Penile enlargement experience

Interest in penis enlargement continues to rise, especially with newer treatments like See real Penis Enlargement experiences and results.
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There are many companies trying to sell pills to enhance penis size. At best, they won't affect you at all. At worst, they may contain drugs such as sildenafil, which can be dangerous for men with heart disease. Most supplements increase nitric oxide levels such as l-citrulline or l-arginine, which may improve blood flow to the penis.

While this could give a partial erection, it won't actually lengthen the penis. Devices that wrap around the penis, placing a squeezing type of pressure, are advertised as methods of stretching it out. Some are suggested for use during an erection, and some for when you are not. The rationale behind these devices is based on the idea that forcing the skin and structures of the penis to narrow could allow it to lengthen.

A specific device is also marketed for use during jelqing. There is no evidence that wrapping anything around your penis will lengthen it, and these devices can cut off blood supply, causing permanent damage. There has never been an FDA-approved device for a penile extension, but devices that allow men to attach weights to their penises with the objective of stretching out a couple more inches have been advertised. A medical device called the Extender may improve penile length for men with Peyronie's disease , which is a change in the size or shape of the penis due to injury, but this device has not been studied in men without Peyronie's.

These devices are placed over the penis, with the idea that pulling can lengthen the penis. There is no evidence that they work, and there is a chance of injury. There are no FDA-approved surgical treatments for penis enlargement, but this has not prevented patients and surgeons from going ahead with procedures anyway.

Implant surgeons are limited by the stretched length of the penis. Alternatively, surgeons have tried cutting off the ligaments that keep the penis anchored to the pubic bone.

Can a person increase the size of their penis?

This procedure will cause the flaccid penis to drop lower, but won't actually lengthen the overall penis. When the penis dangles lower, it may look larger, but it will also be less stable during intercourse. Men can get severe scarring that constricts the penis and makes intercourse difficult. Some men get injections of their own fat or a synthetic material to increase the size of the penile shaft. It is unclear whether this is safe, and it has not been proven that injections can increase penis size. And as with the other procedures, this won't improve the function of the penis.

Injections of various oils and other materials have also been used, usually without medical supervision. These strategies can cause inflammation and infections, and there is no evidence that they work. Flaccid penis size can decrease with age. These are natural changes that are simply a fact of life. While you can't make your penis bigger, there are a few strategies that can make it appear larger. Penile shortening is a phenomenon that is associated with certain medical and surgical conditions.

These conditions include prostate cancer patients treated with radical prostatectomy, Peyronie's disease and congenital anomalies. There is also some evidence that erectile dysfunction may be an independent risk factor for shortening.

Introduction

There have been several studies that have evaluated penile length after radical retropubic prostatectomy RRP. In , Munding et al. All men had erections that were sufficient for penetration preoperatively. Penile measurements were recorded in triplicate on all patients in the holding area prior to surgery. These were performed in the stretched flaccid condition only, from the tip of the glans to the pubopenile skin.

The same measurements were taken again 3 months postoperatively. No erect measurements were recorded, nor was penile girth recorded. A second study published in by Savoie et al. Penile lengths and girth of 63 men undergoing RRP were measured pre- and postoperatively. Measurements were recorded from the pubopenile skin to the meatus, in the flaccid and stretched flaccid conditions. Penile circumference was also measured midshaft. Measurements were taken preoperatively in the holding area and then 3 months postoperatively.

Theories include early penile shortening related to urethral shortening due to RRP, or secondary corporal fibrosis from chronic hypoxia and fibrosis. There is increasing evidence, however, that penile shortening is not limited to surgical treatments of prostate cancer. This was demonstrated by Haliloglu et al.

All subjects received hormone deprivation therapy in the form of a luteinizing hormone releasing hormone LH-RH agonist, either leuprolide or goserelin every 3 months for a total of nine injections. Penile measurements were recorded in the stretched flaccid condition from the pubopenile skin to the tip of the glans. They found that there was a statistically significant decrease in penile length in men treated with hormonal suppression plus radiation.

Awwad et al. Awwad found that when comparing normal men to men with erectile dysfunction, there was a statistically significant reduction in both flaccid and stretched penile length. More specifically, the average flaccid penile length was 7.

Are penis enlargement operations really safe?

Penile girth of the impotent men was not assessed. The authors cited loss of elasticity and lack of intermittent stretching of tunica albuginea as one explanation for the disparity in penile length between potent men and impotent men. Probably the most common etiology of penile shortening is seen in patients with Peyronie's disease. There is some early data suggesting that a penile extension device may increase length, prevent graft contraction and minimize postoperative penile shortening. Lastly, congenital micropenis results from a number of biochemical etiologies, and it is lifelong.

