These extensively utilized methods for penile enlargement demonstrate effectiveness and yield high patient satisfaction. Two different studies have shown significant changes in mean penile length but not penile girth. Vacuum treatment of the penis is likely an ineffective method for penile lengthening and thickening but provides psychological satisfaction for some men. The off-label use of these products in patients who want to enhance their penile function should be approached with caution. Consequently, evidence-based clinical guidelines regarding dermal fillers for penile girth enhancement are non-existent. The Truth: Safe and Proven Enlargement Methods Similarly, men with inflatable penile prostheses may see a greater increase in length compared with extensible penile prostheses. After prosthetic implantation, 72% of patients reported a decrease in length. General penile prosthesis implantation involves prosthesis insertion into the cavernous body of the penis. 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). Although HADM is becoming a common modality for penile enlargement, relatively few descriptions of its complications exist. Choosing Your Non-Surgical Penis Enlargement Injector: Key Considerations Acellular dermal matrix (ADM) can replace autologous tissues, which can reduce secondary trauma to patients, while simultaneously reducing operation difficulty and time. The aforementioned studies using autologous fat augmentation and dermal fat grafting demonstrated considerable changes in the average penile circumference. This trial demonstrated that autologous fat is suitable for penile enlargement and has few adverse effects. 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. Common Risks & Side Effects of Penis Enlargement Vacuum pumps can temporarily enlarge the penis by drawing blood into the tissue, creating a swollen appearance. This method, involving repetitive hand movements, is based on the false belief that stretching the penile tissue will stimulate growth. Some of our patients at the Enhancement Institute report trying these methods only to face disappointment or injury. Penis pumps temporarily increase blood flow to the genital area, causing a temporary and modest size increase. However, with age, men may experience a decrease in testosterone levels, which can lead to reduced sexual desire and erectile function. Human acellular dermal matrix (HADM) is an extracellular matrix and 3-dimensional framework structure of the human dermis used in the treatment of various urologic diseases. (D) A cannula for fat injection with an 18-gauge blunt tip was placed into the Colles' fascia layer, and 1 mL of fat was injected slowly and evenly into the superficial, medium, and deep layers of the Colles' fascia by sliding the cannula back and forth. (C) A suction pump–assisted liposuction equipment was used to extract fat (Dominant 50; MedelaAG, Baar, Switzerland). In truth, you need to use them for months to see changes. A lot of people think extenders work fast and last forever. These differences show why not all extenders are the same. The impact of the penis on female sexual function is predominantly through the stimulation and sexual pleasure from intercourse. The physiological and psychological evaluations must be considered with patients' attitudes toward surgery to analyze the feasibility and effects of surgery and determine whether these can be achieved (Fig. 2). Therefore, when receiving patients with penile thickening, a thorough physiological and psychological evaluation must be performed. Veale et al. conducted a systematic review pooling data from 20 studies measuring penile length and girth during flaccidity and erection, and subsequently derived nomograms for men of all ages and races (Fig. 1). The normal penis size and the methods of determination of the normal penis size must be defined. Also, taking care of overall penile health and getting advice from doctors improves results. Another research showed a 0.9-inch growth in flaccid length over six months, which is a 32% increase. Understanding these myths gives a clearer view of what penis extenders can do. Circumcised patient before and 3 months after 1 session with 20 mL of polymethylmethacrylate. 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. Patients had an average girth increase of 3.5 cm after 1 to 3 injections. The visual analog scale was used to rate satisfaction, with scores increasing from 51.6 ± 14.7 mm before the procedure to 64.8 ± 19.3 mm, 3 months after the procedure. Do you think penis extenders can give you the size gains they claim? At Advanced Urology Institute, we perform penis enhancement surgery on a regular basis to correct congenital and acquired micropenis. Only in very rare cases can the doctor recommend surgery to increase the length or width of the penis. 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. At the Enhancement Institute, we offer non-surgical dermal filler treatments performed by Dr. Nel, a trusted expert in the field. 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. 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. 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. One case of penile hematoma and one case of glans numbness were reported, both of which resolved without medical intervention. Many studies show that penis extenders really help.The harvesting cannula was moved back and forth in a fan-like motion to aspirate fat from the thigh and/or abdomen.Therefore, penile prosthesis surgery does not decrease penile size and may indirectly help the penis grow larger.These advancements, which are characterized by fewer complications, more effective results, shorter operation time, and higher patient satisfaction, are pivotal for the development of treatment options.The review found evidence is lacking on the effectiveness of surgical and non-surgical interventions.However, limited scientific evidence is available to support the effectiveness of these uncontrolled medicines, elongation devices, or surgical therapies in increasing penile size.For many men, the subject of penis size is often accompanied by anxiety, driven by cultural narratives and misinformation.Studies have shown that using these fillers may lead to a modest increase in some, especially in the initial months. 