Some men seek injections of natural and synthetic fillers to increase the girth of the penis. Others seek surgery if a smaller penis size or penile abnormality (like hypospadias) is interfering with the ability to urinate or quality of life. Small penis size usually is not an indication for surgery to treat infertility. In such cases, assisted fertility procedures may be the better option.
V-Y plasty is a surgical technique in which the suspensory ligament that anchors the penis to the pelvic bone is severed, releasing the shaft and allowing it to extend forward. The procedure is so named because it involves a triangular incision, the edges of which are pulled together and sutured in a "Y" shape. While effective in elongating the penis, it also makes the penis less stable when erect.
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. In my opinion, it should be the last resort if other conventional methods are not a promising option or failed.
How to increase penis length? This penis exercise video instructions are good for beginners and advanced. This penis lengthening exercises stretch the tether and the erectile tissue. As a result, the penis growth in the flaccid and erect state, the erection ability improves. More information about erection grade, difficulty and intensity can be obtained by clicking on the penis enlargement exercise link under the video.
Another variation of the super-concentrated thrombocyte injection is the STIM shot, another term coined by Dr. Neavin. The STIM shot combines PRP injections with the application of a penis pump to apply negative pressure and create micro injuries in the tissue. This allows PRP to spread evenly throughout the penis and target the tissue with its reparative and rejuvenating properties.
A fairly common way for surgeons to add volume in such areas of the body as the face and butt, fat grafting is also an option for the penis. Dr. Tim Neavin, a plastic surgeon in Beverly Hills, California, says that some surgeons have been doing penile fat transfer (also called composite augmentation phalloplasty) for decades. In this technique, a surgeon takes fat from the belly or inner thighs and injects it into the penis to increase girth.
Even in reputable studies, the statistical average varies, US median is about 5.5 inch according to the biggest study (1661 sexually active men) we could find by the well known Journal of Sexual Medicine. Most men have an erect size between 5 and 6 inch, so below 5 inch can be considered small. This data matches my own long term experiences as an andrologist. Don’t be fooled by the penis sizes you often see in adult movies, all actors are selected individuals far above the average size. These movies certainly don’t depict any statistical average and also use visual tricks to make the manhood of the male actors appear even larger. Nevertheless, many men ask themselves how to get a bigger penis the natural way, without any unnecessary risks and dangers.
Penuma is a permanent silicone that’s been cleared (though not yet fully approved) by the U.S. Food & Drug Administration (FDA) for penile enhancement. It’s made of malleable, medical-grade silicone, so it looks and feels like a natural penis. This relatively new procedure is currently performed only in select cities in the U.S., but we expect its popularity and availability to grow. Its manufacturer claims that clinical studies have shown very low adverse-event rates (infection in 3% of cases and seroma [fluid buildup] in 5% of cases) and high patient satisfaction.
“The penis extends for two to three inches inside the body in the pubococcygeus (PC) muscle, which can be strengthened in order to achieve stronger erections and orgasms. It also helps a great deal with obtaining better ejaculatory control,” says Hall. “The PC muscle, which surrounds the prostate gland, is like a valve around the genitals. Orgasm builds from the prostate, so learning to develop these muscles is highly beneficial. Doing PC muscle exercises helps to strengthen the muscle, and men can even add weight to help build it up,” says Hall.
The side effects of lengthening surgeries are numerous and include infections, nerve damage, reduced sensitivity, and difficulty getting an erection. Perhaps most disturbing, scarring can leave you with a penis that's shorter than what you started with. Widening the penis is even more controversial. Side effects can be unsightly -- a lumpy, bumpy, uneven penis.