Penis Enlargement, Lengthening and Thickening Surgery

Penis size is generally perceived as a source of competition, power, or self-confidence among men in many cultures and societies. However, it is also a fact that penis size is not a definitive indicator of a person’s abilities or skills.

Many adult men desire to have a longer and thicker penis. A large penis is also desired as another equivalent of self-confidence in social life. In other words, the pursuit of a larger penis continues not only for sexual function but also for a sense of social satisfaction.

The importance and validity of such reasons are increasing today with the contribution of the internet, and penis lengthening and thickening surgery continues to attract growing interest.

Why Is Penis Size Important?

1. Social Perception and the Effect of Cultural Differences: The vast majority of men in all different societies have certain standards and expectations regarding sexual matters. These expectations can be shaped by media, social media, the internet, pop culture, education, and other factors. Especially with the expansion of the internet and pornography market, the expectation of a longer, thicker, and larger penis increases day by day.
2. Sexual Self-Confidence: A large penis is perceived as synonymous with greatly enhanced sexual performance. Therefore, some men associate achieving full sexual confidence with penis size.
3. Partner Expectations: After the increasing use of the internet and sexual education, some women may have developed an expectation of a larger penis for greater satisfaction.

We must also remind of other points that are as important as penis size and need to be known:

• Penis size is not the only important factor in sexuality and relationships. Many factors such as communication, emotional bonding, respect, and understanding are effective in relationships.
• Every individual’s body structure is different and penis size is influenced by genetic factors. Therefore, individuals should focus on their own bodies and accept themselves as they are. It should be kept in mind that size can vary biologically from society to society and from man to man within the same society.
• Sexual satisfaction depends not only on penis size but also on many other factors. Factors such as sexual health, communication, and compatibility between partners are also important.

If you have concerns about your penis size, sharing them with a urology specialist or an andrologist may be important. You can lead a happier and healthier life by getting appropriate support and counseling.

Ideal penis size

Penile thinness is a measurement of the diameter of a man’s penis, that is, the circumference of the shaft. Penile thinness can vary from person to person and can be influenced by many factors.

A decrease in penile diameter is termed as thinness. Factors that cause diameter differences in the penis:

• Genetics
• Age
• Body weight
• Hormonal levels
• Systemic diseases
• Congenital anomalies of the penis
• Acquired structural disorders of the penis.

Penis size and thickness generally show a wide variety of differences between individuals. Men’s penis perceptions can also be influenced by societal norms. However, penis size or thickness erectile dysfunction ya da cinsel is not directly related to performance.

The important factors in terms of sexual health are the healthy functioning of the penis, the ability to achieve erection, sexual satisfaction, and overall psychological health. Therefore, a person’s penis size or thinness is not considered a factor affecting their sexual health and overall quality of life.

What Is Penile Shortness?

What Is Penis Enlargement?

When penis enlargement is mentioned, it is mostly understood as increasing penis length and also increasing penis girth. What is meant by enlargement is achieving an increase in both size and length of the penis.

Who Is Penis Lengthening and Thickening Surgery Performed On?

Penis lengthening or thickening surgeries are performed for medical necessity or aesthetic reasons. From a urology perspective, all types of lengthening and thickening based on functionality are necessary. On the other hand, for those to be performed for aesthetic concerns, the situation assessment must be done seriously.

Penis lengthening and thickening surgery is frequently performed for the following problems:

1. Congenital Anomalies: Some congenital genital anomalies may require surgical intervention. However, these conditions require specific medical evaluations. Especially micropenis in such cases, penile lengthening or thickening surgery is performed.
2. Serious Traumas or Injuries: In cases of serious traumas resulting from accidents or genital area injuries, penis enlargement surgeries may be considered.
3. Sexual Dysfunction: In some cases, anatomical problems that cause sexual dysfunction may require surgical intervention. However, these conditions are generally addressed with other treatment methods.
4. Aesthetic concerns: For aesthetic purposes, both to contribute to the functionality of the penis and to perform urinary function more comfortably, penile aesthetics surgeries can be performed.
5. Mental and emotional health: Ultimately, a happy sexual union is the most natural right of the man and woman sharing the relationship. It is sometimes preferred for the completion of mental and emotional health. However, in these preference situations, psychotherapy is important before and after surgery for meeting expectations and patient satisfaction.

