Among these patients who received HA treatments, 4.3% experienced complications such as subcutaneous bleeding, subcutaneous nodules, and infection throughout the 6-month follow-up period. Additionally, the researchers propose that the importance of penis size is further magnified by its prominence in the prevailing male gay culture, highlighting its role in shaping sexual dynamics and identity within this community.” A 2002 study surveying perceptions of penis size among 375 sexually active women found that 32% of women thought penis length was less significant than penis girth. Meanwhile, a 2014 Mexican study regarding sexual dysfunction in young women highlighted that partner penile thickness/size was significant for female sexual dysfunction. Men's Health Is All Connected. Here’s What That Really Means As part of your subscription and as medically indicated, physicians prescribe medications, and recommend supplements that are delivered to you from the comfort of your home. Hone is an online clinic that helps men and women manage their health. Research suggests the ancient herb can boost T, improve ED, and increase fertility. What problems are associated with counterfeit and adulterated products? During the nontreatment period, significant changes in penis length and girth were not observed. This study demonstrated the efficacy of the penile stretching device in increasing penile length, but significant evidence of greater penile girth was not noted. Two different studies have shown significant changes in mean penile length but not penile girth. In a 2005 study by Aghamir et al., 27 patients received vacuum erection device treatment. In a 2022 study by Siegal et al., 49 patients who received Penuma implants found that the mean preoperative and postoperative flaccid girths were 9.3 ± 1.2 and 13.1 ± 1.1 cm. The growing market for male genital esthetics has brought new surgical procedures, devices, and implants. Given the seemingly high rates of complications with ADM grafting, grafting does not appear to be viable despite the successful enhancement of penile girth. However, significant dissatisfaction was not found during patient follow-ups, and the erectile aspect of sexual function was not affected due to the independence of the PMMA implant from the corpora cavernosum and corpus spongiosum. Although complications of HA injection are minor and rare, they emphasize the importance of preoperative preparation and surgical techniques and that these complications can affect postsurgical patient satisfaction. Every article is rigorously reviewed by medical experts to ensure accuracy.Explore the future of penis girth enhancement, including emerging technologies, innovations, and advances in men’s sexual health.These studies should also be conducted following standardized reporting criteria for surgical outcomes and complications, using uniform data collection and analysis, facilitating better comparisons.A recently developed penile implant made of silicone is a Penuma® implant and can be inserted to increase penile length in flaccid status 37,65.Jelqing is a natural penis enlargement exercise involving a hand-over-hand rolling motion to increase blood flow to the head of the penis and stretch the organ.This approach should be incorporated with psychological support, including counseling or therapy, to address body dysmorphic disorders or psychological distress related to genital size concerns. Biopsies of the scrotal cutaneous tissue were used to obtain fibroblasts, which were cultured until the total cell count reached at least 2 × 10. Perovic et al. performed the surgery on 204 men with a mean age of 26.77 years. In total, 40 participants were satisfied with the results, but complications like edema, skin ulceration, wound dehiscence (12%), and infection (2%) were noted. Considering the preservation structure that prevents degradation and fragmentation of the transferred tissue, they are superior to the granular fat used in injections. Any treatment method for SPA must encompass significant psychological components, because the treatment of SPA is not merely physiological, but a complex interplay of psychological and physical factors. These technologies aim to achieve enhancements in precision and durability. Recognizing these challenges, the recent technological advancements and innovations in surgical techniques are promising. Therefore, addressing these issues is crucial for any treatment protocol. Psychological distress, diminished quality of life, and impaired sexual function are crucial components of comprehensive SPA assessment. In the long run, men should focus on maintaining overall health through proper nutrition, exercise, and sleep, which are crucial to sexual health and performance. This holistic approach not only enhances physical appearance but also boosts emotional and sexual satisfaction. Building confidence through safe, effective methods—like improving erectile function and overall health—leads to better outcomes. However, risky procedures like penile fillers can often have the opposite effect if results are unsatisfactory. Additionally, it does not exclusively focus on a specific group of interventions (surgical or non-invasive) or a particular condition or disease (e.g., PD), providing a comprehensive picture of the current landscape. Previous reviews have also acknowledged the lack of valid methods for evaluating outcomes, particularly in procedures for aesthetic purposes 10,67,68. The papers analyzed in this review demonstrated inconsistent approaches in evaluating changes in penile dimensions, highlighting the absence of a consensus in assessing and reporting efficacy outcomes. Conversely, more invasive methods including penile disassembly and total phalloplasty offer substantive length gains . Psychological assessments are pivotal, particularly in distinguishing between individuals with genuine concerns and those experiencing small penis anxiety. 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. The vacuum erection device involves inserting the penis into a cylinder and applying a vacuum to create negative pressure. During the short-term follow-up, no complications were noted except for minor abrasions after the injection that resolved rapidly. In 2003, Yacobi et al. employed a series of subcutaneous injections of liquid silicone as the primary enhancement procedure in 324 men under local anesthesia. A comprehensive preoperative evaluation is crucial for patient safety and successful outcomes. In addition, these agencies promote educational campaigns to inform the public about the dangers of unregulated supplements and encourage consumers to seek professional medical advice before use. Cases have documented seizures and strokes triggered by these unregulated products, highlighting substantial public health concerns. Such risks are especially high for individuals with preexisting health conditions or those taking medications like nitrates. More importantly, sexual satisfaction is driven by factors such as erection quality, sexual