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. This enlargement exceeded that of most previously published surgical procedures. Considering the preservation structure that prevents degradation and fragmentation of the transferred tissue, they are superior to the granular fat used in injections. The aforementioned novel combined technologies show that adjunctive solutions for penile enhancement and the restoration of penile volume exist. At the end of the study, the median penile length and girth were 17 and 11 cm, respectively. In homosexual relations, gay men predominantly achieve sexual climax through oral and anal sex. 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. 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. That’s because most men who usually think they have a small penis tend to actually have a normal-sized penis. This refined approach is essential for advancing the field and ensuring effective and patient-centric care of patients with SPA. In summary, SPA treatment must adopt a holistic strategy that prioritizes psychophysical assessment, patient selection, and counseling. Drummond and Filiault examine the increasing significance of penis size among men who have sex with men. 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. Learning the truth about penis extenders and thinking about how you feel can help you use them the right way.Prolonged use of penis pumps could cause bruising, damage blood vessels, and even result in erectile dysfunction.In this type of manual exercise, a safe lubricant is applied to the penis and massaged gently.In this blog, we aim to debunk common myths about penis enlargement, provide expert insights from Dr. Nel, and offer safe, medically-proven alternatives.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.This comprehensive approach ensures the adoption of more ethical, effective, and patient-centered treatment plans for managing SPA.This stretching device can be attached to the penis and it tends to create immediate erection.Penoscortal rings are devices that may help in keeping an erection for a longer period and create the appearance of a larger penis. Those who seek surgery and nonsurgical treatments for penile enlargement fall into 1 of 3 categories. Growing dissatisfaction among males regarding their penis size is driving the popularity of penile augmentation procedures that may lengthen or widen the male reproductive organ. 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. Researchers from King’s College Hospital NHS Foundation Trust and King’s College London have reviewed the use of surgery and other treatments to enlarge penis size. The P-Long Protocol is the first non-surgical method clinically shown to increase penis size—safely, gradually, and permanently. Penis Enlargement Surgery: Comprehensive Guide to Surgical and Non-Surgical Options Of these, 15 (enhancement group) also underwent venous ligation of the posterior coronary plexus, deep dorsal veins, and cavernous veins. Previous studies have shown that infection-delaying coatings can reduce infections by up to 50%. 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. The penis is then bent, and additional sharp stripping is performed to expose the surface of the suspensory ligament. Good nutrition is known to support overall sexual wellness. Usually, by the time you are 16 years old, your body and its parts should be close to your adult size. Your penis stops growing once you finish your puberty phase. These injections may also improve erectile dysfunction in the long run. Some surgeons offer cosmetic procedures to enlarge the penis, but these are controversial and often deemed unnecessary by experts. The penis is gradually lengthened by applying increasing longitudinal traction along the penile axis. 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. 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. While many products and techniques claim to increase penis size, there is little scientific evidence supporting their effectiveness. There is no scientific evidence that stretching exercises can increase penis size. Let’s read more about different exercises known to increase penis size and understand the scientific logic behind them- People often search online- how to increase penis size? As a certified sex therapist, his comprehensive guidance empowers individuals to make informed decisions regarding penis enlargement and achieve optimal well-being. These extensively utilized methods for penile enlargement demonstrate effectiveness and yield high patient satisfaction.Consulting with a qualified provider like Dr. Nel at the Enhancement Institute can help tailor a treatment plan that aligns with individual goals and needs.Incorrect practices may injure the penis.The micropenis is defined as less than 2.5 standard deviations from the average stretched length for age, mainly due to congenital endocrine dysfunction.