie's disease with severe shortening of the penis and erectile dysfunction. Penile lengthening. A new surgical procedure for phallic reconstruction in partial penis necrosis: Support Center Support Center.

External link. Please review our privacy policy. Prader-Willi syndrome. Laurence-Moon syndrome. Bardet-Biedl syndrome.

Other pituitary hormone deficiencies. Poly-X syndromes ex: Gonadal dysgenesis. LH-receptor defects. Androgen receptor defect. Fetal Hydantoin Syndrome.