A man usually experiences about 11 erections per day (3-5 of them occur at night). And although the penis subject is studied inside out, in fact, there are many little-known facts about the main male organ. There are many myths and beliefs about the penis. During this consultation, our doctor will examine you and explain all possible treatments options in detail, discuss the size you wish to achieve and answer any questions you may have. Patients should note that results vary significantly and more than 4-6h of daily stretching is required for a minimum of 6 months. They work by increasing blood flow to the penile tissues, causing a temporary enlargement of the penis. Elective aesthetic augmentation is more controversial, with potential risks often outweighing benefits for healthy men seeking purely cosmetic enhancement. Patients undergoing these procedures often report increased confidence and satisfaction with their appearance. Because of the structure of the male sexual system, more than half the length of the penis is hidden inside.But it does not change the actual length of the penis.Worrying about penis size is common, but it’s crucial to remember that size doesn’t determine masculinity or sexual ability.In order to reach the erect length, a minimum tension force of 450 g a force during penile stretching is required.Many men are dissatisfied with their penile size and desire a larger penis .The penis is a smooth muscle organ, and the idea that micro-tears from stretching can create meaningful growth is unfounded.The average erect penis length has increased over the past three decades across the world. Exercises like Kegels specifically target the pelvic floor muscles, potentially improving sexual performance and penile function. These rings fit around the base of the scrotum and penis, helping to keep the blood in the penis, which might make make it look bigger during sexual activities. Penoscortal rings are devices that may help in keeping an erection for a longer period and create the appearance of a larger penis. The device creates a vacuum and increases the blood flow to penis with the help of suction,. He was involved in the study conceptualization and design as well as the manuscript drafting and reviewing process. However, he was not involved in the study invitation or data collection and analysis process. The authors would also like to thank Alyssa Rose for her valuable assistance with the study. Techniques like fat injections, dermal fillers, and suspensory ligament releases can lead to size gains. When exploring options for penis enlargement, it is essential to rely on scientific evidence and clinical data. Most professionals emphasize the importance of consulting qualified medical specialists to evaluate each case individually. Understanding these facts helps demystify what is normal and encourages body positivity. Medical research consistently shows that a large majority of men fall within the average range, and size should not be a source of concern or inadequacy. Addressing these misconceptions through education can significantly improve confidence and sexual wellbeing. Societal and media portrayals often distort perceptions, leading many men to believe their size is abnormal or inadequate. It's important to note that size varies widely among men, and most fall within the normal range. Penis enlargement is a topic often surrounded by hype, misinformation, and unrealistic promises. Third, they wish to have no erectile dysfunction in their lives. Thus, they wish to have a longer lasting erection in bed with better control over their ejaculation 1, 2. It is not a substitute for professional medical advice, diagnosis, or treatment. Consulting with qualified urologists specializing in these procedures is essential to achieve safe and reliable outcomes. The Penuma® implant is a silicone device inserted under the skin to add girth and improve aesthetic appearance. Surgeons often combine ligamentolysis with other procedures for functional or aesthetic results. The stretched length, which is a better indicator of potential length increase, can expand by nearly 1 to 1.5 cm, reaching approximately 13.5 to 14 cm. Does penis size affect sexual satisfaction? Penile traction devices, or extenders, are the only non-surgical method with limited scientific backing, primarily for length increases.This study did not specify circumferential parameters, but with the confirmed lack of longitudinal tissue expansion, it can be inferred that circumferential expansion was also lacking.Figure 3 shows the changes in penile girth before and after filler injections.Given the mixed results of cosmetic procedures for SPA, clear communication about the potential effects, risks, and psychological impacts of these treatments is vital.An interesting finding of one study of men reporting a small penis was that only 3.6% chose to seek PA after undergoing structured management and counseling .Achieving a larger penis size is challenging and often involves accepting one’s natural dimensions.Therefore, the proven clinical utility in the face does not indicate clinical utility in the penis. Non-surgical methods generally do not produce permanent size increases and carry risks when improperly