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.In conclusion, this newly developed PLA filler caused significant penile enlargement for up to 18 months and was well tolerated without serious adverse effects.Often marketed as natural supplements, these pills claim to increase penis size by boosting blood flow or enhancing hormone levels. Empowering individuals with knowledge is key to making informed decisions about their enhancement journey. Consulting with a qualified provider like Dr. Nel at the Enhancement Institute can help tailor a treatment plan that aligns with individual goals and needs. Men often feel societal pressure to meet certain expectations, which can lead to feelings of inadequacy and anxiety about their sexual performance. Understanding this can help alleviate the pressure to conform to unrealistic standards and promote a healthier perspective on body image. This misconception can lead to unnecessary anxiety and pressure on men to pursue enlargement methods without considering their actual effectiveness or safety. These aspects are unique to penile enlargement surgery for the treatment of female sexual dysfunction. Men believe that their actual penis size is significantly smaller than the ideal size (i.e., what they think their penis should be or what they expect it to be after penis enlargement surgery). Table 2 shows patients who present for medical treatment due to small penis size. 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.” 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. 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. But usually, it is a corrective measure for a micropenis or a buried penis, both of which cause functional issues with urinating, sexual intercourse or hygiene. This is key to achieving patient satisfaction and reducing the risk of post-treatment dissatisfaction. In the future, more precise and efficient surgical and nonsurgical therapies may be developed, thereby expanding the range of options for patients with SPA. These advancements, which are characterized by fewer complications, more effective results, shorter operation time, and higher patient satisfaction, are pivotal for the development of treatment options. Ingenuity and device innovation are vital to technological surgical advances that can produce a more sustainable improved quality of life for patients. 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. In 2021, Khalil et al. investigated a new adjuvant surgical technique for graft-less penile girth restoration and thickening through assisted expansion of the tunica albuginea. 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. Therefore, penile prosthesis surgery does not decrease penile size and may indirectly help the penis grow larger. 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. 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 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. So, they are a good choice for those wanting to avoid big surgery risks. A 2020 review found penile traction devices can add up to 0.7 inches in flaccid length. Surgeries like penile augmentation have quick, big effects but are very risky. Clinical studies give us solid facts about these devices. Herein, we review the data on penile size and conditions that will result in penile shortening. Traction devices work by gently stretching the penis over time, encouraging new tissue growth. Penis enlargement, whether pursued through surgical or non-surgical means, carries significant risks and side effects that must be thoroughly considered. Scheduling a consultation is a vital first step for anyone considering penis enhancement options. Non-surgical methods, such as dermal fillers, typically focus on increasing girth rather than length, providing a fuller appearance. When considering non-surgical options for penis enlargement, it’s essential to understand what these treatments entail and what results can realistically be achieved. Before considering any form of penis enlargement, it’s essential to address the psychological aspects of penis size concerns. In reality, penis size plays a minimal role in sexual satisfaction for most partners. Compared to pills and lotions, penis extenders are better because science backs them up. The Mayo Clinic says many penile enhancement methods can be harmful. But, penis extenders get some support from doctors. Safety and success in using penis extenders come from careful practice. New trend in medicine: aesthetic genital surgery A penis enlargement surgery may add half an inch to the penis but 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. While they can help temporarily with erectile dysfunction, they do not result in permanent size increase and overuse can lead to tissue damage. Often marketed as natural supplements, these pills claim to increase penis size by boosting blood flow or enhancing hormone levels. However, maintaining a healthy lifestyle can contribute to better overall sexual health, which might indirectly influence penis function and appearance. The vacuum erection device involves inserting the penis into a cylinder and applying a vacuum to create negative pressure. Overall, prospective studies with long-term follow-up and reproducible results are lacking in this field. 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. 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. Can You Increase the Size of Your Penis Naturally? However, environmental factors and overall health can also influence development. 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. Surgery can result in complications such as infection, scarring, and loss of sensation or function. An increasing number of men with healthy and normal penises want to enlarge their penis. When provided, counselling was found to be effective, with the majority of men coming to understand their penis was normal and unwilling to undergo any further treatment. Some men reported a size increase; however, complications were frequent, and none of the techniques were externally validated. The quality of the studies were found to be poor with regard to the methodology for patient selection and outcomes assessment. The micropenis is defined as less than 2.5 standard deviations from the average stretched length for age, mainly due to congenital endocrine dysfunction. 