technique, and confidence, rather than size alone. By staying informed and cautious, men can make empowered decisions that protect their health while addressing their sexual health and cosmetic concerns effectively. FDA Sexual Enhancement and Energy Product Notifications, Health Canada public advisory on unauthorized sexual enhancement products, Dangers of counterfeit PDE-5 inhibitors Many male enhancement methods suffer from a lack of standardized safety data and long-term follow-up studies. For insight, refer to Sexual supplements overview, Men's sexual health supplements safety, and Erectile Dysfunction (ED) in American Men. The Versatility of Platelet-Rich Fibrin: From Sexual Health to Chronic Conditions Learn how diabetes affects sexual function and hormone balance, and what men can do to manage these challenges. Learn what every man should know about ejaculation, climaxing, common concerns, and when changes may signal health issues. How laser hair removal helps women with PCOS safely reduce unwanted hair growth, improve skin confidence, and manage symptoms effectively. Compare Alma TED, PRP, and hair transplants to understand differences, benefits, recovery time, and which hair restoration option fits your goals. Explore how beard transplantation works, who qualifies for the procedure, and how it creates fuller, natural-looking facial hair. The limitations of the current research underscore the need for more robust studies to guide clinical practice and enhance patient outcomes. This collaboration should also be encouraged between different institutions to facilitate data-sharing and to enhance understanding of patient outcomes. This approach should be incorporated with psychological support, including counseling or therapy, to address body dysmorphic disorders or psychological distress related to genital size concerns. Lastly, the improvement of advanced imaging modalities or simulations can assist surgeons in preoperative planning and predicting surgical outcomes. Lastly, it examines interventions aimed at enhancing both the length and circumference of the penis. Penile implant surgery typically takes less than an hour and is often performed as an outpatient procedure. A penile implant does involve a short surgical procedure, so whether or not you're willing or able to undergo the procedure can be a determining factor in whether or not a penile implant is right for you. Studies have shown that the satisfaction rate of men with a penile implant, as well as their partners, is between 90 and 95%. After penile implant surgery, you'll likely need to take medications to ease pain. Penile enlargement surgeries carry significant risks such as infection, scarring, loss of sensation, and erectile dysfunction. After surgery, typical side effects include bruising, mild bleeding, swelling, and pain, which resolve over time. The devices are placed around the base of an erect penis to reduce blood flow out of the penis. Clamps and rings are used by some people to stretch and elongate their penis. A 2020 study evaluating orgasm and overall sexual function and habits among 303 American women noted that 41% of women with stable sexual partners were at risk for female sexual dysfunction. Furthermore, female sexual dysfunction is an increasingly prevalent occurrence in young women, with a prevalence rate as high as 18.3%. Specifically, during intercourse, penile insertion into the vagina can lead to a gratifying sexual experience by rubbing and stimulating sensitive areas within the vagina, such as the G-spot and clitoris, thereby promoting vaginal lubrication and orgasms in women. Correction of curvature was observed in all patients, no erectile dysfunction was reported, and satisfaction of patients ranged between 90 and 100% 30,31,32,33,34,54,55. A study of 303 penile implants showed that the release of the suspensory ligament during an infrapubic insertion of an inflatable penile prosthesis may maintain or even increase penile length . At 3 months, an increase in penile length was reported in 83.7% of patients who had a release of the penoscrotal web vs. 2.7% who did not have the release. These procedures can also be used to lengthen the penis during penile curvature surgery for Peyronie’s disease and inflatable penile prosthesis insertion . These patients should first undergo lipoplasty, and only in case of inadequate penis size should a further intervention be considered . Discover the top 10 superfoods to enhance sexual health, improve stamina, and boost libido. Discover how stress and anxiety impact men’s sexual health and learn actionable strategies to combat it. Learn how shockwave therapy works for erectile dysfunction, its benefits, and why it’s a non-invasive treatment option for men. Learn how hormonal imbalances, medications, and urological health impact hair growth. After Surgery In studies regarding female orgasms, 62% thought vaginal intercourse was the best trigger for orgasm. Furthermore, frequent intercourse promotes uterine contractions and blood circulation to the reproductive organs, helping maintain health. During intercourse, the penis helps remove foreign bodies and bacteria from the vagina, thereby improving the ability of a woman to withstand infections. Learn how Botox supports scrotal rejuvenation by improving comfort, appearance, and relaxation in a non-surgical way. Learn how this treatment can enhance performance and wellness. Explore how Kegel exercises can enhance men's health, improve pelvic strength, and boost confidence. Learn what causes low testosterone in men over 40, common symptoms, and treatment options to restore balance and vitality. Seems like it fillers easy enough surgery would be like a nice permanent solution. I've heard about surgery. Um, uh, does that make a difference, do you think in the way that penis looks overall? I mean, Hey, you might be a candidate for laser hair removal before in Miami. Can Dehydration Cause Erectile Dysfunction The penis is gradually lengthened by applying increasing longitudinal traction along the penile axis. One case of penile hematoma and one case of glans numbness were reported, both of which resolved without medical intervention. The blood then flows into the penis and is prevented from flowing out using a constriction ring at the base of the penis, thereby facilitating the maintenance of an erection during sexual activity. A newer technique, initially described by Rolle et al. in 2012, is the sliding elongation, during which several incisions of tunica albuginea are performed and, after a sliding between the parts created in the corpora cavernosa from the tunica incisions, the penile length is increased . Complications can be minor with hematoma and penile oedema which most commonly resolve with conservative treatment. There was no evidence of erosion or infection of the cartilage used and 100% had normal erectile function, while 26.3% developed penile curvature which was treated conservatively with penile stretch and vacuum devices . It can be combined with plasty of the penopubic angle using