This may be a primary hypothalamic or an anterior pituitary problem. Lastly, the micropenis can result from embryonic testis failure causing insufficient masculinization. When speaking of penile enhancement surgery, one must distinguish between those procedures that increase penile circumference, penile length and plastics procedures to change skin surrounding the penis.

The Sexual Medicine Society of North America has drafted a position statement on penile lengthening and girth enhancement surgery. It reads as follows:. Therefore, penile lengthening and girth enhancement surgery can only be regarded as experimental surgery. The Society is aware of complications and adverse outcomes that should be clearly disclosed to patients considering such surgery.

The Society believes that those government agencies charged with the regulation of medical practice and the enforcement of laws prohibiting false or unsubstantiated advertising claims should give careful attention to claims made with regard to these surgical procedures. One of the earlier papers aimed at penile girth enhancement was reported in , by Austoni et al. Thirty-nine patients underwent elective enhancement surgery for hypoplasia of the penis or functional penile dysmorphophobia.

Penile dysmorphophobia is defined as a condition in those men whose penis are normal, but request an augmentation procedure as a result of an altered perception of the organ. Penile dysmorphophobia can be both a functional issue and an aesthetic issue. Incisions were made in the tunica albuginea from apex of the corpora to the crura and saphenous vein patches were placed. Erect diameter location on shaft not specified preoperatively was 2. Fat injection into the penis is the mainstay of girth enhancement procedures.

The goal of fat injection into the dartos layer of the penis is uniform enhancement of penile circumference. In , Panfilov 29 described his method of injecting the penis with autologous fat. At 1 year of follow up, 77 patients were highly satisfied, 8 patients were fairly satisfied and 3 patients were not satisfied. One patient had too much fat injected into his foreskin, and 2 patients had excessive loss of fat. Alter has written extensively regarding his experience with penile enhancement surgery. Alter states that circumferential placement of a dermal fat graft is the preferred technique, with the size of the dermal fat graft based on the measurement of the penis on full stretch from the pubopenile junction to the distal corona.

The urethra is usually left uncovered. Penile weights are used after approximately 1 month, postoperatively, to prevent shrinkage and graft contraction. It is reported that circumference is increased between 1 and 2 inches, using the aforementioned procedure. The procedure is rather lengthy several hours , but results in a uniform increase in girth, without nodularity. Edema resolves with 6 weeks, whereas normal texture is regained in 4—6 months.

It should be noted, however, that there can be severe complications that include, but are not limited penile shortening, asymmetry and curvature due to fibrosis if the graft does not take uniformly. With the advent of tissue engineering, there are a number of new mechanisms to perform circumferential enhancement. In , Perovic et al. Age ranges of their subjects were 19—54 years, and indications for augmentation were penile dysmorphic disorder or failed penile enhancement surgery.

Complications included infection in three patients, penile skin necrosis in two patients and seroma in five patients. All patients were able to be treated conservatively. A more novel technique used in penile girth enhancement has been the use of AlloDerm. Although most of the data for AlloDerm are anecdotal, recently, they have been widely used in penile girth enhancement. The AlloDerm sheets are placed above Buck's fascia. The reported minimal scar is one advantage of this technique for penile girth enhancement. The mainstay of penile lengthening procedures are a combination of release of the suspensory ligament of the penis with an inverted V—Y penopubic skin advancement Figure 2.

There is minimal evidence-based data in the literature documenting pre- and postoperative lengths. Inverted V—Y skin plasty at penile base with release of suspensory ligament. Reprinted with permission from British Journal of Urology. Shirong et al.


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They performed 52 procedures over a 7-year period, in men aged 23—52 years. The procedure consisted of cutting the suspensory ligaments, beginning with the superficial ligaments and if more length was needed, the deep suspensory ligaments were partially cut.

Are penis enlargement operations really safe?

A scrotal flap was used to cover the exposed corpora, and in some cases a V—Y suture was used on the ventral side to avoid traction and allow better cosmesis. There was an average decrease in length of 0. It is often standard protocol that after transection of the fundiform and suspensory ligaments, penile weights at least 10 pounds are used. Penile weights are hung from the corporal ridge, once the patient has recovered from the initial procedure.

The weights prevent reattachment of the suspensory ligament and should be worn intermittently throughout the day. Some men opt to use progressively heavier weights for anywhere from months to years, which act as tissue expanders. Recently, Shaeer et al. They recommend placing a pubic fat flap between the penis and the pubic bone after the suspensory ligament is released.

In , Perovic described his technique for penile elongation. Nineteen patients, aged 18—52 years were included in the study. Perovic's procedure involved completely disassembling the penis into two components: An autologous piece of rib cartilage was then shaped and sutured in a place inserted between the corpora and the glans. No infections or erosions were noted, and the cartilage remained roughly the same size as at the time of implantation. Fifteen patients reported painless intercourse at 3 months. Five patients noted a dorsal curvature that was corrected with a vacuum device.