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. In the process, they can trigger tissue damage and cause erectile problems. Plus, they are uncomfortable and cumbersome to use, and can overstretch the penis causing nerve damage, bruising, or blood clots. It may also be used to make the stomach smaller in order to allow the penis to appear longer and wider. In rare cases, the procedure may be considered for making the penis longer or larger. Recognizing the limitations of the current evidence and employing a multidisciplinary approach is crucial for better assessment of patient eligibility and meeting patient expectations. The subcutaneous surface of the glans is then exposed through penile intussusception, further exposing the coronal sulcus. The penis is then stripped before further dissection of the distal Dartos and Buck's fasciae to expose a shiny white membrane. The growing market for male genital esthetics has brought new surgical procedures, devices, and implants. Despite a standardized surgical approach and rigorous postoperative care, the complications of combined prostaglandin E and ADM were severe, suggesting that it is not an ideal or safe method. 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. Although most of these patients have less trouble maintaining sexual function, many still undergo surgical treatment. In total, 17 studies on penile enhancements were reviewed, assessing a total of 21 enlargement interventions in 1,192 men, with 773 followed up after non-surgical or surgical treatment. 📈 P-Long® is the first urologist-developed protocol clinically shown to increase penis size without surgery or fillers—safely and effectively over 6 months. 📈 In clinical studies, patients reported increases in both length and girth with zero loss of sensitivity or erectile function. Natural ways to increase penis size myth or fact, penis enlargement myths vs facts An incision is made toward the pelvic process and deepened with a sharp peel through the subcutaneous tissue until a shiny white perineum can be seen. Another new type of scrotal incision implantation involves making a 1- to 2-cm longitudinal incision in the upper scrotum on the left or right base of the penis. The distal end of the penile implant can be aligned with the episcleral and glans sulcus connections before alignment. This therapeutic advantage is due to the steady remodeling of neovascularization, fibroblast-like proliferation, and collagen accumulation, which are characteristics of highly vascularized normal connective tissue in the adult sarcolemma. 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. With conservative therapy, postoperative sequelae included infections, penile skin compression necrosis, and seromas in 3, 2, and 5 cases, respectively. Representative figures of polylactic acid filler injection for penile augmentation. The authors attributed the decline in satisfaction to an erectile stiffness disorder because the postoperative cavernous body was covered with a softer HA. Hyaluronic acid is a multifunctional matrix widely distributed throughout the body. 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. For many men, the subject of penis size is often accompanied by anxiety, driven by cultural narratives and misinformation. Achieving a larger penis size is challenging and often involves accepting one’s natural dimensions. To measure penis size accurately, use a ruler or measuring tape to measure from the base to the tip along the top side. At BrandeisMD, we offer real, medically supervised options backed by clinical data and designed to improve both penis length and girth without surgery. Most men are within this range—but that doesn’t mean you can’t safely improve your size, especially girth, which often matters more for satisfaction. Prof. Dr. Bülent Alıcı, an esteemed Urology Specialist, offers advanced treatments in andrology, reconstructive surgery, and men’s health. Utilizing state-of-the-art techniques and personalized treatment plans, he ensures optimal outcomes for his patients. Never consume or use anything for penis enlargement without consulting a doctor. Various products are marketed as remedies for increasing penis size naturally. Exercises like Kegels specifically target the pelvic floor muscles, potentially improving sexual performance and penile function. It’s essential to approach any claims of penis enlargement with caution, as many are not supported by scientific evidence. The term “small penis syndrome” describes this illness in the medical literature. These men were embarrassed to have others look at their penis, especially when flaccid. Moreover, the men surveyed expressed dissatisfaction with their height and weight in similar proportions (38% and 41%, respectively). Among 25,592 surveyed men, most respondents wanted a larger penis, and around a third wanted a longer penis. A large penis has long been celebrated as an indication of masculinity, power, prestige, fertility, and stamina. Non-Surgical Options: What to Expect Surgery might give you a bit more length than extenders. They can make the penis longer by about 1.8 cm, with few bad effects. Research shows extenders work better than other safe methods like pumps, exercises, and injections. The world of making your penis bigger is full of myths. A plastic surgeon can help you understand the risks vs benefits of undergoing a penis enlargement surgery after assessing your health. People often ask if Penis enlargement pills increase penis size? While there are no exercises that can significantly increase the size of the penis, some practices can improve blood flow and contribute to better sexual health. This means extenders are a non-surgical way to enhance size. Penis extenders are a unique way to enlarge your size, unlike pills, lotions, and surgery. They recommend using it for about six hours a day for a few months, like the studies with the Andropenis show. One Journal of Sexual Medicine study found a more than 1.5 cm increase in size after 3 months. Many studies show that penis extenders really help. It's a common belief that all penis extenders work the same. Research shows extenders can make the penis larger. People often