Dissatisfaction with the size of the genitals can affect a man's sexuality and have negative psychological consequences.
The average size of the penis in men in our country is 13 cm (in an erect state), which is considered normal. Despite the normal length of the penis, many men have an exaggerated idea of the normal size, and this assumption generates interest in various interventions that claim to increase the length or girth of the penis.
What are the methods of penis enlargement?
Several options are available that claim to increase the length/girth of the penis; some of them are described below:
Non-surgical methods
- Tablets and lotions. Penis enlargement pills and lotions usually contain herbs, hormones, and vitamins that marketers claim increase penis size; however, these products may be sold directly to consumers without any research to support their effectiveness. According to some researchers, these products may contain traces of lead, pesticides and may be harmful.
- vacuum devices. Some vacuum devices, such as poips, are also used to enlarge the penis. The vacuum pump technique involves placing a tubular structure over the penis and then pumping air out to create a vacuum that draws blood into the penis and causes the penis to swell and appear large. These pumps are used for the short term treatment of impotence; however, excessive consumption can damage the tissues of the penis, resulting in weaker erections.
- Extenders. Penile extenders use traction to stretch the penis. Although there have been some positive results with this technique. Before using such a procedure, experts recommend the supervision of a doctor, as you can get a traction injury and increase the risk of "fracture" of the penis.
- Jelqing. Jelqing is a stretching exercise aimed at increasing blood circulation in the tissues of the penis, which ultimately makes the penis larger; however, this method also lacks scientific evidence. Over time, this can also cause injury to the corpora cavernosa.
Surgical methods
There are two main types of penis enlargement surgery: penile thickening and ligament release.
Thickening of the penis can be done in two ways - either by transplanting fat cells from other parts of the body onto the penis (penile lipofilling) or by injecting fillers (hyaluronic and polylactic acid). Over time, the body can reabsorb the filler or fat, returning the penis to its original size.
In the ligamentotomy (suspensory ligament release) technique, the ligament that holds the penis in the pubic area is surgically cut. This procedure is designed to change the angle of the penis, which can increase its length. However, during an erection, the angle of the penis will be different, and this can interfere with sexual intercourse.
Clinical Trials for Penile Enlargement Surgery
The study found that ligamentotomy and filler injections were the two most common forms of procedures performed for penis enlargement.
The study, which analyzed 17 studies, found that while some men reported significant increases in size, complications were rare.
Side effects of penis enlargement surgery
The safety and efficacy of surgery to increase the length and girth of the penis has not been established. Penis enlargement surgery can lead to the following complications.
- infections
- Poor wound healing. Dehiscence of the wound.
- Loss of the distal flap
- Pubic deformity or hidden penis
Conclusion
Penile dysmorphic disorder is a psychological condition in which a man suffers from severe concerns about penis size despite having a physiologically normal penis. In such cases, patients may benefit from psychotherapy. Structured counseling should always be done, not risky procedures.
If you decide that you want to try penis enlargement procedures, you should not trust your health to just anyone, choose a specialist who practices this type of surgery and can talk in detail about the possibilities, risks and results.