the inverted “V-Y” technique and lipoplasty, but does not increase the length of the erect penis. AUA Board of Directors consensus on penile augmentation, Genital Cosmetic Procedures in Urology, Scientific Study on Genital Surgery Knowledgeable individuals are more likely to seek approved, evidence-based treatments and avoid dangerous unregulated supplements. Regulatory oversight also ensures that medical devices meet safety standards before approval. In the ever-evolving world of medical science, various procedures emerge to cater to the diverse needs of individuals. Whether you are looking to enhance your body, refresh your face, or revitalize your hair, their expert team provides innovative and minimally invasive treatments tailored to your goals. Excessively large implants may produce early drooping of the breast. UroFill™, our chosen technique for this enhancement, represents a practical, non-surgical approach that has proven to be effective and safe. Notably, there are no significant post-procedure restrictions, allowing patients to resume their daily routines, including work, without delay. This unique approach sets it apart from traditional methods of penile enhancement. Grafts utilize tissue from other parts of the body to augment the penis. Zhang et al. performed a suprapubic liposuction, penile suspensory ligament release, and insertion of a folded acellular dermal matrix between the corpora cavernosa and pubis symphysis in 15 men with a buried penis. Scrotal septum detachment in men undergoing plication for Peyronie’s disease resulted in a perceived increased penile length (87.5% vs. no detachment, 77.3%) . Westerman et al. described a ventral slit scrotal flap (VSSF) as a new surgical option for buried penis syndrome which avoids complex skin grafting. Patients who have a diseased shaft skin or retracted penis due to previous circumcisions may require further reconstruction in the form of a penile shaft skin (±foreskin) excision and a split-skin graft taken from the inner thigh 17,41. An increasing number of men with healthy and normal penises want to enlarge their penis. We are here to help you achieve your optimal sexual health, and full-body aesthetic goals. Learn if the P-Shot® is right for you by exploring key factors, benefits, and considerations for erectile dysfunction treatment. A complete guide on how to make erections last longer, covering lifestyle tips, medical treatments, and performance strategies. Explore the link between hair loss and mental health and how Alma TED™ hair restoration can restore confidence and emotional well-being. Notably, most of the literature on penile enhancement comes from China, Korea, and Mexico. None of the patients reported any pain after the anesthetic effect had worn off. Patients had an average girth increase of 3.5 cm after 1 to 3 injections. Satisfaction with penile appearance and sexual life was significantly higher in the HA groups. To better understand how these FDA approved male enhancement pills work and how they can help treat ED, let’s quickly review how your body gets and keeps an erection. PDE5 inhibitors are the front line treatment for erectile dysfunction. These are FDA approved male enhancement pills that help men suffering from ED. It's important to keep in mind that a penile implant is a mechanical device, and it can break. We are dedicated to improving the lives of our patients by providing excellent patient-centered care.The vacuum erection device involves inserting the penis into a cylinder and applying a vacuum to create negative pressure.Therefore, penile prosthesis surgery does not decrease penile size and may indirectly help the penis grow larger.Recognizing these challenges, the recent technological advancements and innovations in surgical techniques are promising.Given the mixed results of cosmetic procedures for SPA, clear communication about the potential effects, risks, and psychological impacts of these treatments is vital.Proper diagnosis, involving comprehensive clinical evaluations, hormonal profiling, and psychiatric assessments, helps determine whether patients would benefit from medical therapy or invasive procedures . An increase in flaccid girth from 9.3 cm to 14.5 cm was observed with additional improvement in flaccid non-stretched visible length. Minor complications, including seroma, lumps, ecchymosis, and suture dehiscence, were resolved with conservative treatment within 3 weeks . The penis shaft was degloved from its skin and the dermal graft was tailored according to the desired shape and size and applied to the degloved penis shaft from the coronal sulcus to the base. Regarding injectable treatments for penile girth enhancement, perhaps the foremost area of historical and contemporary research is penile subcutaneous injection therapy. In male-male sexual activity, which primarily involves oral (mouth-to-genital) and anal (anal-genital) sex, the size of the penis is closely linked to sexual satisfaction. In summary, the size of the male penis is uniquely beneficial for female reproductive health, orgasm, and sexual dysfunction. These aspects are unique to penile enlargement surgery for the treatment of female sexual dysfunction. Psychological evaluation is a critical component in patient selection for penile enlargement. Other potential complications include pain, asymmetry, and dissatisfaction with cosmetic outcomes. Other surgical methods also include complex procedures like flap reconstruction or skin plasty, but these are less commonly performed. Patients usually resume sexual activity about six weeks after the procedure following medical guidance. Surgeons close the incision securely after implant placement.Details about the Penile implant surgical procedure can be found here. Regulatory bodies monitor and restrict contaminated or counterfeit sexual enhancement products, which pose serious health risks. Advances in penile implants, particularly antibiotic-coated models, reduce infection risks. This absence makes it challenging for clinicians and patients to fully understand the risk-benefit profiles of various treatments. Um, so being at your best shape, and I think so much in general, so many things we do when you're at your best shape, you will you'll look your best and you know, your male member will look better. Um, anytime you have a lot of weight that can kind of overhang, um, the penis would be another thing I think you can do. Um, so I would say the other things, other things you can do to make your penis look bigger, um, lose weight. Um, you can actually damage the penis versus with, um, you know, with filler there and theoretically you can damage the penis as well, but knock on whatever we've never really never. The penis is they're basically trying to stretch the ligaments. Plus, they are uncomfortable and cumbersome to use, and can overstretch the penis causing nerve damage, bruising, or blood clots. Penile extenders are non-invasive devices that use traction to stretch the penis. While there are numerous penile enlargement vitamins, pills, herbal