Dr. Dudley Seth Danoff, author of The Ultimate Guide to Male Sexual Health: How To Stay Vital at Any Age, has seen more than 100,000 patients (no exaggeration) over his 30 years as a practicing urologist. According to this graduate of both Princeton and Yale, enhancement is not a common request, but a fair number of patients have asked him, "What can I do to make my penis larger?" Still, as Danoff told Medical Daily, “There isn’t a man alive who wouldn’t like a larger penis.”
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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.
For men trying to figure out how to get a bigger penis, innovative surgical techniques for lengthening the penis and enhancing girth have sparked interest. Male genital corrective surgery is becoming a more popular request by patients, but there’s not a lot of long-term data and patient-related satisfaction details surrounding surgical intervention as a method for penis enlargement . Penile elongation surgery is an option for restoring the penis to functional size for satisfactory sexual intercourse, although it’s generally only recommended as a treatment for micropenis . Currently, reputable medical organizations do not endorse surgical intervention for purely cosmetic reasons .
For men with performance issues who are physically healthy, Boyle often prescribes counseling, such as marriage counseling for men with relationship issues or psychiatric help for men who are preoccupied with a problem in penile appearance. For young men with sexual performance problems and no signs of physical problems, Boyle may prescribe counseling and a low dose of Viagra as they work out issues of insecurity. "They need reassurance from a physician that everything is OK," she says.
Penis size is obviously a factor in the sexual experience, not the only factor, but clearly a major factor. The argument that penis size doesn’t matter seems silly if any serious consideration is given. The mechanics of sex are all about friction, bumping and grinding, and suffice to say an erect penis that is seven inches long and six inches around is going to produce very different friction with a lot more bumps and more grinding than a penis that is 5 inches long and 4 inches around.
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.
SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine. Laurence A. Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago. Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor. Richard, New York. Bob, New Jersey. WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned."
No herbal remedy can restore erections like Viagra and its prescription counterparts, says Steven Lamm, MD, an assistant professor of medicine at New York University and author of The Hardness Factor. But Lamm says these remedies may be appropriate for men who have experienced a decline in sexual performance but do not suffer from a diagnosable sexual problem. Lamm has endorsed an herbal remedy, marketed under the Roaring Tiger label, that combines horny goat weed and other herbal extracts with the amino acid L-arginine. (The supplements are made by the same company that makes the FastSize Extender.)
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.
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