Yes, it can, but surgery is always associated with risks, including anesthesia, wound healing deficits, pain from scars, worst case even a deformed penis or permanent erectile problems. It’s effective without a doubt from our experience, but the last resort in our opinion. For men with a real micropenis (smaller than 2.75 inch) it’s often the only solution and covered by health insurance, but only about 0.5% of all men worldwide suffer from this condition. If you are just a bit below average, the risk versus reward calculation is negative for surgical penis enlargement. Especially one problem that arises from cutting the ligaments, the erection pointing slightly downwards instead of straight forward, can become a real problem according to professor Kevan Wylie from the NHS, he said “It can make sex quite uncomfortable. You’ve got to do a lot more manoeuvring with your partner. The advantage of a 2cm (0,8 inch) gain in flaccid length is far outweighed by the loss of angle of erection.”
“My advice to men is that before they try any potions, creams, pumps or surgery, improve your technique. You will feel more confident and women will like you a lot more, at least in the bedroom,” says Dr. David Shusterman, MD, the Medical Director of NY Urology. A lot of men don't invest money into the right products that will improve the outcomes. “At every Duane Reade they have what I call a penis enhancement pack; it includes a penis ring with a vibrator on it. The pack is $10 and it will achieve what the men want to achieve without going through surgery,” says Dr. Shusterman. A lot of men want enhancement but it tends to only hurt your sex life, not help. “Most guys regret going through surgical enhancement,” says Dr. Shusterman.

A study published in 2019 that looked at various medical, traction, injection, prosthetic, and reconstructive procedures states that complications are “likely underreported.” The same study also says that the worst complications, although rare, can be “devastating.” These include penile fibrosis, sexual dysfunction, and even (in at least one case) death from pulmonary embolism. If you do decide to undergo a penis enlargement procedure, consider all the risks and follow all post-op instructions carefully.
Penile disassembly is a more invasive form of sliding elongation surgery in which the degloved shaft is completely severed just below the head of the penis. The gap is then filled with a section of rib cartilage taken from the patient and reassembled by suturing the degloved tissues back into place. While less commonly used, the surgery can be effective for men with micropenis, congenital defects, or deformities resulting from penile cancer,
Lengthening the penis. The most common procedure is to cut the ligament that connects the penis to the pelvic bone. This allows a little more of the shaft -- on average less than an inch -- to become visible outside the body. It's not really lengthening the penis so much as revealing more of what's usually hidden. To prevent the ligament from reattaching, a guy would need weights or stretching devices daily for about six months.
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