preparations, hormones, and lotions, most of the claims about them aren’t supported by evidence. Explore the versatility of platelet-rich fibrin (PRF), from enhancing sexual health to supporting healing in chronic medical conditions. Explore seven common medical conditions that can cause erectile dysfunction and why early diagnosis and treatment matter. Learn safe and effective ways to get more girth, including medical options, expectations, and expert guidance for enhancement. Explore non-surgical penile enlargement options, including benefits, safety, and realistic expectations for enhancement. And I would suggest going the filler route 100% because not only that it's reversible, it's super safe, the implant you can have rejections, you can have all these scars along the penis. But the thing with, um, let's just say the silicone implant it, the penis does not feel natural. I've heard about implants. Can you make a penis look bigger with laser hair more? Um, I like the girth, uh, of the penis to be large enough. In the long run, men should focus on maintaining overall health through proper nutrition, exercise, and sleep, which are crucial to sexual health and performance.This study demonstrated the efficacy of the penile stretching device in increasing penile length, but significant evidence of greater penile girth was not noted.The 2 types of studies both suggest that Penuma results in a rapid, durable increase in penile girth and generally improves the flaccidity of the penis.So I'm going to kind of use my handover and here, do you like to go on the very top of the penis or one on one side, one of the other side of the base, or what's your, this was like the Mons pubis right here.Seems like it fillers easy enough surgery would be like a nice permanent solution.I think if you and your partner are close, um, I'm sure they're going to see quite a big bowl to after the procedures on which don't we all want. Your surgeon will choose the correct size implant and place the implant cylinders inside your penis. Your health care provider might suggest one type of design over another based on your age, risk of infection, and health conditions, injuries or medical treatments you've had. When choosing a type of penile implant, consider your personal preference and your medical history. Schedule a consultation with our world class medical doctor, and get a team of premiere professionals dedicated to your success. Look beyond calorie intake to explore root causes of obesity, including hormones, metabolism, lifestyle habits, and medical factors. Explore the science behind Alma TED™ hair restoration and how this advanced technology promotes natural hair growth. Get practical tips for maintaining a healthy and satisfying sex life, including lifestyle habits and wellness advice. Learn about self-testing for erectile dysfunction, common warning signs, and when expert evaluation is recommended. The mean increase in girth was 22.74 ± 12.60 and 20.23 ± 8.73 mm in the HA and control groups, respectively. The authors attributed the decline in satisfaction to an erectile stiffness disorder because the postoperative cavernous body was covered with a softer HA. The pleasure from anal sex involves the stimulation of nerve endings and the stimulation of prostate gland, and is related to penis size. In summary, the penis is crucial in sexual function through stimulation and pleasure during heterosexual interactions. Significant increases in penile girth both in flaccid and erect states at 18 months were recorded, along with improved patient self-esteem and satisfaction in the absence of major complications . Penile augmentation surgery, also known as penile enhancement or penis enlargement surgery, is a surgical procedure that aims to increase the length and/or girth of the penis. Penile implants are medical devices surgically placed inside the penis to restore erectile function. That’s because penis enhancement surgery comes with the risk of serious complications such as scarring, pain, infection, loss of penile sensation, and erectile dysfunction. In addition, the advent and refinement of artificial intelligence, various surgical techniques, and products are anticipated not only to improve male SPA and small penis syndrome but also to enhance treatments related to female sexual function and satisfaction. Um, sh shaft hairs, which, um, a lot of men have hair along the shaft. But sometimes by, you know, kind of just tailoring it a little bit along the shaft, it does make the penis look a lot more like vibrant and bigger. Um, so, um, uh, what about laser hair? The authors noted that both HA and PLA fillers had significantly enhanced effects in patients with micro penile syndrome 24 weeks after HA and PLA injections, and encephalitis was a severe side effect without serious adverse effects. Therefore, penile size has additional significance for both heterosexual and homosexual relationships. In addition, in the context of gay culture, penile size may influence sexual attractiveness, particularly among men who have sex with men. In addition, a Canadian study found that penis size tends to be larger in gay than in heterosexual men, with a preference for larger sizes noted within the gay community. 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. These methods should be recommended in the first instance to patients with true micropenis for whom the methods previously considered could be ineffective. More invasive surgical techniques up to total phalloplasty can be used to increase the effective length and width of the penis. In addition, penile shortening was reported in 4.7% of patients who had a release of the penoscrotal web vs. 83.8% who did not have the release . Fifteen consecutive patients with a penis buried due to lichen sclerosis or phimosis underwent repair with VSSF. Available injectable soft tissue fillers include hyaluronic acid (HA), poly l-lactic acid (PLA), polymethyl methacrylate (PMMA), calcium hydroxyapatite, and synthetic polymers such as silicone. In homosexual relations, gay men predominantly achieve sexual climax through oral and anal sex. The pleasure of anal sex primarily comes from stimulating the densely packed nerve endings in the anus and rectum of the receptive partner, as well as indirect stimulation of the male prostate, leading to pleasure and potential climax. As with female breast surgery, preventing infection of the wound is important. An incision is made in the breast and a saline implant of appropriate size inserted into the opening. For these patients, we want to make sure that the intake and the examination are done in a sensitive, patient-focused manner. Often this turns out to be gynecomastia, or simply a concentration of male breast tissue that can be felt through the skin. For enlargement surgery, the circumference measurements of the flaccid and erect penis at the distal third of the shaft, just below the glans, at the middle third, and at the proximal third at the level of the penopubic junction are important to evaluate a possible