used. One of the significant challenges in penis enlargement procedures is the absence of standardized methods. Among the surgical options for penis enlargement, devices like the FDA-cleared Himplant™ have gained recognition for their demonstrated safety and effectiveness. Most men have an erect penis size between 4.7 inches (12 cm) and 6.3 inches (16 cm). Understanding the natural variability in size and the realities of augmentation options can help men make informed decisions about their sexual health and wellbeing. This procedure, known as ligamentolysis, does not increase the actual length of the erect penis, as the erectile tissue remains the same size. Injection of hyaluronic acid (HA) gel is one of the most commonly used injectable fillers in the field of plastic surgery 1237,1296. However, three patients had revision surgery (2 due to infection and 1 due to mechanical failure) . Two patients developed an acute arterial thrombosis of the microsurgical anastomosis, which was successfully treated with emergency exploration. The remaining patients had total penile avulsion and were voiding via a perineal urethrostomy. But using extenders to grow your penis size can work. They recommend using it for about six hours a day for a few months, like the studies with the Andropenis show. Understanding how penis extenders work is key for anyone looking to improve their penile health. Although these devices can make the penis look larger for a short period, the effects are not permanent. It is vital to weigh the benefits against the possible complications and consider non-surgical options first. Surgical options are mainly indicated for men with micropenis or those experiencing deformities like Peyronie’s disease. Myth 4: Surgery is the Best Option for Penis Enlargement In a 2014 study by Hsu et al., 35 patients underwent extensible penile implantation. One of the most common complaints of patients after penile prosthesis implantation is that their erection is perceived as smaller than their natural erectile memory. General penile prosthesis implantation involves prosthesis insertion into the cavernous body of the penis. Non-Surgical Treatments for Gynecomastia: Are They Effective? Book a confidential consultation at Menness Clinic to learn the facts about safe and effective penis enhancement. From oysters and bananas to onions and chili peppers, the list of supposed "penis enlargement foods" is long. Studies show that a majority of men wish they were larger, with some choosing penile lengthening surgery. This belief is due, in part, to several often-cited studies that relied on self-reported measurements, with means of about 6.2 inches (15.75 cm) for heterosexual men and even greater for gay men. Most men believe that the average length of an erect penis is greater than 6 inches (15.24 cm). It can be transmitted through any intimate skin-to-skin contact, including vaginal–penile sex, penile–anal sex, penile–oral sex, and vaginal–oral sex. Long-lasting infections with high-risk HPVs can cause cancer in parts of the body where HPV infects cells. Get the latest health tips and articles delivered directly to your inbox. The data that support the findings of this study are available from the corresponding author upon reasonable request. This will increase the supply of blood to the lungs and reduce the workload of the heart. The penis is one of the areas where this enzyme works. Because smoking may increase the chance that high-grade dysplasia progresses to cancer, it’s important to quit. Talk with your health care provider to learn about the best treatment option for you. Most people with moderate cervical dysplasia (CIN 2) or high-grade cervical dysplasia (CIN 3) are treated with loop electrosurgical excision procedure (LEEP) or cold knife conization. Both HA and PLA fillers, which were used in our study, are regarded as temporary, and they are approved for PA in many countries . In a modern study of 25,594 men, 45% indicated that they desired a larger penis . To our knowledge, this is the first randomized comparative trial to use 18 months of follow-up to compare the clinical courses of HA and PLA fillers for PA. Any irregularity, retraction, lump, or deformity of penis, and migration of fillers were not observed. Finally, 34 patients were included per group considering a dropout rate of 20% during the study period. Is an increase in penile length cause for concern? Ensure the measurement is taken when the penis is fully erect for more reliable results. However, with age, men may experience a decrease in testosterone levels, which can lead to reduced sexual desire and erectile function. The size of the penis generally remains stable throughout adulthood. After prosthetic implantation, 72% of patients reported a decrease in length. Other outcomes accompanying this physical change were significant improvements in self-confidence and self-esteem, as well as high levels of long-term patient satisfaction with minimal and manageable adverse events (Fig. 6). Previous studies have shown that infection-delaying coatings can reduce infections by up to 50%. Can penis size be increased naturally through exercises, and how do they work? During the evaluator-blind portion of the