The right approach is for the patient and physician to make the best decision together by mutually presenting expectations and outcomes.

What Are the Functional and Aesthetic Surgical Procedures for the Penis?

• Penis lengthening
• Penis thickening
• Congenital correction of penile curvatures
• Correction of curvature due to Peyronie’s disease
• Medical or surgical correction of skin lesions on the penis
• Removal of HPV lesions on the penis
• Removal of palpable subcutaneous clotted vessels that create an unsightly appearance
• Hipospadias, treatment of conditions causing urinary problems such as epispadias
• Correction of chordee and lengthening of the penis
• Various aesthetic solutions such as lightening of penile skin color have been reported.

What Are the Non-Surgical Methods Used for Penis Lengthening and Thickening?

A wide variety of techniques and surgeries have been defined for penis enlargement. Within the framework of all these definitions, the essential point is that patient expectations must be clearly established before surgery.

The physician will determine which method is to be applied to whom based on experience and expertise. These methods are listed below:

• Erection assistive devices
• Traction therapies
• Autologous fat injections
• Liquid injectable silicones (microdroplet)
• Hyaluronic acid injections
• Injections
• Dermal fat graft
• Porcine dermal acellular matrix graft
• Acellular collagen matrix graft
• Subcutaneous silicone implants

Before Penis Lengthening and Thickening Surgery

• A detailed history must be obtained from the patient and their partner.
• Patients must be thoroughly informed about expectations and possible post-surgical outcomes.
• A consent form must be obtained to document this in writing.
• Nothing should be eaten or drunk after midnight.
• The patient should arrive at the hospital having fasted.
• Pre-operative anesthesia preparation should be completed.
• The patient’s condition should be evaluated by an anesthesiologist before surgery.
• All test results should be brought with you when coming to the hospital.
• The genital area should be cleared of hair 3-5 days before surgery.
• Previously used medications should be mentioned when going into surgery.

Blood thinning medications must be discontinued 7-10 days beforehand and under medical supervision. In some cases, alternative medications may need to be started in place of discontinued ones. Therefore, patients should not discontinue blood thinners on their own and should consult their doctor.

Techniques Used in Penis Lengthening Surgery:

1. Ligament Division (Ligamentolysis): The shaft of the penis is attached by the suspensory ligament in the pubic area. Cutting this ligament can cause the penis to extend outward somewhat.
2. Skin Excisions (V-Y Plasty): It is a procedure performed to trim the skin of the penis and achieve a longer appearance.

Penis Thickening Surgery Techniques:

1. 1. Penile Fat Injection: Thickening can be achieved by injecting fat around the penis. Although some of the fat may be absorbed by the body, it is usually possible to obtain a thicker penis than the original. Fat obtained from around the abdomen is then subjected to certain processes to be diluted and separated from blood and blood product components to obtain pure fat tissue. This obtained fat tissue is then injected circumferentially around the penis. The procedure duration varies between 1-2 hours and differs from person to person. In fattier, obese, and overweight patients, the procedure may be shorter as fat can be easily obtained. The fat injected during the penis thickening surgery is expected to adhere and remain around the penis. After surgery, a significant portion of the injected fat organizes under the penile skin, providing a larger appearance.
   2. Tissue Graft: Tissue taken from another body area can be added around the penis to achieve thickening. However, this procedure also carries complication risks.
   3. Silicone Implants: Silicone implants placed around the penis can be used for thickening purposes.

How Is Penis Enlargement, Lengthening and Thickening Surgery Performed?

Penis enlargement surgery is mostly performed under general or spinal/epidural anesthesia. The most commonly used method today for lengthening the penis is releasing the suspensory ligament that fixes the penis to the pelvic bone structure.

When this ligament is released through surgical methods, the penis will appear somewhat longer from the skin surface.

Fat tissue is often used for thickening purposes in penis enlargement. Fat tissue obtained from around the abdomen is processed through special procedures and injected around the penis, creating an increase in the girth of the penis.

