Men who have lost all or part of their penis as a result of injury or surgery are certainly candidates for reconstructive operations. And, in certain cases where a man has a very small penis that is causing him severe, intractable psychological problems, cosmetic surgery may be considered a last resort. However, this is a radical step and clearly not a decision that can be rushed into. It is strongly recommended that anyone considering surgery should consult a urologist, as well as a therapist to discuss the issue and its psychological ramifications.

The surgical treatments, the researchers found, were dangerous and had “unacceptably high rate of complications.” But among the nonsurgical methods, at least one appeared to help grow a man’s member: the “traction method,” in which a penile extender stretched the phallus daily, resulted in average growth of 0.7 in., or 1.8 cm, of the flaccid penis in one study. In another study of the same method, men reported an average increase of 0.9 in. (2.3 cm) in length while flaccid and 0.67 in. (1.7 cm) while erect.
In an operation to increase penis length, the surgeon cuts the suspensory ligament, which attaches the penis to the pubic bone. The result is that the flaccid penis appears longer (but not much), because more of the upper part of the shaft is exposed outside the body. Skin from the abdomen is used to cover the new longer shaft of the penis. The risk involved in cutting the suspensory ligament is that its function, that of supporting an erection and angling it upwards, may be lost. The erect penis may be unstable or point downwards.
Brandon Bartling, store manager of The Pleasure Chest, an erotic store located in New York City's West Village, understands this as well. His store carries any number of products that cater to this manly desire, everything from dietary supplements to a “penis extender, which is a sleeve that you literally wear over your penis to increase length and girth. Kind of like a thick, firm condom in a phallus shape,” he told Medical Daily in an email. He added his customers tell him that “the Blue Wolf pills work the best to help boost one’s ability to obtain firmer, longer lasting erections, while others swear by the Bathmates line of Hydromax and Hercules pumps.”

• Forget surgery. The full monty, lengthening and girth enhancement, is expensive (around $15,000) and problematic. Lengthening surgery cuts the ligament that makes an erection stand up. This adds an inch, but erections no longer salute. They just hang between your legs and must be manually directed into erotic openings. Girth enhancement takes fat from the buttocks and injects it under the penis skin. Sounds good, but quite often, the result is a lumpy, deformed-looking penis.
Penis enlargement, or male enhancement, is any technique aimed to increase the size of a human penis. Some methods aim to increase total length, others the shaft's girth, and yet others the glans size. Techniques include pills, hormones, massage, stretching, inflation, incision, injections, and implants. While some techniques are hoaxes, others may be somewhat effective, perhaps at high risk of complications.
“Young men generally become preoccupied with the size of their genitals when they compare with others,” she says. “Historically, this was limited to changing rooms or the odd top-shelf magazine. But now there is this almost routine exposure to porn via smartphones. And that is creating a generation of men whose expectations of what they should look like are entirely unattainable.”
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Not really. “My personal belief, experience and view: There is a way to make the male penis bigger, but there isn't a single universal technique that would equally add X amount of inches to every man equally. Men, in their capitalistic frenzy to super-size everything in existence while ignoring the variety of insight offered from alternate possibilities of power, identity and potency, are fiendishly focused on having the biggest *insert protruding masculine status symbol here*, and miss out on so much more,” says Malcolm Lovejoy, who is based in Toronto and is an adult film performer.
Men dealing with erectile dysfunction (ED) have a higher risk of dealing with penile shrinkage. One study that included 1,027 adult men looked at normal adult men and ED patients with no differences in height, race, weight, and age. The ED patients have a significantly shorter penis length, showing an association between ED and shrinkage [29]. Another case-control study also found that both diabetic and nondiabetic men with ED dealt with a decline in penile dimensions, and the decline was even more prevalent in diabetic patients [30]. Working with your doctor to find an effective treatment for ED may help prevent shrinkage due to ED, and if you have comorbidities like diabetes along with ED, effectively managing both may be important to prevent a decline in penile dimensions.
The success of PRP injections led to the cosmetic industry adopting the use of PRP for various specialized cosmetic treatments, such as the Vampire Breast Lift, Vampire Facelift, Vampire Facial, and the Priapus Shot. Certain doctors offer the Priapus Shot as a method for increasing penis size and improve erectile function. The procedure involves drawing blood from the arm, using a centrifuge to separate platelets, making those platelets think the body has been injured, so they release growth factors, and then injecting this liquid into the penis with a small needle. While you can find satisfied testimonials of men who have had the Priapus shot, no actual studies have been done to back up the idea that these shots offer effective, long-term results.
"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.

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