Assessment first, decision second
The first step is a urological examination. The aim is not measurement alone; it is to distinguish pictures such as pubic fat causing a buried appearance, curvature due to Peyronie’s disease, foreskin problems or erectile dysfunction. Where one of these is present, addressing it takes priority.
In some of those who enquire, there is a marked sense of inadequacy even though the measurements fall within the normal range. In that situation a surgical procedure will not meet the expectation; the right approach is information and, where needed, psychological support.
Girth procedures
The most common procedure aimed at girth is a temporary increase in volume using hyaluronic acid based fillers; the details are covered on the penile filler page. Beyond that, transfer of a person’s own fat tissue may be considered.
With fat transfer, some of the tissue being absorbed over time is expected and it carries a risk of irregularity; the likely need for repeat treatment is therefore discussed beforehand. Applying substances claimed to be permanent to the genital area is not advised, because of the risk of tissue reaction and of deformity that is difficult to correct.
Lengthening and ligament release
Releasing the suspensory ligament aims to bring out part of the section of the penis that remains buried within the abdominal wall. It is not a procedure that lengthens the tissue itself; the change achieved is limited and no contribution to erect length is expected.
After the procedure, situations such as a change of angle during erection and loss of stability can occur. The decision should therefore follow a consultation in which the possible outcomes are explained in detail.
Buried penis and other topics
Where weight gain has led to fat in the pubic area, visible length is markedly reduced. In this picture, weight management and, where needed, reduction of the local fat tissue often produce a more meaningful change than other procedures.
Irregularities after circumcision, frenulum problems and topics relating to the appearance of the scrotum are also assessed separately within this scope. All procedures must be carried out by a physician in an authorised healthcare facility.
Frequently asked questions
Do enlargement procedures give a permanent result?
It depends on the method. Filler procedures are temporary. With surgical procedures the change achieved is limited and varies from person to person; no precise measurement can be promised.
Do vacuum devices and exercises work?
There is no reliable evidence that they produce a permanent increase in size. Incorrect or excessive use can cause tissue damage. Vacuum devices do have some medical uses; that use follows a physician’s recommendation.
Do these procedures affect sexual function?
Every surgical procedure carries risks such as changes in sensation, healing problems and changes in the quality of erections. These risks are explained in detail before any decision.
Are my measurements normal, and how would I know?
That assessment is made by examination. In a significant proportion of those who enquire the measurements are within normal limits; in that case the approach advised is information rather than surgery.