gain on girth. For lengthening surgery, the measurements of the flaccid, stretched, and erect penis post pharmacological stimulation are essential to obtain a quantitative idea of the possible gain for each patient. Penile augmentation surgeries are primarily performed in men with sexual dysfunction caused by anatomical abnormalities, such as Peyronie’s Disease, or in men with true congenital micropenis (stretched penile length of less than 2.5 SD below the mean for age or stage of sexual development) . In recent years, the popularity of penile augmentation surgery has increased significantly . In 2018, Elist et al. reported both satisfaction and adverse events in 400 patients who participated in a postoperative questionnaire. The authors highlighted several advantages of decellularized dermal matrix grafts for penile girth augmentation over autologous dermal fat grafts. Given less trauma, a simpler operation, a precise effect, and fewer complications, day surgery and outpatient surgery can be performed. This was true across all age categories but was most pronounced among males who thought their penis was average-sized (46%) or smaller than the average (91%) (18–65 years). Summary of clinically relevant studies on different penile girth augmentation methods. 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). Therefore, the primary purpose of this review was to conduct a literature search to evaluate the efficacy of surgical and nonsurgical treatments for penile enlargement. However, limited scientific evidence is available to support the effectiveness of these uncontrolled medicines, elongation devices, or surgical therapies in increasing penile size. Techniques include soft tissue fillers, grafting procedures, biodegradable scaffolds, and penile implants. Men seeking to improve their sexual confidence or address concerns related to penile size often explore various techniques aimed at increasing penile girth. Reported functional results are encouraging with an increase in length of 3.1–4 cm, increased girth of 1.6 cm, sensation in almost all patients with reported temporary penile numbness in 3–5%, and permanent loss of glans sensation in one patient in one study. Miranda-Sousa et al. evaluated whether the release of the penoscrotal web would optimize patient perception and satisfaction regarding penile length after penile implant surgery. The maximum circumference of the glans increased by 16.6% and 14.2% at the initial and final (10–12 months) follow-ups, respectively.In summary, SPA treatment must adopt a holistic strategy that prioritizes psychophysical assessment, patient selection, and counseling.Infections after penile implant surgery typically occur within the first three months of surgery.Research-backed tools, tactics, and techniques to maximize your health, delivered to your inbox every Monday.The remaining 20 men formed the control group and received only penile implants.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.Although penile implants are the most invasive treatment for erectile dysfunction, most men who have them and their partners report satisfaction with the devices. The characteristics of studies on the techniques for increased penile length are summarized in Table 1. Review articles, editorials, commentaries, and research letters were included only if deemed to contain pertinent information on penile augmentation surgery. A systematic literature search of the PubMed, Web of Science, and Scopus databases was conducted in December 2023 to identify English-language papers on penile augmentation surgery published within the last 15 years. The stretched penile length (SPL) represents the most overlapping measurement of the erect penis, corresponding to the distance between the pubic symphysis and the apex of the glans . A variety of techniques have been developed for enhancing the length and girth of the penis, each with its own set of advantages and disadvantages. Penile enhancement has become a popular but misunderstood topic, often rooted in societal pressures, misinformation, and unrealistic expectations. Moreover, the condition can be classified as a body dysmorphic disorder if the patient experiences obsessive behaviors, significant psychological distress, and SPA present at least 1 h per day . Papers discussing surgery in animal models and case reports were excluded from the present study unless further evaluated in a follow-up case series. For those who achieve results through minimally-invasive methods, maintaining nighttime erections and a healthy lifestyle will help preserve any gains. Many men seek enhancement as a way to boost their confidence. The two-piece inflatable penile implant consists of inflatable cylinders inside the shaft of the penis and a combined fluid reservoir and pump unit in the scrotum. The three-piece inflatable penile implant consists of inflatable cylinders inside the shaft of the penis, a fluid reservoir under the abdominal wall, and a pump inside the scrotum. Infections after penile implant surgery typically occur within the first three months of surgery. Penile implants can also be used to treat severe cases of a condition that causes scarring inside the penis, leading to curved, painful erections (Peyronie's disease). Of the 3.4 million soft-tissue filler procedures that were performed in the US in 2020, HA injection stands out as the most popular filler, accounting for an estimated 78% of all injectable dermal fillers.15 In conclusion, while penile augmentation surgeries offer potential solutions for individuals concerned about genital size, they involve considerable risks and complexities. These studies should also be conducted following standardized reporting criteria for surgical outcomes and complications, using uniform data collection and analysis, facilitating better comparisons. However, complications such as infection, hematoma, and dissatisfaction have been reported across different techniques, highlighting the need for cautious consideration. Penuma® has been recently cleared by the FDA for aesthetic enhancement of the flaccid penis . Girth augmentation of the penis using the Superficial Circumflex Iliac Artery and Vein (SCIAV) flap was reported in 52 patients. Six months after surgery, the patient had an erect girth of 19.5 cm and a flaccid girth of 16.5 cm, compared with 11 cm and 7 cm, respectively, before surgery, thus maintaining the intraoperative girth gain. In a single case report, a penile girth augmentation using flaps was performed, known as Shaeer’s augmentation phalloplasty. Restylane Sub-Q (Q-med, Uppsala, Sweden) is a hyaluronic acid (HA) gel used in 41 cases to enhance penile girth. A significant mean increase of girth of 2.4 cm for the mid-shaft of the flaccid penis was recorded, even though 52% of men experienced many irregularities and 0.4% of them required a PMMA nodule removal . These procedures can also be used to manage phimosis in patients who do not wish to undergo a full circumcision. There are a variety of skin-related reconstruction procedures that help