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A penis enlargement procedure may be indicated for a man who has experienced penile trauma or has a medical disorder that affects the function of the penis. In cases where penis size affects fertility or quality of life, penis enlargement may be considered under the direction of a urologist. These include surgical procedures known as penile augmentation (a.k.a. augmentation phalloplasty).
Like injectable fillers, these platelet-rich plasma (PRP) treatments involve injections into your penis. First, you get a local and topical anesthetic to keep you comfortable. Then your doctor draws blood from your arm and spins it in a centrifuge to separate the red and white blood cells and concentrate the platelets, which are rich in growth factors. They then inject the platelets into several different areas of your penis.
A new review in the journal Urology found that strengthening a man's pelvic floor—the muscles that surround the base of your penis and form a shelf across the bottom of your pelvis—can help diminish erectile dysfunction and premature ejaculation. How so? When you get hard, your pelvic muscles keep blood in your shaft. This helps to enhance and maintain your rigidity, says urological surgeon Andrew Siegel, M.D., the study's author and creator of pelvic floor exercise DVD Private Gym. And for premature ejaculators, squeezing those muscles can delay your orgasm. The stronger these muscles, the better the effect, Dr. Siegel says.
A high-quality penis sleeve can provide extra length and girth. “It can also be of help when a man has difficulty maintaining an erection. The problem with many sleeves [...] is that they are made of toxic chemicals and/or are porous, so they can hold bacteria and germs, even HPV. If a man is with multiple partners, these would not want to be shared. My client with lifelong ED swears by his silicone sleeve. Even with his penile implant, he says his wife enjoys the extra length,” says Yelverton.
Apart from the risks, penoplasty (surgical penile lengthening and girth enhancement, often by releasing the penile suspensory ligaments, so just an optical improvement) is the most expensive way for penile enhancement. According to About Health it ranges from $4000 up to $17000. If you are interested in surgical enhancement, we recommend reading the in-depth article on Medscape about possible surgical techniques and results. There is a less risky new method, the FDA-cleared Penuma implant developed by my collegue Dr. Elist (James Elist, MD) for flacid size enlargement, but the erect size lengthening is minimal and the cost is in the low five digits, too.
"Some men are confused (or rather not as educated on the matter) and they believe that the outside skin get’s longer and thicker. That’s false. However, some men have false expectations; they think using a penis pump once will cause them to have a bigger penis permanently, and that’s false. As in the gym example before, you have to keep at it, and you have to practice to see results. Yes, early on you will see results like any newbie in the gym, but if you don’t keep at it you will see those results diminish,” says Dubois.
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.