Penis Enlargement Surgery Prices

There are some factors that are effective in determining penis enlargement surgery prices. The city where the patient lives, the hospital where the surgery will take place, and the surgeon who will perform the surgery constitute the most fundamental factors in determining prices.

Even when all these factors are taken into account, there are generally no significant price differences between practitioners and treatment centers.

How Many Centimeters Will My Penis Grow After Surgery?

The penis can be lengthened by approximately 2-5 cm with surgery. Extravagant numbers beyond this are of questionable accuracy.

Therefore, it is important to know how much lengthening the patients expect before surgery. Proper pre-operative counseling is essential for patients with high expectations to prevent subsequent disappointment.

Success Rate of Penis Enlargement Surgeries

In penis lengthening surgeries, penis elongation at the lengths mentioned above can usually be achieved and patient satisfaction can be obtained. However, after fat injections applied for penis thickening, there may be some reduction in the immediate post-operative appearance due to absorption of some of the injected fat within 6-12 months. There is a wide range of success percentage rates in the literature.

Penis Enlargement with Buried Penis Surgery

Buried or buried penis is a medical condition that can be seen in children, adolescents, and adults, especially during puberty. The patient’s complaints include;

• penile shortness
• penile thinness
• difficulty finding the penis while urinating
• difficulty during sexual intercourse
• difficulty in different sexual positions
• inability to fully satisfy the partner.

The most appropriate treatment is planned for the patient, taking into account the age, sexual life cycle, and current medical condition of the person presenting with these complaints.

Various techniques are used in buried penis surgery. The common goal of all surgical techniques is to create a longer and thicker visible penis. The penile skin tissue is frequently separated starting from the glans.

Then the penile tissue is brought outward using a special technique to make the penis more visible externally. Appropriate sutures prevent it from retracting back.

Penis Enlargement with Webbed Penis Surgery

The excess skin tissue between the penis and scrotum causes the penis to appear shorter and can lead to difficulties during urination and sexual intercourse by creating an inward-retracted appearance.

This web, also called a scrotal web, is surgically removed due to the mentioned difficulties.

According to the size, length, and location of the web, an appropriate surgical excision technique is planned and the web is removed, giving the penis a longer appearance.

Glans Penis Enlargement Surgery with Filler Injection

In some patients, there may be isolated glans penis smallness, or after penis thickening surgeries, the head of the penis known as the glans penis may remain smaller.

In this case, various filler material injections have been tried to make the glans appear larger; however, they have not yet fully gained widespread acceptance and reliability. Being an aesthetic procedure with low patient satisfaction rates, it is not routinely performed in many centers.

Is Penis Enlargement, Lengthening and Thickening Surgery Risky?

There are multiple factors that determine the risks of surgery in patients:

• The chosen method
• Previous success of the applied treatment
• The experience of the performing surgeon
• Pre-operative length and thickness of the penis
• Previous surgeries on the penis
• Presence of systemic diseases in the patient (such as diabetes mellitus, etc.)
• Presence of prior radiotherapy to the genital area
• The patient’s pre-operative psychological state
• Spouse or partner’s approach and expectations

The above list can be further extended. The most commonly observed risk-related situations have been mentioned above. Therefore, there may be specific risks unique to the procedure to be performed.

Can the Penis Be Enlarged Without Medication or Surgery?

Some studies on this topic have shown that it can be partially achieved. There are studies reporting that the use of traction devices provides some benefit, albeit limited.

When Can I Return to Normal After Penis Lengthening and Thickening Surgery?

After surgery, the patient is generally discharged from the hospital on the same day. The next day, they can continue their daily life as long as it is not traumatic.

This is more easily achieved especially for desk workers. For those in active working life, it is essential to protect the penis from post-operative trauma.

When Can Sexual Intercourse Resume After Penis Enlargement Surgery?

The first intercourse after the operation is generally recommended after 4-6 weeks. This may vary depending on the patient’s current health condition and the type of surgery performed. The most accurate time frame is the period stated by the surgeon who performed the operation.

Are There Positive or Negative Changes in Sexual Life After Penis Enlargement Surgery?