to increase penile length, such as V-Y and Z plasty, ventral phalloplasty, and scrotoplasty 9,42. Until now a combination of multiple surgical approaches seemed to be the most suitable solution for surgeons and patients. Understanding the patient's psychological state enables clinicians to manage expectations effectively, minimizing the risk of dissatisfaction or psychological distress after the procedure. Psychological evaluation plays a vital role by detecting body image disorders such as small penis syndrome and other mental health concerns. These assessments help identify any contraindications, evaluate the feasibility of enhancement, and confirm that patient goals are realistic. Many men seek enhancement as a way to boost their confidence.The adjuvant incision enlarged the penile circumference by 50% (from 8.0 to 12.0 cm).A tube (catheter) might be inserted into your bladder via your penis to collect urine at some point during surgery.Although most of these men had normal-sized penises, they tended to worry excessively and overestimate the average penises of other men.Without proper labeling or regulation, users are exposed to serious health dangers, including harmful drug interactions, strokes, seizures, and life-threatening cardiovascular events.Penis enhancement surgery is a procedure to correct structural and functional problems of the penis.So, so kind of the first questions that patients ask a lot, um, who were thinking about this is like, what's it like, does it hurt, are other people gonna know about it?No major complications and specifically no losses of sensitivity of the penis or erection deficiencies occurred during the postoperative follow-up period and all the patients resumed their sexual activity in 4 months.Beginning in 2007, Casavantes et al. administered PMMA injections to enhance penile girth in 752 men and conducted follow-up reports over 7 years. Circumcised patient before and 3 months after 1 session with 20 mL of polymethylmethacrylate. Polymethyl methacrylate microspheres are suspended in a vehicle such as bovine collagen or fibrin and are one of the safest non-absorbable soft tissue fillers. Representative figures of polylactic acid filler injection for penile augmentation. In conclusion, this newly developed PLA filler caused significant penile enlargement for up to 18 months and was well tolerated without serious adverse effects. Managing underlying conditions such as diabetes, cardiovascular disease, or obesity is essential, as these can contribute to sexual dysfunction and impact surgical outcomes. Further details on Penile implant recovery time and Penile implant surgical procedure explain postoperative management. This open dialogue ensures that patients provide informed consent and develop personalized safety plans, fostering realistic outlooks on results and recovery. Problems of Breast Augmentation Surgery This procedure injects excess fat cells from any part of the body into the area to be filled, and the fat cells regrow and fuse with the tissue at the site. However, the effect was different for the circumference of the penile head (9.3 ± 0.86 vs. 8.8 ± 0.66 cm). No significant differences were observed in the circumference of the proximal penis. Penile traction therapy (PTT) controls penile stretching using mechanical traction. There are two main types of penile implants, semirigid and inflatable. Penile implants are typically recommended after other treatments for ED fail. This implant is distinct from implants that treat erectile disfunction as it is anchored distally at the coronal sulcus between Buck’s and dartos fascia and provides no erectile function. The Penuma implant (rebranded as the Himplant) is a tailorable soft silicone sleeve penile implant that has received FDA clearance for its use in the correction of soft tissue deformities.25,26 However, there are no absolute indications for Penuma. The review showed the wide landscape of penile augmentation surgeries, highlighting both the surgical techniques and the psychological considerations pivotal to patient selection. Clinical evaluation and the preliminary psychiatric evaluation can help in discerning those patients who would benefit from medical therapy or minimally invasive treatments from those who would benefit from surgery 12,15. Therefore, an appropriate psychological evaluation is crucial in patients intending to undergo penile enhancement surgery . Safety in male enhancement procedures is multifaceted, requiring diligent medical supervision, honesty about risks, and vigilance against unregulated products. These combined efforts aim to enhance patient safety, advance treatment effectiveness, and reduce adverse effects in male enhancement therapies. Developments in skin flap procedures, the introduction of products such as Penuma, and breakthroughs in tissue engineering have redefined the landscape. With advances in technology, tissue engineering may be helpful in penile enlargement (Fig. 7). Treatment consisted of 2 polylact-glycolacetic acid stents implanted with fibroblasts from laboratory-prepared scrotal tissue specimens from 21 people with an average age of 28.0 years. 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. By creating new functional tissues from somatic cells, the circumference of the penis can be enlarged. A high insertion of the penoscrotal junction on the penile shaft skin may be inborn or acquired from excessive removal of the foreskin during circumcision. This day case procedure involves an initial ventral slit made in the phimotic ring and exposing the penis. Other described skin flaps used to lengthen the penis include the lower abdominal Z plasty and the W-flap reconstruction . Without consistent reporting standards, it is difficult to compare outcomes or predict complications reliably. Additional information is available on Complications of genital enlargement surgery and Complications of genital enlargement surgery. For more details, see Penile augmentation surgery techniques and Penile augmentation surgery. Understand how platelet-rich fibrin (PRF) is produced and why it’s used in regenerative medicine and hair restoration treatments. Learn how the P-Shot® can impact relationships by improving confidence, intimacy, and sexual satisfaction. Understand the causes of erectile dysfunction and explore modern solutions and treatments to restore confidence and performance. Learn how quickly the P-Shot® may work for erectile dysfunction, what results to expect, and factors that influence treatment success. Stay updated on the latest news and events covering advanced erectile dysfunction treatments beyond traditional blue pill medications. Find out what to expect during an erectile dysfunction exam, including evaluations, tests, and next steps in treatment. Exciting updates at Dallas Men’s Health, including new treatments, services, and improvements designed to enhance patient care. Explore the benefits of PRF for hair restoration, how it works, and why it’s gaining popularity as a natural treatment option. Injectable implants