think that penis extenders are totally safe. Many myths are flying around about penile extenders. Most men worried about their size are actually normal, studies show. In reality, studies have shown that factors such as emotional connection, communication, and technique play a far more significant role in sexual satisfaction than size. Many individuals believe that a larger penis equates to better sexual experiences and increased partner satisfaction. At the Enhancement Institute, we specialize in non-surgical penis enlargement using hyaluronic acid-based dermal fillers. Surgical procedures, like ligament cutting or penile implants, are often marketed as permanent solutions to penis enlargement. Jelqing, a popular exercise technique, is claimed to increase penis size through regular stretching. Incorrect practices may injure the penis. It may help in improving the blood circulation to penis. This stretching device can be attached to the penis and it tends to create immediate erection. In this type of manual exercise, a safe lubricant is applied to the penis and massaged gently. In summary, SPA treatment must adopt a holistic strategy that prioritizes psychophysical assessment, patient selection, and counseling.While many products and techniques claim to increase penis size, there is little scientific evidence supporting their effectiveness.A penis enlargement surgery may add half an inch to the penis but does not change the actual length of the penis.The most common postoperative complications were seroma (4.8%), scar formation (4.5%), and infection (3.3%), whereas no patients reported any change in sexual function, erection, or ejaculation.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.Good nutrition is known to support overall sexual wellness.Recognizing these challenges, the recent technological advancements and innovations in surgical techniques are promising.Penile size is a considerable concern for men of all ages. The psychological effects of penis size anxiety can be profound, affecting self-esteem and intimate relationships. 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. These fillers are safely injected into the penile tissue to add girth, with results that can last up to two years. He emphasized that surgical enlargement should never be taken lightly. Remember, confidence is about more than just size—it’s about feeling your best in every aspect of your life. Consult a qualified medical professional to explore safe, effective treatments tailored to your needs. Safer options like non-surgical dermal fillers exist if you want to achieve a fuller appearance. Thigh (A) and/or abdominal fat (B) suction was performed in a fan-like pattern by moving the harvesting cannula back and forth. The harvesting cannula was moved back and forth in a fan-like motion to aspirate fat from the thigh and/or abdomen. However, serious complications were not noted in the dermal fat grafting cohort (Fig. 5). In 2012, Shaeer selected 10 men who underwent a dermal fat grafting procedure. Essentially, the fat cells grow in a different place, and because the fat cells are transplanted autologously, rejection does not occur, which fundamentally guarantees the safety of the procedure. In summary, the penis is crucial in sexual function through stimulation and pleasure during heterosexual interactions.King’s Health Partners Mind & Body is committed to joining up mental and physical healthcare, training and research to improve health outcomes for our patients and service users.With conservative therapy, postoperative sequelae included infections, penile skin compression necrosis, and seromas in 3, 2, and 5 cases, respectively.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.At the end of the study, the median penile length and girth were 17 and 11 cm, respectively.Losing weight may not directly increase penis size, but it can affect the visibility of the penis.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. The most common postoperative complications were seroma (4.8%), scar formation (4.5%), and infection (3.3%), whereas no patients reported any change in sexual function, erection, or ejaculation. The Penuma implant is a medical-grade silicone implant surgically implanted subcutaneously in the penile shaft to improve the girth of the penis. 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, one disadvantage of HADM is that penile girth increases significantly in the flaccid state, but less significantly during erection. The authors highlighted several advantages of decellularized dermal matrix grafts for penile girth augmentation over autologous dermal fat grafts. Penis enlargement treatments – are they worth it? Quitting smoking and moderating alcohol consumption are important steps in maintaining sexual health and overall well-being.While they can help temporarily with erectile dysfunction, they do not result in permanent size increase and overuse can lead to tissue damage.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.In 2012, Kang et al. reported 52 patients who underwent phalloplasty, including autologous fat injection.Furthermore, for the first time, they demonstrated significant improvement in psychological distress among patients with micro penile syndrome.By creating new functional tissues from somatic cells, the circumference of the penis can be enlarged.Despite a standardized surgical approach and rigorous postoperative care, the complications of combined prostaglandin E and ADM were severe, suggesting that it is not an ideal or safe method.