Does Penis Enlargement Really It Work?
Men's anxiety about penis size has spawned a multi-million-pound global industry in clinically unproven "male enhancement products".
While many men worry their penis is too small, research shows that most men's penises are normal and they needn't be concerned. Professor Kevan Wylie, a sexual medicine consultant, says men with concerns about their penis size should consider talking to a health professional before experimenting with treatments, which are mostly ineffective, expensive and potentially harmful.
"Many men who worry about the size of their penis generally have overall body image issues," he says. "What happens is that they tend to focus their poor body image on their penis.
"Often, counselling can make a real difference to the patient by building self-esteem, correcting distorted views about body image and learning more about what makes people attractive."
The typical erect penis is usually 5 to 6 inches long with a circumference of 4 to 5 inches. There's more variation in the size of flaccid penises.
Some guys are genuinely smaller than that. In rare cases, genetics and hormone problems cause a condition called micropenis -- an erect penis of under 3 inches. Sometimes Peyronie's disease or prostate cancer surgery can reduce a guy's size.
But studies show that most of the guys seeking penis enlargement are average-sized. They just think they're below average.
Why? Part of it is perspective. It's very hard to gauge the size of your own penis -- looking down, you've got a bad angle.
Psychology plays a role, too. Some average-sized guys become obsessed with the idea that they're too small. There's even a psychiatric diagnosis: penile dysmorphic disorder. It's similar to the perceptual distortion of anorexics who think they're fat no matter how thin they get.
Here's a rundown of some unproven options to increase penis size.
Pills and lotions
These products usually contain vitamins, minerals, herbs or hormones that claim to enlarge the penis. Despite their impressive claims, there's absolutely no clinical evidence that these products work and some may even be harmful. The University of Maryland in the US carried out an analysis on some of these and found traces of lead, pesticides, E. coli bacteria and animal faeces.
"They're a complete waste of time," says Professor Wylie. "Pills and lotions have no proven benefit. If they were effective, they would be on sale at chemists. Using a lotion may help a man become more familiar with his penis, which some men shy away from. So lotions can help a man become more comfortable with his penis but they certainly won't make it any bigger."
Vacuum devices
Penis pumps involve placing a tube over the penis and then pumping out the air to create a vacuum. The vacuum draws blood into the penis and makes it swell. Vacuum devices are sometimes used in the short-term treatment of impotence. But overusing a penis pump can damage the tissue of the penis, leading to weaker erections.
"There is very little evidence that these devices cause any significant long-term gain in size," says Professor Wylie. "Using a pump for a few minutes a day won't do anything to increase penis size."
Penile extenders
Penile extenders
This technique involves placing a weight or a small extending frame, sometimes called a traction device, on the flaccid penis to stretch it. Professor Wylie says there is no clinical evidence that using weights will extend the penis, and they may cause permanent damage to the penis. However, better results have been reported with traction devices.
"There is some evidence that traction devices can have some impact, particularly with men who are smaller in size," he says. "Some patients using traction devices for six months have noticed a gain in size of 1-2cm. However, such treatments should not be started without the supervision of a doctor."
Jelqing
Jelqing is an exercise involving repeatedly pulling the flaccid penis using the thumb and index finger, with the aim of increasing erection size. The idea is that the pulling exercises will increase the blood capacity of the penis' erectile tissue, allegedly resulting in increased length and girth of the penis.
"Just like using lotions, this technique can help some men better appreciate the considerable difference in size between a flaccid penis and an erect one, which helps them become more comfortable with their body," says Professor Wylie. "But there is no scientific evidence to suggest jelqing can increase penis size."
Penis girth surgery
Some surgical techniques to increase penis girth involve injecting fat taken from another part of the body into the penis. Some studies have reported increases in circumference of 1.4-4cm. However, studies that followed men up over a longer time suggest disappointing results, with complications including disfigurement, scarring, lumpiness and infection. Another method, still in its experimental stage, involves pulling back the skin of the penis to wrap a tube-like biodegradable frame filled with tissue cells around the shaft.
Professor Wylie says the use of biodegradable frames has had better results than fat injection. "The problem with injecting fat is that over time, the body will re-absorb the fat which can result in a return to the penis' original size," he says.
Penis length surgery
The most common technique involves cutting the ligament that attaches the penis to the pubic bone and performing a skin graft at the base of the penis to allow for the extra length. Professor Wylie says the surgery can result in an average gain in length to the flaccid penis of 2cm, but there will be no change to the size of the erect penis. Furthermore, the erect penis won't point as high as before the operation because the ligament which was cut no longer offers support.
"A lot of men who have this treatment don't truly appreciate this loss of angle," says Professor Wylie. "It can make sex quite uncomfortable. You've got to do a lot more manoeuvring with your partner. The advantage of a 2cm gain in flaccid length is far outweighed by the loss of angle of erection."
As penis enlargement surgery is for cosmetic purposes, it's unlikely to be available on the NHS.
Liposuction
For men with a large gut, liposuction, a surgical procedure to remove fat below the abdomen, can make their penis look larger. Removing excess fat around the pubic area can make a partly buried penis appear more prominent.
Professor Wylie says the cosmetic results are generally considered reasonable by patients. "Liposuction can result in a 2cm gain in length in the short-term, but the fat will return to the pubic area if the patient puts on weight again," he says.
