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Penile
Enlargement: Fact or Phallacy?
By Steven Gange , MD, FACS
Ask the Experts
Ads
for penis enlargement aids, such as vacuum devices and pumps, rarely
offer scientific proof, yet many men spend money on such products
hoping for penile enlargement. They are falling prey to one big
misconception that they have a smaller than average penis.
Misconception: The Small Penis |
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Men
in general have a distorted view of what’s normal for penile
size. The fact is, "average" was not defined until recently.
A study published in the September 1996 Journal of Urology concluded
that average flaccid penile length was 8.8 cm (3 1/2 inches),
and average erect length was 12.8 cm (5 inches). Also, according
to many women’s magazine surveys, "size doesn’t
matter." But many men remain fixated on the ideal of the
8- to 10-inch penis.
Some men don't even realize what they have. For example, obese
men develop a suprapubic fat pad that conceals the penis, making
it look shorter. Pressing firmly on this fatty tissue reveals
the true penile length. I often explain this to patients, but
a man who is convinced his penis is too small is hard to convince
otherwise.
When
Surgery Is Warranted
Certain
men suffering from urologic conditions may need plastic surgery
on the penis: those with traumatic defects; those whose penises
have retracted following a spinal cord injury; those born with a
condition called epispadius (a severe penile deformity with associated
shortening); and some men with Peyronie’s Disease (scarring
of the penile shaft resulting in severe angulation and occasionally
shortening). For these men, surgical procedures are available to
give the penis additional length and a more normal appearance. However,
these procedures, even in the best of hands, often result in wound
infection or other healing complications. Sexual function may be
impaired, and an artificial penile prosthesis may need to be inserted
at the time of such surgery.
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Enlargement
Surgery: Still Experimental and Risky
Within the past 10 years, some surgeons have attempted purely
cosmetic penile enlargement surgery on healthy men to enhance
both length and girth of the penis. This surgery usually involves
cutting the band of tissue that holds the penis up against the
pubic bone (the suspensory ligament), and then injecting fat,
harvested by liposuction, beneath the penile skin to add bulk.
The surgery is still experimental: Two recent studies (one in
1994, the other in 1996) published in the Journal of Urology reported
significant complications resulting from this surgery -- serious
wound infections and penile deformity, such as lumpiness and asymmetry.
In fact, the surgery is still so controversial and yields such
poor results that it is considered generally unacceptable by both
the plastic surgery and urological communities.
In addition, such procedures are expensive, costing up to $10,000
in some instances. Penile enlargement is not a simple undertaking
and is usually not medically necessary. If you choose to pursue
surgical enlargement, be sure to check the credentials of your
surgeon (e.g., board certification) and carefully weigh the risks
and potential benefits.
What Works For Penis Enlargement
We
have found that the best enlargement program is one that offers
both the all natural penis pills accompanied with an penis enlargement
exercise manual or guide. Each product on it's own does work well,
but for maximum results we highly recommend a program that contains
both the pill and manual.
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