study, all post-injection assessments at each institution were performed by one trained independent physician who was not involved in screening or filler injection. Our multicenter, prospective, patient-blinded/evaluator-blinded, randomized, non-inferiority comparative study comprised a 2-week screening period and 18-month follow-up period after injection (Figure 1). All patients then signed an informed consent form before filler injection. Ensure the measurement is taken when the penis is fully erect for more reliable results.If you experience a prolonged or painful erection for 4 hours or more, contact your doctor immediately.In conclusion, this newly developed PLA filler caused significant penile enlargement for up to 18 months and was well tolerated without serious adverse effects.Recovery may take a few weeks, during which patients should avoid sexual activity and heavy physical exertion.Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection.Six patients received a PPI and were able to also engage in penetrative intercourses.Confidence in and acceptance of your natural size is key to a fulfilling and healthy sexual life.Penile girth was measured with a measuring tape at the distal shaft (area just below the glans), mid-shaft (area between the proximal and distal shafts), and proximal shaft (area above the peno-abdominal junction). Therefore, patients must be informed about the practice statements of various medical associations regarding enhancement procedures. Many unproven methods to increase penis size are available on the Internet; these include lotions, pills, stretching devices, vacuum pumps, and home massage techniques. Those who seek surgery and nonsurgical treatments for penile enlargement fall into 1 of 3 categories. Several studies have identified an increase in similar augmentation operations performed by medical experts, even though acceptability ratings for such surgeries are rarely recorded in the literature. In addition, it highlights the underlying motivations for penile enlargement and to provide an overview of the various medical, tractional, injectable, prosthetic, and reconstructive modalities commonly utilized in urology and plastic surgery (Table 1). Drummond and Filiault examine the increasing significance of penis size among men who have sex with men. A study conducted in the United States in 2011 revealed that mutual masturbation, oral sex, and anal sex were the preferred sexual behaviors among gay and bisexual men.23,39 In male-male anal intercourse, the penis is inserted into the partner's rectum. A study including 15,521 men noted that, on average, penises in the flaccid and erect states were 9.16 and 13.12 cm long, respectively. The normal penis size and the methods of determination of the normal penis size must be defined. In all the cohorts, patients with below-average penises were extremely rare, and most patients had normal penises.1,2 The second group of male patients seeks surgery because their penis is physiologically too small. However, unlike Siegal's study, Elist et al. did not apply a triple-antibiotic or rifampin solution to the implants. Elist et al. reported an infection rate of 3.3%, similar to that of inflatable and noninflatable penile implants (4.6%). The mean follow-up duration was 6 months, with 1, 2, and 4 cases of infection, erosion, and persistent dilatation of the proximal Penuma coronary sulcus, respectively. Additional access options: Penile implants, such as FDA-approved devices like Penuma®, often focus on enhancing girth. Most non-surgical approaches, such as pills, topical creams, gummies, and traction devices, lack solid scientific backing. Non-surgical methods are generally safer but less effective, and their benefits should be viewed with caution and realistic expectations. That occurs when the male sexual organ expands unevenly along its entire length in a phase of sexual arousal. But there are cases when the penis is bent so much that it becomes almost impossible to have sex. A crooked penis is a normal phenomenon. Female sexual pleasure depends primarily on the emotional mood and also on the way the main female erogenous zone, the clitoris and its surrounding tissues, are stimulated. Most women put a 16-cm penis first. People often search online- how to increase penis size? Without physical action to the penis, such as that occurring during sexual intercourse, sildenafil will not work to cause an erection. Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. Over-the-counter pills, herbal remedies, and topical creams that claim to increase penis size are not supported by credible medical evidence.While the results are immediate, the fillers are temporary and require repeated injections every year or two.Recently, a silicone penile implant called “Penuma®” (International Medical Devices Beverly Hills, CA, USA) has been approved and has shown promising results for penile girth enhancement.As almost all filler injections for PA are performed due to the desires of men reporting a small penis, it is very important to understand the different clinical courses of various fillers after injection.A micropenis is a rare, congenital medical disease, not a subjective feeling.However, our randomized