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.In 2021, Khalil et al. investigated a new adjuvant surgical technique for graft-less penile girth restoration and thickening through assisted expansion of the tunica albuginea. Vacuum pumps create temporary swelling by drawing blood into the penis, which can make it appear larger temporarily. These can be dangerous to your health. Smoking and excessive alcohol intake can impair blood flow and lead to erectile dysfunction. Regular physical activity improves cardiovascular health, which is vital for maintaining proper blood flow. Penoscortal rings are devices that may help in keeping an erection for a longer period and create the appearance of a larger penis. Repeated penile girth enhancement using biodegradable scaffolds employing biopsy of previously formed tissue. Based on the noted results and complications, the scrotal dartos flap approach seems to be a viable treatment for penile girth enlargement. 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. The erection of the penile prosthesis simulates the physiological erection of the penis, thus allowing patients with erectile dysfunction to achieve coitus and treat severe erectile dysfunction. Chronic stress can lead to hormonal imbalances, including reduced testosterone levels, which may impact sexual function. Poor sleep can lead to lower energy levels and reduced sexual desire, affecting overall sexual health. Excessive body fat can also reduce testosterone levels, leading to potential issues with libido and erectile function. Maintaining a healthy weight can prevent conditions like obesity and diabetes, which are known to negatively impact sexual health. 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. The adjuvant incision enlarged the penile circumference by 50% (from 8.0 to 12.0 cm). This adjuvant technique studied by the authors succeeded in increasing the circumference at the same location of the simulated cavernous corpus cavernosum tissue through a new material with negative Poisson's rate properties (i.e., it becomes wider when stretched). The remaining 20 men formed the control group and received only penile implants. This study demonstrated the efficacy of the penile stretching device in increasing penile length, but significant evidence of greater penile girth was not noted. In a 2005 study by Aghamir et al., 27 patients received vacuum erection device treatment. Although no perfect penile injectable material exists, PMMA microspheres appear to be safe, stable, and effective, and patient satisfaction is high. Most patients (52%) reported nodularity, ridges, irregularities, indentations, or voids in the tissue fillers. Beginning in 2007, Casavantes et al. administered PMMA injections to enhance penile girth in 752 men and conducted follow-up reports over 7 years. Studies have reported that extenders help to increase the length of a flaccid penis by more than 1.5 centimeters after 3 months of use. 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. But surgery to increase size or width of the penis is medically discouraged and is a deeply personal decision that requires careful consideration. Penis enhancement surgery is a procedure to correct structural and functional problems of the penis. 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. Poor sleep can lead to lower energy levels and reduced sexual desire, affecting overall sexual health.This is key to achieving patient satisfaction and reducing the risk of post-treatment dissatisfaction.In 2012, Alei et al. performed a procedure to increase penile girth in 69 patients utilizing porcine dermal decellularized grafts.Most patients (52%) reported nodularity, ridges, irregularities, indentations, or voids in the tissue fillers.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.Collaboration is crucial to comprehensively understand a patient's condition and effectively manage their expectations.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.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. Postoperative penile girth relaxation and erectile enhancement improved by 1.1 and 1.0 cm, respectively. In addition, the repeat surgical technique resulted in a considerable improvement in peripenile enhancement, with a mean follow-up period of 38 months. Autologous tissue engineering on a biodegradable scaffold is a novel, safe, and effective treatment for penile enlargement. 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 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. At long-term follow-up (mean, 4 years), 72% of the patients still showed improvement, and 81% of the subjects reported “high” or “very high” satisfaction. In the 400 patients, the medial circumference increased from a mean of 8.5 ± 1.2 to 13.4 ± 1.9 cm. In 2018, Elist et al. reported both satisfaction and adverse events in 400 patients who participated in a postoperative questionnaire. However, 47, 12, 10, 8, 7, 4, and 3 patients experienced erectile discomfort, delayed healing, insignificant enhancement, wound hematoma, foreskin edema, wound infection, and dorsal skin necrosis, respectively. Although most of these men had normal-sized penises, they tended to worry excessively and overestimate the average penises of other men.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.But usually, it is a corrective measure for a micropenis or a buried penis, both of which cause functional issues with urinating, sexual intercourse or hygiene.At best, they might boost libido slightly, but they certainly won’t provide permanent enlargement.”Research shows extenders can make the penis larger.The mean increase in girth was 22.74 ± 12.60 and 20.23 ± 8.73 mm in the HA and control groups, respectively.As such, AMS™ LGX 700® IPP insertion and postoperative vacuum device treatment is a safe and highly satisfactory combination approach to maintain penile size. The average penile girth measured before and after treatment was 9.5 and 12.1 cm, respectively. 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. 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. 