Penile enhancement

What is penile enhancement:

Penile enhancement refers to procedures which aim to increase the circumference/girth of the penis. 

Is penile enhancement for me?

Penis size is an important issue for many men and it is considered to symbolize masculinity. When men perceive their penis size as smaller than usual it can have a major impact on their self-esteem and sexual functioning. The dissatisfaction some men have can have serious negative impact on psychological and social functioning such as anxieties/inhibitions in sexual relationships, and lowered self-esteem. Dissatisfaction with a normal sized penis is termed “Small penis Syndrome” (SPS) or “small penis anxiety” (SPA)¹.

These procedures are rarely reported in the literature.

What are the benefits of penile enhancement?

According to literature, girth appears to be more important for sexual satisfaction, particularly from the female perspective. A larger girth penis will stretch the vaginal opening such that deep structures are more stimulated. The female vagina is densely packed with receptors that are finely tuned to detect stretch sensations.

How much will my penile girth increase?

Everybody is different but in published studies there was a significant increase to 11.41cm with a basal mean girth of 7.48cm. or about 35% at one month after the injection and this was maintained to 18months after the injection².

How long will the results last after penile enhancement:

Patients and their sexual partners report high levels of satisfaction at 18 months after the injection and there were no serious reactions in this time. There was a 15% loss in glandular circumference after 5 years reported,

What are the methods used for Penile enhancement?

No injectable filler has been approved by the FDA for the use in the Penis.

Methods used in the past:

1. Liquid injected silicone (LIS) was used to enhance the girth with some levels of success. Serious complications include silicone migration, swelling, penile distortions, and late granulomatous formations. This method is no longer recommended.
2. Autologous fat infections has been used in the past. However, there is a problem with reabsorption of the fat with possible less than 10% of the fat cells surviving. Also, other risks include curvature, asymmetry of the penis and formation of calcified fat nodules which appear to be permanent.
3. Injectable hyaluronic acid appears to be the most effective way to enhance penile girth without significant complications. In a study¹ there was a significant increase to 11.41cm with a basal mean girth of 7.48cm. at one month after the injection and this was maintained to 18months after the injection.
4. A nonabsorbable soft-tissue filler, polymethylmethacryalte (PMMS) has been used. There are associated complications which include asymmetry of penile shape and the appearance of small nodules/microspheres which can migrate and are permanent.

How is penile enhancement performed?

It is done under local anesthesia with topical cream and injected numbing medication (lidocaine). 10 – 20ml of filler are injected. For optimal results a follow-up session is recommended after 4 weeks where an additional 5ml of filler maybe injected to ensure even coverage.

What should I do after a penile enhancement procedure?

Antibiotic ointment is applied, and a tubular bandage is placed over the penis which should be worn for 24 hours.

Chlorhexidine washes twice per day and massages to smooth any irregularities as well as abstaining from sexual intercourse/masturbation for 3-4 days and minimal sexual activity for 2 weeks.

References:

1. Jayson Oates, FRACS, Gemma Sharp. Nonsurgical Medical Penile Girth Augmentation: Experience-Based Recommendations. The Aesthetic Surgery Journal 2017, Vol 37(9) 1032-1038.
2. Kwak TI, Oh M, Kim JJ, Moon du G. The effects of penile girth enhancement using injectable hya;uronic acid gel, a filler. J Sex Med. 2011;8(12): 3407-3413.