comparative trial involved a longer follow-up period (18 months) to assess PA.It's a common belief that all penis extenders work the same.While genetics play a crucial role, environmental factors and overall health can also contribute to individual variations in penis size.But most men who think their penises are too small actually have penises that are considered typical size.Other outcomes accompanying this physical change were significant improvements in self-confidence and self-esteem, as well as high levels of long-term patient satisfaction with minimal and manageable adverse events (Fig. 6). On the other hand, buried penis in the adult is widely recognised as an acquired condition, termed as the adult acquired buried penis (AABP) . Indeed, an abnormal development of the dartos fascia may lead to the entrapment of the penile shaft to the peri-genital tissue leading to this clinical manifestation. Due to the heterogeneity of clinical situations related to short penis conditions, a classification based on the underlying aetiology is provided below (Table 9.1). The overall incidence of micropenis in the male population is not clearly documented. Accordingly, a SPL of less than 2.5 standard deviations (SD) below the mean for the male’s age and race is considered as micropenis 1182,1183. Nonetheless, it is important to note that BTT seems to have a better correlation with erect penile length, especially in overweight and obese men . Although used as a surrogate, STT clearly underestimates erect penile length by about 20% 918,1244. If possible, the Panel also advocates additional measurements in both flaccid and erect state after intracavernosal injection of erectogenic agents, compulsory before any surgical indication. The propensities for sexual excitation and sexual inhibition may be further considered, (e.g., Sexual Inhibition/Sexual Excitation Scales), as well as measurements of relationship satisfaction (e.g., Global Measure of Relationship Satisfaction) 1239,1240. These include measurements of sexual functioning (e.g., The International Index of Erectile Function IIEF), sexual distress (e.g., The Sexual Distress Scale for men), and sexual satisfaction (e.g., Global Measure of Sexual Satisfaction) 315,1238,1239. The sample size was on the smaller side, and, as such, there was not the statistical power to detect small effect sizes or conduct statistically sound subgroup analyses (eg, based on BDD diagnosis). In the first author’s extensive clinical experience, it is possible that after psychological therapy, a previously unsuitable candidate for an aesthetic procedure can be deemed suitable by the mental health professional and surgeon. These findings suggest that the men in the study were experiencing issues with their self-esteem and quality of life but on average were not more generally distressed than the general population. Although these devices can make the penis look larger for a short period, the effects are not permanent.The Penuma implant is a silicone device approved by the FDA for aesthetic enhancement; it can increase girth by up to 56%.While some may temporarily increase blood flow (due to ingredients like L-arginine or ginseng), they do not result in permanent enlargement.As we change our body's constitution that also affects our hormonal milieu.This study sought to characterize the quality and reliability of YouTube videos on the topic of penile augmentation.As for girth, both distal (coronal) and mid-shaft measurements should be recorded. For PA, both fillers have been introduced in scientific journals and approved in several countries 7,10,11,15. Hyaluronic acid (HA) and polylactic acid (PLA) fillers are commonly used soft tissue fillers that are regarded as temporary 1,3,8. Accordingly, it is critical to compare the benefits and risks of each filler when counseling patients about what type to use 8,14. Different types of fillers have varying biochemical and clinical characteristics . Although several types of fillers have been introduced for PA, the ideal filler has not yet been established 7,10,11,12,13,14. Book a consultation today to learn more about our personalized treatments or explore other services like sexual health and hair restoration. If you’re considering penis enlargement, don’t fall prey to the many myths circulating online. Speaking to a therapist or sexual health counsellor can help untangle these issues before making any physical changes. Many men who seek enlargement treatments struggle with body dysmorphia, a condition where individuals perceive their bodies in a way that doesn’t reflect reality. Many-a-times it’s not the size but the self doubt related to the normal size of penis that creates the entire problem. Some surgeons offer cosmetic procedures to enlarge the penis, but these are controversial and often deemed unnecessary by experts. Never consume or use anything for penis enlargement without consulting a doctor. Quitting smoking and moderating alcohol consumption are important steps in maintaining sexual health and overall well-being. Techniques such as meditation, deep breathing, and yoga can help manage stress, promoting better overall and sexual health. Understanding the natural timeline of growth helps set