Because of great risk and uncertainty, medical professionals are generally skeptical of penile enlargement and avoid attempting it. Medical doctors do treat micropenis as a medical condition, however, usually by surgery, which can be warranted to improve urinary or sexual function. Most men seeking penis enlargement have normal-size penises, and many may experience penile dysmorphophobia by underestimating their own penis size while overestimating the average size.
This doesn’t mean penis surgery isn’t a viable solution for various medical indications like e.g. a penile prosthesis in case of complete impotence (erectile dysfunction), circumcision in case of serious foreskin constriction (phimosis) but for enlagement only, there are less risky ways with good rewards as well. Responsible plastic surgeons only offer surgical penis enlargement for patients suffering from a very small penis or micro penis. In addition, there are only very few surgeons who have the skills and knowledge to safely perform this very special type of medical intervention.
William O’Connor, a 38-year-old mechanic from Northampton, is one of his satisfied customers – and it’s easy to understand why. Think of a large can of aerosol deodorant and you have, roughly enough, his new dimensions. “There was one woman who took one look at it and just went, ‘That thing is coming nowhere near me,’” he says. “But mostly it goes down very well. I’ve seen a lot of eyes light up.”
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At his Harley Street clinic, Dr Roberto Viel is explaining how a typical enlargement works. First, surgeons sever the organ’s suspensory ligament, causing it to hang an inch or two lower, giving the impression of extra length. They then extract fat from the patient’s stomach and inject it into the penis shaft, increasing girth by around two inches. Erect, it’s worth noting, it remains roughly the same size, suggesting the motives for many men are not necessarily to enhance either their – or a partner’s – sexual experience.
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“I hate to say it, but I think Elist is wrong,” counters male sexuality educator Paul Nelson, who wonders if Elist is confused with penis pumps, because Nelson says gains with penile extenders are absolutely permanent. There may be some retraction if you’re using it every day and suddenly stop, but most of it, he promises you’ll retain. Nelson agrees that jelqing could be dangerous, though, particularly for guys who believe that “some is good and more is better” and jelq too hard. “He may finish a jelqing session and think, That was good, let me do it again harder. And a little bit more next time. The next thing he knows, he’s got snapped nerves, torn tunicas and all kinds of devastating injuries.”
People get fillers and injections for all sorts of cosmetic reasons, but you can also get injections in your penis. "I have so many patients who come in stressing about the size of their penis when, in reality, the relationship between size and sexual satisfaction is a myth. The average vagina length is 5 inches, which is less than average penis size in America, which is 5.5 inches. What most men don’t realize is that when it comes to sexual satisfaction, girth is more important than length. There are things men can do to enhance their girth but it won’t come in the form of pill, and although penis pumps can improve an erection, they don’t help with overall size. Also, penis exercises are not totally validated to increase size. Sorry guys! But, there are solutions,” says Dr. Muhammad Mirza, sexual men's health expert and founder of ErectileDoctor.com.
There are several surgical treatments, most of which carry a risk of significant complications. Procedures by unlicensed surgeons can lead to serious complications. Risky surgical treatments include subcutaneous fat injection, division of the suspensory ligament, and the injection of dermal fillers, silicone gel, or PMMA. The American Urological Association (AUA) and the Urology Care Foundation "consider subcutaneous fat injection for increasing penile girth to be a procedure which has not been shown to be safe or efficacious. The AUA also considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious." Dermal fillers are also not approved by the US Food and Drug Administration (FDA) for use in the penis.