designed to increase penile circumference are becoming more widely utilized (Fig. 4). Some irregularities in the implants were observed in approximately half of the patients, which did not cause any problems. At 24 weeks, the average increase in penile girth was 2.1 ± 1.0 cm in the HA group and 1.6 ± 0.9 cm in the PLA group. For more details, see Over-the-counter sexual enhancement products risks and Sexual Enhancement Product Warnings. Many sexual enhancement products available over-the-counter or online are not regulated by the FDA or similar authorities. Without medical supervision, these nonsurgical methods may be ineffective and potentially harmful. A comprehensive psychological assessment helps establish realistic expectations and evaluates the patient’s mental health, which is essential for successful outcomes. The Penuma implant is a medical-grade silicone implant surgically implanted subcutaneously in the penile shaft to improve the girth of the penis. In a recent pilot study of acellular collagen matrix grafts, Xu et al. observed 78 patients treated with prostaglandin E and ADM. At the 3-month follow-up, the mean increase in penile girth was 1.1 cm. In 2012, Alei et al. performed a procedure to increase penile girth in 69 patients utilizing porcine dermal decellularized grafts. Table 2 shows patients who present for medical treatment due to small penis size. In recent decades, autologous fat injections have been widely used for cosmetic, breast augmentation, and enhancement procedures. At the 6-month follow-up, significant increases in flaccid, extended, and erect penis lengths were observed, with mean increases of 1.7, 1.3, and 1.2 cm, respectively. Over a 6-month period, the second study followed 54 patients who received traction therapy 6 hours a day for 4 months. Nikoobakht et al. evaluated the effect of penile-lengthening devices on penile size. Psychological assessments are pivotal, particularly in distinguishing between individuals with genuine concerns and those experiencing small penis anxiety.However, serious complications were not noted in the dermal fat grafting cohort (Fig. 5).Further details on Penile implant recovery time and Penile implant surgical procedure explain postoperative management.Um, and then the other, other implant they do is sometimes the inflatable implant where they can usually attach it to your scrotum or sometimes had it in your stomach.In addition, penile shortening was reported in 4.7% of patients who had a release of the penoscrotal web vs. 83.8% who did not have the release .They want a bigger penis.It is essentially what you're doing is you're finding that, that perfect tissue plane. Men’s sexual health supplements safety, Sexual enhancement products safety, Sexual supplements patient education These include tissue engineering using biodegradable scaffolds, which offer safer girth enhancement with fewer complications. During counseling sessions, patients are thoroughly educated about the procedure's risks, benefits, potential complications, and alternatives to surgery. More information is available at dangers of sexual enhancement supplements and Unregulated male sexual enhancement treatments. And the reason is, uh, anatomically what happens is you put a scar at the base of the penis from that scar. And I'll, I'll say that in bold letters, because the problem is once you put an implant in it's, for the most part, you really cannot do. If you can have a natural erection, you should not do an implant. Small penis anxiety (SPA) is a condition some men with normal-sized penises may experience, where they feel substantially distressed about the length of their penis . The growing demand for penile augmentation surgeries is driven by various factors such as increasing awareness about the availability of these procedures in combination with the availability of different techniques. In conclusion, while penile augmentation surgeries offer potential solutions for individuals concerned about genital size, the risks and complexities need to be accounted for. Next, your surgeon will stretch the spongy tissue in the penis that would normally fill with blood during an erection. A tube (catheter) might be inserted into your bladder via your penis to collect urine at some point during surgery. Penile implant surgery is usually done at a surgery center or hospital. The semirigid penile implant is bent upward for sex and toward the body for concealment under clothing. In fact, with an implant, your erect penis might seem slightly shorter than it used to be. There is some soreness after the procedure but several things are done to help minimize pain, such as draining any fluid that's built up, prescribing pain medication and using compressive surgical dressings. But guys, erectile dysfunction (ED) is way more common than you probably think. Ask your health care provider when you can resume your regular activities. No one likes to admit that they're having issues with their sexual health. Most men can resume strenuous physical activity and sexual activity about 4 to 6 weeks after surgery. Penile implant surgery usually takes 45 minutes to an hour. Rigorous research, standardized protocols, and advancements in surgical techniques are imperative to ensure optimal outcomes and patient satisfaction. The strength of this review lies in a comprehensive analysis of interventions performed for both aesthetic and therapeutic reasons in patients with concurrent penile disorders. The reported mean increase in penile length was 4.9 cm in one study and 2.1 cm in another, while the increase in girth ranged between 39.9 and 56.7% 37,39,65. Although most of these men had normal-sized penises, they tended to worry excessively and overestimate the average penises of other men. The first group of men experienced pain because they were insecure and unhappy with the size of their penis, fearing that it was not big enough to satisfy their spouses or themselves. 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. An increasing number of men are self-conscious about the size of their penis given the constant media promotion of the penis' relationship with masculinity and manhood and the widespread cultural opinion that bigger penises are better. Penis enlargement medications, elongation devices, surgical procedures, and other methods are widely accessible, but many lack the necessary oversight and are thus illegal. The third group of male patients undergoes cosmetic penile contour surgery and repair for congenital and acquired causes of penile damage.22,26,32 These men seek various enlargement methods to increase the size and girth of their penises. Safe penile girth enhancement methods to increase penis size, boost sexual satisfaction, and achieve lasting results with expert guidance. In 2017, among 23 patients who underwent single-treatment PLA injections with a mean volume of 20 mL for penile girth enhancement, the mean circumference increased by 2.2 ± 0.2 cm at 3 months. Therefore, this review evaluated the mental health status of men who complained