realistic expectations and emphasizes that, beyond puberty, penis size remains relatively constant. The most rapid growth occurs between these ages, during which the penis increases in both length and girth. Flaccid sizes vary from about 2.8 to 3.9 inches (7 to 10 cm), with some men experiencing a significant increase during erection. The typical measurements for penis size vary, but generally, the average flaccid penis length is about 4 to 5 inches (approximately 10 to 12.7 cm). In recent years, the field of aesthetic and sexual medicine has made major advances in non-surgical penis enhancement. This article explores the science behind today’s most effective penis enlargement methods, focusing on evidence-based, non-surgical approaches available in medical settings. Yes, anxiety about “penis size” can cause real sexual dysfunction. Research, such as a study in Psychology of Men & Masculinity, shows the vast majority of partners (over 85% in that study) are satisfied with their partner’s “penis size.” They consistently rate other factors like attentiveness and emotional connection as more critical for a good relationship. As has been suggested by other studies, the penile measurements may be affected by temperature, arousal state, body size and investigator factors 5,35,90. Fertility is determined by factors such as sperm quality and reproductive health. The growth of the penis is mainly governed by hormones like testosterone, whereas height is influenced by hormones like growth hormone and IGF-1. Good nutrition is known to support overall sexual wellness. Your penis stops growing once you finish your puberty phase. Psychological distress, diminished quality of life, and impaired sexual function are crucial components of comprehensive SPA assessment.An average increase of 1.2 to 2.4 cm has been reported in the penile girth with PLA injection.Understanding the natural variability in size and the realities of augmentation options can help men make informed decisions about their sexual health and wellbeing.Let’s read more about different exercises known to increase penis size and understand the scientific logic behind them-Knowing these risks helps you make smart choices about making your penis bigger.A penis enlargement surgery may add half an inch to the penis but does not change the actual length of the penis.Penis size is primarily determined by genetic and hormonal factors, while creatine is commonly used to enhance athletic performance and muscle strength.Not sure if liposuction, tummy tuck, or a body lift is right for you? Complications were reported in a minority of patients, but they may be devastating and include penile fibrosis, sexual dysfunction, device infection, and death. Given the limitations and risks of penile enlargement, men should also consider alternative ways to enhance their sexual confidence. Another widely marketed category involves pills, creams, and herbal supplements that promise to enhance penis size. Although some men seek enlargement for aesthetic reasons, others may pursue it out of concern for their partner’s sexual satisfaction. For centuries, men have sought ways to enhance their physical appearance and sexual performance, and penile enlargement has remained a popular topic. Recognize that the average erect penis length is about 5.17 inches, with most men falling within the normal range. Penis size is predominantly determined by genetics, with little influence from external factors like masturbation frequency, shoe size, or body weight. Regular medical supervision ensures safe practice and helps assess whether the devices are suitable based on individual health conditions. If considering non-surgical devices, it is advisable to seek guidance from a qualified healthcare provider. Moreover, the application of fat, polylactic acid, HA, and dermal transplantation during the preparatory stages of penile enlargement surgery laid the foundation for emerging materials and technologies. In a recent survey, Spyropoulos et al. conducted a study on the microscopic ultrastructural examination and surgical benefits of biodegradable scaffolds used to expand the penile circumference. In penile augmentation, surgery involving tissue engineering with biodegradable scaffolds is a novel technique. This enlargement exceeded that of most previously published surgical procedures. At the end of the study, the median penile length and girth were 17 and 11 cm, respectively. According to Dr Gujela, after puberty is over, the growth of the penis stops. Empowering individuals with knowledge is key to making informed decisions about their enhancement journey. Men often feel societal pressure to meet certain expectations, which can lead to feelings of inadequacy and anxiety about their sexual performance. This misconception can lead to unnecessary anxiety and pressure on men to pursue enlargement methods without considering their actual effectiveness or safety. Remember, confidence is about more than just size—it’s about feeling your best in every aspect of your life. Accordingly, it is critical to compare the benefits and risks of each filler when counseling patients about what type to use 8,14.Overall, PTT seems effective in lengthening the penis both in the flaccid