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Penile
Enlargement: Fact or Phallacy?
By Steven Gange , MD, FACS
Ask the Experts
Ads
for penis enlargement aids, such as vacuum devices and pumps, rarely
offer scientific proof, yet many men spend money on such products
hoping for penile enlargement. They are falling prey to one big
misconception that they have a smaller than average penis.
Misconception: The Small Penis
Men in general have a distorted view of whats normal for penile
size. The fact is, "average" was not defined until recently.
A study published in the September 1996 Journal of Urology concluded
that average flaccid penile length was 8.8 cm (3 1/2 inches), and
average erect length was 12.8 cm (5 inches). Also, according to
many womens magazine surveys, "size doesnt matter."
But many men remain fixated on the ideal of the 8- to 10-inch penis.
Some men don't even realize what they have. For example, obese men
develop a suprapubic fat pad that conceals the penis, making it
look shorter. Pressing firmly on this fatty tissue reveals the true
penile length. I often explain this to patients, but a man who is
convinced his penis is too small is hard to convince otherwise.
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When
Surgery Is Warranted
Certain
men suffering from urologic conditions may need plastic
surgery on the penis: those with traumatic defects; those
whose penises have retracted following a spinal cord injury;
those born with a condition called epispadius (a severe
penile deformity with associated shortening); and some
men with Peyronies Disease (scarring of the penile
shaft resulting in severe angulation and occasionally
shortening). For these men, surgical procedures are available
to give the penis additional length and a more normal
appearance. However, these procedures, even in the best
of hands, often result in wound infection or other healing
complications. Sexual function may be impaired, and an
artificial penile prosthesis may need to be inserted at
the time of such surgery.
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Enlargement
Surgery: Still Experimental and Risky
Within the past 10 years, some surgeons have
attempted purely cosmetic penile enlargement surgery on healthy
men to enhance both length and girth of the penis. This surgery
usually involves cutting the band of tissue that holds the
penis up against the pubic bone (the suspensory ligament),
and then injecting fat, harvested by liposuction, beneath
the penile skin to add bulk. The surgery is still experimental:
Two recent studies (one in 1994, the other in 1996) published
in the Journal of Urology reported significant complications
resulting from this surgery -- serious wound infections and
penile deformity, such as lumpiness and asymmetry. In fact,
the surgery is still so controversial and yields such poor
results that it is considered generally unacceptable by both
the plastic surgery and urological communities.
In addition, such procedures are expensive, costing up to
$10,000 in some instances. Penile enlargement is not a simple
undertaking and is usually not medically necessary. If you
choose to pursue surgical enlargement, be sure to check the
credentials of your surgeon (e.g., board certification) and
carefully weigh the risks and potential benefits.
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