of a small penis and examined the state of nonsurgical and surgical treatments for male patients seeking penile enlargement, along with a risk assessment for each. Despite the retrospective cohort series reported above, life-changing irreversible complications and poor patient satisfaction with aesthetic penile girth enhancement implant surgeries are garnering mainstream media attention30 and a class action lawsuit was filed in 2021. Furthermore, advancements in biomedical engineering might lead to the development of novel biomaterials or implants specifically tailored for penile augmentation, aiming for improved biocompatibility and durability. These procedures have shown promising outcomes, albeit with certain limitations, such as postoperative complications and varying levels of patient satisfaction . Proper diagnosis, involving comprehensive clinical evaluations, hormonal profiling, and psychiatric assessments, helps determine whether patients would benefit from medical therapy or invasive procedures . The dry polylactic-co-glycolic acid (PLGA) scaffold, a copolymer composed of lactic acid and glycolic acid, in association with autologous fibroblasts has been used to increase penile girth. Explore how long laser hair removal takes, session times, and what to expect during your journey to smooth skin with Dallas Men’s Health experts. How many sessions for laser hair removal are needed to achieve smooth, hair-free skin and lasting results tailored to your unique skin and hair type. Learn how long Botox lasts, what affects results, and aftercare tips for smoother skin with lasting effects from expert Botox™ treatment in Dallas. Discover expert post-treatment care tips to prevent irritation, promote smooth recovery, Learn when and how to shave after laser hair removal safely. The vast majority of men respond that they're likely to recommend the procedure to someone else and also have no regret over their decision to get a penile implant. If you're experiencing ED and trying to figure out if a penile implant is right for you, don't suffer in silence. A penile implant offers an on-demand erection in just 15 seconds — whenever you want, for however long you want it. Penile implants are the closest thing we have to a cure for men who are having trouble achieving or sustaining an erection. After being mobilized from the groin, the flap was tunneled under the pubic region to emerge at the base of the penis and then sutured to the subcoronal area and on either side of the spongiosum. Edema and congestion of the penis and scrotum were observed postoperatively, along with an area of sloughing on the dorsum of the penis, which re-epithelialized spontaneously . It was wrapped around the penis short of the corpus spongiosum and insinuated under the glans. So if we're talking about, you know, the perfect size penis, actually I think the perfect size penis is one that makes someone feel confident in themselves. Um, how often do patients end up coming back to, um, uh, aside from the ones who want to keep going? So one of my patients have said to me, so, um, excuse the terminology. Furthermore, procedures for extending penile length can be categorized into those enhancing the perceived length and those increasing corporal length, whether or not penile prosthesis implantation is involved. Surgical interventions for enhancing penile size encompass methods aimed at increasing both length and girth. Results from individual studies were synthesized and presented in tables, indicating mean/median preoperative and postoperative differences in penile length and girth. Data on flaccid, stretched, and/or erect penile length, as well as patient satisfaction and quality of life, were extracted when available. The primary outcomes were changes in penile dimensions, surgical complications, and quality of life. In fact, the focus on size is often a myth perpetuated by cultural influences that overlook the importance of emotional connection and mutual pleasure in relationships. However, this desire for size often overlooks the most important factor—confidence comes from function, not just size. Many men seek enhancement for reasons that stem from societal pressure, particularly through unrealistic portrayals in pornography. Dr. Judson Brandeis recently appeared on The Love Lab Podcast with Kevin Anthony to address these misconceptions and offer medically sound advice on the subject. Therefore, the superficial circumflex iliac artery and vein flap is a reliable option for penile girth lengthening, and flap enlargement helps preserve the intrinsic blood supply, thereby improving viability and tissue thickness. 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. However, penile prosthesis surgery does not affect the size of the penis but may indirectly help the penis grow larger. They argue that this emphasis is rooted in the eroticization of the body within various gay cultures, along with the ‘dual presence’ of the penis in homosexual relationships and encounters. Drummond and Filiault examine the increasing significance of penis size among men who have sex with men. Research by Bogaert and Hershberger corroborated this finding in which a sample of 4000 men, those in the gay community generally had larger penises than their heterosexual counterparts. The penis is vital in sexual function and also significantly affects homosexual interactions. Similarly, some women may experience more stimulation and pleasure with a larger penis, which may enhance their libido and sexual function. This approach is performed through a short dorsal incision at the base of the penis such that the scar is hidden in a pubic hair–covered fold; therefore, the incision is virtually invisible. At the 1-year follow-up, the mean flaccid and erect penile circumferences were 11.3 cm (8.2–13.2 cm, mean increase of 3.1 cm) and 13.2 cm (8.8–14.5 cm, mean increase of 2.4 cm), respectively. At 6 months postoperatively, penile circumference enlarged by 2.29 ± 0.82 cm, with only 1 patient developing nodularity. In 2012, Kang et al. reported 52 patients who underwent phalloplasty, including autologous fat injection. This article provides a well-rounded overview of the various male enhancement treatments and highlights critical safety considerations patients should know before embarking on their enhancement journey. But surgery to increase size or width of the penis is medically discouraged and is a deeply personal decision that requires careful consideration. Repeated penile girth enhancement using biodegradable scaffolds employing biopsy of previously formed tissue. Postoperative penile girth relaxation and erectile enhancement improved by 1.1 and 1.0 cm, respectively. While wearing one of these devices may temporarily enlarge the penis, having it on for more than 30 minutes may cut off blood flow and damage penile tissues. Penis enhancement surgery is a procedure to correct structural and functional problems of the penis. This is key to achieving patient satisfaction and reducing the risk of post-treatment dissatisfaction.