and stretched state with minimal side effects.Visit brandeismd.com for reliable resources and expert advice to navigate the world of penile enlargement and other health-related topics.Consulting a healthcare provider ensures safe decision-making based on individual health, needs, and expectations.We always recommend consulting a qualified urologist or healthcare provider for any personal health concerns.A systematic search identifying the 100 most viewed YouTube videos on penile augmentation was conducted. We wanted to create a safe, effective, and affordable solution that allows men to achieve their desired penis size without the drawbacks of surgery and fillers. P-Long is the first and only clinically proven protocol that naturally increases the length and girth of the penis without the need for surgery or temporary fillers. An increase in penile girth of 1.67 to 2.3 cm has been reported in studies with the dermal fat graft technique. In a study of 69 patients using the porcine dermal acellular matrix graft (InteXen; American Medical Systems, Minnetonka, MN, USA) a 3.2 cm increase in flaccid state and 2.4 cm in erect state was reported at one year following surgery. At least 27 patients in each group were required for statistical analyses. The 17-gauge or 21-gauge injection needle was indwelled on the penile base at the 1–2 o’clock and 10–11 o’clock points. Laboratory examinations were performed at baseline, 6 months, and 18 months after injection. The penile tissue, primarily composed of erectile chambers and fibrous tissue, does not respond to topical creams or oral supplements by increasing in size. A true medical condition known as micro-penis is defined by an erect length of less than 7.5 centimeters (under 3 inches). Flaccid length is a poor predictor of erect size, as many smaller flaccid penises expand significantly upon erection. This article provides a factual, evidence-based overview of average size and evaluates the scientific efficacy and risks of non-surgical and surgical enlargement methods. Achieving a larger penis size is challenging and often involves accepting one’s natural dimensions. We welcome patients of all cultures and identities, including those who are gender diverse and gay. If you’re ready to take the next step or simply want to learn more, request an appointment to discuss your goals with a medical professional. These scientifically supported procedures are performed by experienced physicians in a private, judgment-free environment. We performed a systematic review of the literature in PubMed, Embase, and Cochrane from inception to April 2022, to identify studies that evaluated penile size. Penile size has been measured in several studies but no comprehensive study exists to examine geographic variation or temporal trend 12,13,14. As male sexual dysfunction diagnoses and treatments are common 1,2, penile size remains important . The mean penile girth was defined as the mean of the circumference measurements of the distal, mid-, and proximal shafts. The penile girth measurement was performed in the supine position in the flaccid state without tension and stretching. Therefore, various types of penile augmentation (PA) have been introduced to correct medical, psychological, or aesthetic problems . Many men are dissatisfied with their penile size and desire a larger penis . Ads for penis-enlargement products and procedures are everywhere. This study sought to characterize the quality and reliability of YouTube videos on the topic of penile augmentation. If you have concerns about your penis size, consulting with a professional can provide clarity and support. This blog debunks the top 10 penis size myths, providing evidence-based facts and expert advice to help men feel confident, informed, and comfortable in their own skin. A 2021 study by Lei et al. used a novel autologous scrotal flap (scrotal flap method) reversal to increase penile girth by rotating the scrotal flap to a loose plane between the superficial penile fascia and Buck's fascia. In 2014, Shaeer used a spin superficial circumflex iliac artery and vein flap for penile girth augmentation, with a mean increase of 5.6 cm. In 2018, Antonini et al. conducted a study of postoperative vacuum therapy after AMS™ LGX 700® inflatable penile prosthesis placement in 74 patients with medically refractory erectile dysfunction. Penile implant surgery does not reduce penile size compared with presurgical stretching measures, instead preserving or increasing penile size for most patients. The Penuma implant is a medical-grade silicone implant surgically implanted subcutaneously in the penile shaft to improve the girth of the penis. The BIQLI is calculated as a mean score across the 19 items, with more negative scores reflecting a more negative body image. Questions were administered assessing demographic characteristics (age, marital status, sexual orientation, ethnicity, education, and employment). A blank copy of the questionnaire is available exclusively online at as supplemental material (Appendix). Of the limited number of studies that have investigated motivations from men themselves, improving self-perception has been the most commonly reported reason.1,5 However, these studies