"The procedure can give the patient a confidence boost, but for it to be sustained over the long term, they need to improve their diet and get exercising."
However, like all surgical procedures, liposuction carries the risk of side effects and complications. Find out more about the risks of liposuction.
A lot of men ask for enlargement surgery. And a very few ask for reduction surgery. The latter is very rarely done – though in 2015, a Florida urologist reported that he had successfully reduced the penile size of a young man whose penis was the size and shape of an American football (as a result of complications of sickle cell anaemia).
Enlargement surgery is pretty uncommon, so most men who ask for it will be disappointed.
Many men are obsessed with the size, and particularly the length, of their penises.
Women will probably find this incomprehensible, but there are actually numerous websites and blogs on which males discuss their penile length with each other and on which they advance ideas as to how it could be 'improved'.
Most of this concern about the length of the phallus is pretty pointless, since recent research has shown that the majority of females could not care less about the length of the partner's organ.
However, some of them do say that, given the choice, they would prefer a thicker penis to a thin one.
Another development of recent years has been the gradual realisation that widely-published and accepted figures for average penile length were actually wrong.
These figures, which have appeared in textbooks, medical journals, magazines and newspapers for over 50 years, have now been shown to be somewhat exaggerated. And those false statistics have made quite a lot of men feel inadequate about their length – when in fact they had nothing to worry about at all.
Men generally fall into two groups regarding their penis size and appearance.
Some men have a short, fat, rather elastic penis when flaccid that stretches and expands very considerably during erection.
Others have a long, impressive-looking flaccid penis that barely changes in size when erect, and simply becomes more rigid. Men in the first group who see men from the second group naked in the showers are likely to feel inadequate.
Both groups are normal, just different.
Obesity and very thick growth of pubic hair may make the penis appear smaller.
Obese men develop a pad of fat in the pubic area and the flaccid penis becomes buried in it. Weight reduction will improve appearance, as will neatly trimming excessive pubic hair.
Very obese men might not be able to see their penis at all, because of their large and pendulous abdomen.
Men should also remember that the penis will always look shorter when you look down at it, compared with looking straight at their penis in a mirror or across the changing room at another man's penis. This is a simple optical illusion.
For years sexologists and Agony Aunts have been inundated with letters and emails from anguished young men who think (for instance) that a penile length of 5.5 inches (13.97 cms) is terribly short. It is now clear that it's normal.
But almost all men, of whatever age, experience anxiety about the size or appearance of their penises at some time. For most males, these feelings will pass but, for others, they can be persistent and disabling – and lead to requests for surgery.
A man's concern about his penis can lead to avoidance of sexual relationships, and even of sporting and other activities where other men might see him naked.
Such men are not only embarrassed by the apparent smallness of their penis, but also very often ashamed about their anxiety.
Just because only 1% or 50% of people experience a certain problem doesn’t mean you aren’t going to be in that percentage so this is something to think about before you opt for penis enlargement surgery.
Penile Injection
If you feel that your penis is too thin then you may opt for a penile injection. All that this means is that you are going to allow the doctor to take fat from your abdomen area and place it in your penis. The penis hardly has any fat in it so this could appear odd. If the fat injection shifts you may have to have surgery on your penis to get it corrected.
The penile injection fix is not a permanent one. This is because whenever you get fat put into your penis your body can easily absorb that fat. This means that you are going to have to start over again at point a.
Ligament Cutting
Whenever ligament cutting is used the basal penile ligament is cut. This can result in the lengthening of about 2 inches. The only thing is that this is only the flaccid or soft length for some people. After surgery there have been patients that reported they had a difficult time obtaining a full erection and were not able to properly feel their penis any longer.
Besides for lack of ability to have an erection properly and diminishing sensation you may also notice that you do not get any growth at all. The results greatly vary between each person. Your doctor will recommend penis stretching exercises after surgery to help stretch your penis. These exercises are how most men are able to gain more length of their erect size.
Inflatable Implants
Inflatable implants are a method that is usually only used by me who are suffering from complete impotence. This method involves the insertion of inflatable implants into the penis. One of the problems that may be experienced with these inflatable implants is that the other penile tissues could be stretched. This could result in a great deal of pain as well as other complications. You may experience damage to the inside structure of your penis because of these inflatable implants and notice bruising, internal blisters and even bleeding under the skin.
Besides for having side effects on your body, penis enlargement surgery can also have side effects on your wallet. Many of these surgeries are $3,000 minimum and any follow appointments will just raise the amount of money you are going to have to pay. Make sure that you read all of the terms before you let any doctor start working on your penis.
Infections
If your penis enlargement surgery doctor did not do a good job then you could experience problems with infections in your penis. Even if they are a good doctor and do a good job they sometimes are not going to get the results that they want and find that you have an infection. This is why doctors put you on antibiotics before the surgery takes place. If you get a bad enough infection you may require sutures in order to get the drainage out.
Conclusion
While penis enlargement surgery may seem like the best and quickest option these are some important things that you need to think about. You want to make sure that you do not damage your penis and cause yourself further grief whenever you are trying to make things better. The last thing you want to do is cause your sex life to go down the drain when you are trying to make it hot and steamy.
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