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. Recognizing these challenges, the recent technological advancements and innovations in surgical techniques are promising. Therefore, addressing these issues is crucial for any treatment protocol. Given the increasing emphasis on physical appearance, “small penis anxiety” (SPA) must be recognized and treated appropriately. Given the mixed results of cosmetic procedures for SPA, clear communication about the potential effects, risks, and psychological impacts of these treatments is vital. Collaboration is crucial to comprehensively understand a patient's condition and effectively manage their expectations. This approach should involve experts from different fields such as psychology, urology, and sexual medicine. 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. Men are more concerned with their penis size and girth, and they seek methods to enhance their erections. It found overall treatment outcomes were poor, with low satisfaction rates and significant risk of major complications, including penile deformity, shortening, and erectile dysfunction. Penis size is a common concern for many men, but it’s important to understand that size does not necessarily correlate with sexual satisfaction or performance. Learning the truth about penis extenders and thinking about how you feel can help you use them the right way. Even though science supports penis extenders, it's important to use them carefully. While a confidence boost is generally great for self-esteem and general well-being, I advise first to explore why you need enlargement before pursuing any treatments.” According to multiple studies, emotional connection, communication, and technique matter far more in the bedroom than size. Prolonged use of penis pumps could cause bruising, damage blood vessels, and even result in erectile dysfunction. Regarding expectations and patient satisfaction, the former must be managed realistically. Given the complexity of SPA, a multidisciplinary approach is essential for a thorough evaluation of a patient's eligibility for treatment. This comprehensive approach ensures the adoption of more ethical, effective, and patient-centered treatment plans for managing SPA. 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. Developments in skin flap procedures, the introduction of products such as Penuma, and breakthroughs in tissue engineering have redefined the landscape. As such, AMS™ LGX 700® IPP insertion and postoperative vacuum device treatment is a safe and highly satisfactory combination approach to maintain penile size. 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. 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. 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. 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. Some individuals may experience performance anxiety or low self-esteem related to their perceived penis size. Therefore, variations in height do not correlate with variations in penis size, and each individual’s body proportions are unique and unrelated to one another. No, height does not have a direct impact on penis size. Confidence in and acceptance of your natural size is key to a fulfilling and healthy sexual life. Many people are not aware that filler injections might also help in increasing penis size. 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. 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. Although HA injections are becoming a popular modality for penile enlargement, relatively few reports of their side effects are available. This concludes that HA is a safe and effective method for penile body enlargement. Satisfaction with penile appearance and sexual life was significantly higher in the HA groups. The mean increase in girth was 22.74 ± 12.60 and 20.23 ± 8.73 mm in the HA and control groups, respectively. 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. Prioritizing general sexual health and fitness is the most reliable way to support sexual function.What is the average penis size? 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. With these advancements, penis enlargement surgery might become safer and more effective, benefiting from new technologies such as gene editing, stem cell therapy, nanotechnology, 3D printing, and mature biotissue engineering. There is no scientific evidence to support the idea that apple juice can influence penis size. There is no scientific evidence to suggest that creatine supplementation has any impact on penis size. Yes, penis size has a genetic component, with factors such as genetics and hormonal influences playing a role in determining an individual’s natural size. These changes are typically unrelated to actual penis size. Penis size generally does not affect fertility or sexual health. Though they are designed to treat erectile dysfunction, some people use them to occasionally “exercise” and stretch their penis. 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. Also, most of the penis enhancement claims are false and tend to involve techniques and products that may be harmful to the penis. 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. Given less trauma, a simpler operation, a precise effect, and fewer complications, day surgery and outpatient surgery can be performed. The maximum circumference of the glans increased by 16.6% and 14.2% at the initial and final (10–12 months) follow-ups, respectively. 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. But using extenders to grow your penis size can work. Understanding how penis extenders work is key for anyone looking to improve their penile health. Typically, a urologist recommends penile enhancement surgery to correct an injury, treat a defect, or improve function of the organ. Penis enlargement pills are all hype. Trusting reliable sources, like studies and expert advice, helps you make good decisions. If you feel bad about your size, talking to someone can help too. Knowing these risks helps you make smart choices about making your penis bigger. 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. Nikoobakht et al. evaluated the effect of penile-lengthening devices on penile size.