were retrospective in nature and so relied on patient recall of their motivations prior to their procedure, which is a sub-optimal research design due to potential memory and social desirability biases. They differ from non-clinical samples in some psychological characteristics, and a small but sizeable portion experience BDD. In summary, penis pumps are effective for treating erectile dysfunction but do not lead to long-lasting increases in penis size. Over-the-counter pills, herbal remedies, and topical creams that claim to increase penis size are not supported by credible medical evidence. Natural ways to increase penis size myth or fact, penis enlargement myths vs facts In reality, penis size plays a minimal role in sexual satisfaction for most partners. Usually, men want their penises to be bigger not to increase sexual satisfaction but to feel superior to others (Fig. 2.1).All patients then signed an informed consent form before filler injection.A factual understanding of the biology can dismantle the myths that fuel psychological distress, allowing men to shift their focus from anatomy to the trainable skills that truly enhance confidence and sexual performance.Many men researching the procedures available at London Andrology are often skeptical of whether penis surgery is even possible, which is a perfectly understandable way to view procedures if you’re new to the staggering possibilities which are available.However, there were some differences in the clinical courses of HA and PLA fillers.Without physical action to the penis, such as that occurring during sexual intercourse, sildenafil will not work to cause an erection. A temporal trend was noted for erect length but not other penile length measurements. In addition, the current work identified significant differences in penile size measurements across different geographic regions. The funnel plot for three CIs (90%, 95%, and 99% corresponding to shades white, gray and dark gray) for studies presenting flaccid length (Supplement Fig. 4A), stretched length (Supplement Fig. 4B), and erect length (Supplement Fig. 4C). Twenty studies analyzing erect length had measurements ranging from 9.50 cm to 16.78 cm. Data availability Penis rejuvenation with shockwave therapy can help you improve your natural erections but also assist with the healing process after a penis enlargement surgery, potentially leading to a better aesthetic outcome. Penis size can cause significant anxiety for men and although a penis enlargement treatment can help alleviate this anxiety, many men will also benefit from a course of psychosexual counselling with one of our experts. For a patient having a girth enlargement surgery, having a circumcision before can improve the aesthetic appearance of girth increase. From girth surgery to penis fillers and consultations from our team, you’re in safe hands at International Andrology. By focusing on overall sexual health and well-being, P-Long offers a multi-faceted solution for penile enlargement. If your penis is about 5 inches (13 cm) or longer when erect, it’s of typical size. Many men also have an exaggerated idea of what is considered a “typical” penis size. And no trusted medical organization endorses penis surgery for purely cosmetic reasons. Recovery typically involves several weeks of rest, with sexual activity generally permitted after 6-8 weeks. In some cases, deformities like penile curvature or unsatisfactory aesthetic results may necessitate revision surgeries. Scarring and deformity are also possible, along with loss of sensation or erectile function. However, outcomes vary based on individual anatomy, surgical skill, and post-operative care. However, the landscape surrounding penile enlargement is often clouded by myths, misinformation, and unrealistic expectations. In 2019, he opened his office in San Ramon, where he focuses his practice entirely on men’s sexual health and rejuvenation. He finished his formal medical training with 2 years of general surgery and 4 years of urology training at the UCLA Department of Urology. As for men with BDD, they have shown reduced erectile and orgasmic function, as well as less intercourse satisfaction as compared with controls, while men with SPA revealed reduced satisfaction. For these reasons, more efforts should be made in order to clarify the impact of penile augmentation treatments on men’s and partners’ well-being and QoL. Despite those negative outcomes, cases of increased satisfaction have been registered . Cosmetic treatments, including surgery, help to restore self-esteem, reduce anxiety, social phobia, and depressive mood states regarding body concerns, increasing individuals’ well-being and QoL 1165,1166. Studies have reported an average increase in penile circumference of 2 to 5 cm with Penuma® insertion. Overall, surgical methods show the most promise for measurable, although modest, and permanent size enhancement. While surgery provides some benefits, its risks make it suitable mainly for specific medical conditions or severe dissatisfaction. Similarly, injectable treatments such as hyaluronic acid-based fillers or poly L-lactic acid may provide measurable girth increases and are generally safe with proper administration. Pills, gummies, and