Paniflov 29 described his technique for penile elongation in He described incomplete cutting of the fundiform ligament of the penis. This allowed for the elongation of the extracorporeal part of the penis. Few objective outcome data were reported and no complications were reported. Complications of penile lengthening procedures may be significant. There is minimal short- and long-term patient satisfaction data.

Penile shortening is the major complication, usually resulting from the freely hanging penis reattaching to the pubic bone higher on the corporal bodies. This complication may be minimized by the placement of fat as described previously. Other complications include loss of sensation, angling of the penis downward due to lack of support and hypertropic scarring of wounds. A discussion of penile lengthening would be incomplete without the mention of penile reconstruction for bladder exstrophy epispadias.

After the exstrophy is repaired these patients are often left with deformities of their penis, mainly a shortened penis or an upward-tethered penis. This is thought to be a result of a congenitally shortened anterior corpus cavernosum. A number of techniques have been described on how to reconstruct the epispadic penis. Cantwell was one of the first to describe the repair of epispadias in his article in the Annals of Surgery.

In , Kelley and Eraklis 2 separated the corpora from the ischiopubic ramus in a patient with exstrophy of the bladder to gain length. One of the more common techniques used to correct exstrophy epispadias is the modified Cantwell—Ransley repair, a staged repair. This repair emphasizes penile chordee correction, urethral reconstruction, glandular reconstruction and penile skin closure. In , Surer et al. Of the subjects, 79 had classic exstrophy and 14 had complete epispadias.

A primary repair was performed in 65 of the patients who had classic bladder exstropy and 12 who had epispadias. A secondary repair was done in 14 patients who had classic bladder exstrophy and 2 who had complete epispadias. They ultimately concluded that the modified Cantwell—Ramsley procedure yields excellent results both cosmetically and functionally. In , Alter and Ehrlich described a novel technique for correction of the hidden penis in adults.

The authors stressed, that prior to embarking on the procedure, the etiology of the concealment must be identified correctly to fix the condition properly. The amount of penile skin must be assessed to assure that there is sufficient amount to perform the procedure. When concealment is due to overhanging suprapubic skin, the skin is excised in an elliptical fashion, which will allow for visibility of the penis. It is important to taper the fat cephalad and laterally, which will prevent an unsightly appearance.

The subdermal tissue of the suprapubic skin is then tacked to the rectus fascia which maintains the upward position of the resected skin Figure 3. Technique of tacking subdermal penopubic junction to rectus fascia with multiple rows of polyester sutures. Sometimes a suprapubic lipectomy or liposuction is performed if a large suprapubic fat pad is present.

On occasion, release of the penile suspensory ligaments may be performed to allow for additional penile length. Even after the suprapubic fat issues are addressed, there is still a tendency of the corpora to retract into the scrotum. In order to prevent the retraction, a midline incision is made at the penoscrotal junction, and dissection carried down to the spongiosum and tunica albuginea. Two tacking sutures are placed on either side of the urethra from the tunica albuginea to the ventral penoscrotal subdermal tissue Figure 4. These sutures prevent retraction of the penis into the scrotum.

Technique of bilateral tacking of subdermal penoscrotal junction to periuretheral tunica albuginea.


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As implantation of a penile prosthesis has been perceived by some as resulting in penile shortening, 41 , 42 Miranda-Sousa et al. The procedure was done in patients undergoing penile prosthesis implant for erectile dysfunction. Ninety patients, with a mean age of 62 years, underwent placement of a penile prosthesis.

Group 1 consisted of 43 patients who had penile prosthesis placement 39 received Coloplast inflatable penile prosthesis and 4 received semi-rigid penile prosthesis along with ventral phalloplasty with takedown of penoscrotal web. Group 2 contained 37 men who had Mentor Titan inflatable prosthesis placed through a standard penoscrotal incision. A diamond shaped piece of scrotal skin is removed and closed in a modified Heineke—Michulz type fashion. The authors reported that the difference in patients reporting an increase in length vs those reporting a decrease in length reached statistical significance.

Complications associated with the procedure were uncommon and minor two wound hematomas and three superficial infections in group 1, and one wound separation in group 2. Most importantly, there were no prosthetic infections in either group. Skin incisions are made along the Z-plasty through skin and superficial dartos fascia, and skin closed with a 4—0 or 5—0 moncryl.

MediLexicon, Intl. APA Barrell, A.

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The Truth About Penis Enlargement

Reviewed by Daniel Murrell, MD. Table of contents Does it work? What size is the average penis? We take a close look at average penis size, contributing factors, and what men and women think about penis size. According to one study, the averge erect penis is Related coverage.

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