creams do not have proven capability to change physical size and might only improve overall sexual health. Even males with average-sized penises wished to have larger penises, with studies revealing that males are often dissatisfied with their penile look, which is correlated with the frequency they overestimate their penis size. Summary of clinically relevant studies on different penile girth augmentation methods. Men are more concerned with their penis size and girth, and they seek methods to enhance their erections. This is one of the oldest and most persistent myths, yet it has been repeatedly debunked by scientific research, particularly regarding the average length of the human penis. This makes it clear that “bigger is better” is more myth than reality, which leads to the question does a larger penis improve sex. Skill, intimacy, and a partner’s overall attentiveness are the primary drivers of mutually satisfying sexual experiences. It’s crucial to understand that these products are generally unregulated by health authorities and are not scientifically proven to be effective, instead profiting from the very myths they help sustain. This creates an information vacuum where anecdotal evidence and falsehoods about penis growth are treated as fact. Chen et al also measured the forces required to stretch the penis to its full length using a specially developed gauge. While erect length is fixed, investigators have noted the subjectivity and variability of stretched length. Moreover, it presents normative penile measurements based on data from more than 55,000 men. In contrast, no change was identified in stretched penile length or flaccid penile length. In concordance with previous research, men typically overestimate average penile size, and this has been linked with exposure to pornographic materials where male porn actors tend to have particularly large penises.1,3 Furthermore, the men in this study believed that their ideal penis as well as what their penis “should be” was significantly greater than than their current girth and length, thus helping to explain their desire to undergo penile augmentation. Note that all men involved in the study had a penile girth size within normal size ranges as measured by the medical practitioner at the initial consultation.7 In particular, the study aimed to determine a more comprehensive psychological profile via a series of validated measures, particularly, penile size self-discrepancy, psychological distress, self-esteem, body image–related quality of life, body dysmorphic disorder, and body dysmorphia relating to penis size. What we found was quite different from trends in other areas of male fertility and health. We looked at flaccid, stretched and erect length and created one large database of measurements. We conducted a meta-analysis in which we examined all reports, to our knowledge, of penile length. There are also higher rates of male congenital birth defects, like hypospadias, where the opening for the urethra is not at the tip of the penis, and cryptorchidism, where the testicles don't properly descend. Eisenberg said that the increase may be another indicator that environmental exposures — such as environmental pollutants or increasing sedentary lifestyles — are causing reproductive-related changes. Some men reported a size increase; however, complications were frequent, and none of the techniques were externally validated. The review, which investigated penile enhancement methods in men without penile abnormalities, found a low level of evidence in favour of penile extenders. In the future, more precise and efficient surgical and nonsurgical therapies may be developed, thereby expanding the range of options for patients with SPA. Ingenuity and device innovation are vital to technological surgical advances that can produce a more sustainable improved quality of life for patients. In retrospective studies, an average increase of 2 to 3.5 cm in penile circumference was reported in patients who underwent autologous fat injection. An average increase of 1.2 to 2.4 cm has been reported in the penile girth with PLA injection. Studies have reported that an increase of 1.4 to 3.78 cm in penile girth is achieved with HA injection (Table S9.6 online supplementary evidence Appendix 5). The application of HA for penile girth enhancement has recently gained increasing popularity due to its biocompatibility and infrequent mild temporary side effects. Furthermore, uneven distribution of fat may result in lumps or irregularities, which can affect the appearance of the penis. Moreover, while traction devices have shown some effectiveness in clinical trials, they are less effective for increasing girth. These devices work on the principle of traction, which gradually stretches the tissues in the penis, potentially increasing length over time. Nevertheless, it is worth noting that, despite being within a healthy range, many men still feel insecure. However, more studies are needed to validate these treatments for their effectiveness and safety. These injections may also improve erectile dysfunction in the long run. There is a lack of sufficient research to fully understand the risks and benefits of these procedures.