A much more pronounced positive response is obtained in patients who undergo surgery with a micropenis diagnosis. While penis size was an obstacle to sexual intercourse before surgery, this situation is eliminated after surgery and the person can comfortably engage in sexual intercourse.

After surgeries performed for aesthetic concerns without functional problems due to micropenis, the situation varies according to the attitudes and behaviors of the patient or their partner. Generally, a positive effect is experienced psychologically.

Therefore, if penis enlargement is to be performed for aesthetic purposes, it is important to clearly discuss the expectations of the patient and their partner and the possible success after surgery before the operation.

How Is Penis Size Measured Correctly?

Flaccid or erect? How to measure the penis ? Normally, stretched penile length measurement is taken as the basis. An erect state is not required for this. Measurements during erection can be important in determining the functional state.

When necessary, both measurements should be performed by a specialist physician for accurate evaluation.

Does Penis Size Affect Sexual Intercourse?

Providing adequate clitoral stimulation rather than penis size will highly ensure female satisfaction. For this stimulation, a penis length of at least 10 cm in an erect state can be considered sufficient.

Among men both in our country and around the world, a longer and thicker penis is undoubtedly a preference. Therefore, each couple should be evaluated individually and the necessity of surgery should be determined accordingly. A search for a solution that satisfies couples is always an acceptable approach.

Is There a Relationship Between Weight and Penis Size?

The condition of being excessively overweight, known as obesity, brings many health problems along with it. There are many clinical and experimental scientific studies on important health problems in obese patients.

Increased Body Mass Index (BMI) has been identified as a risk factor for many serious diseases, primarily cardiovascular system diseases and diabetes mellitus.

How Is Micropenis Detected in Children and What Causes It?

Micropenis in children may not be noticed or may be noticed late by parents. Generally, the following symptoms cause parents to consult a doctor:

• Difficulty during urination
• The penis being buried during urination
• Scattered or spraying pattern of urination
• Appearance of the penis buried in fat tissue in obese children
• Smallness of the structure called the scrotum containing the testicles along with the penis
• Both testicles not being palpable externally or being difficult to palpate
• Sensation of smallness due to excessive wrinkling of the penile skin

What Can I Do to Ensure My Child’s Penis Reaches Ideal Size or Larger as He Grows?

If you have concerns about your child’s penis size, the most appropriate approach is to seek a professional specialist physician’s opinion. Because often parents may perceive the situation as more concerning than it actually is. Your doctor will provide you with the most accurate information and what can be done afterward.

Is a Medium-Sized and Thick Penis the Best Penis?

If there is no micropenis condition and/or erectile dysfunction, the pleasure and satisfaction derived from sexual intercourse take precedence rather than penis length and thickness.

Because mutual sexual satisfaction is not something that can be achieved solely through sexual organs. Psychological state is as effective as physical characteristics for complete sexual fulfillment.

For a satisfying sexual intercourse, it is important that the penis is not within micropenis limits. For all other situations, the matter is debatable. The degree of importance of size and thickness may vary from woman to woman, society to society, and culture to culture.

However, this is the most widely accepted understanding worldwide: sexuality is not something experienced solely through sexual organs. Sexual satisfaction is also not something that can be achieved solely through sexual organs.

Does the Penis Shrink with Age?

Certain diseases that disrupt the anatomical integrity of the penis can cause subsequent shrinkage in penis dimensions. What is meant by this shrinkage is often both shortening in length and thinning in diameter. Peyronie’s disease is the leading among these diseases.

Advanced calcification and curvature in penile tissue creates a retraction in the penis and can shorten the penis length. In addition, especially in testosterone deficiency, there may be a decrease in penis length or thinning in penis diameter.

One of the important causes of penile shrinkage is aging. Physiological and hormonal changes due to aging also negatively affect penis dimensions. Blockage in penile vessels is another important condition affecting penis dimensions.

Is It Possible to Enlarge the Penis with Exercise and Movement?

Although there are those who advocate that stretching and certain manipulations applied to the penis are effective particularly in lengthening the penis, and those who try to scientifically prove this, the topic remains controversial.

More clinical studies are needed to reach a definitive conclusion on this topic.

Can the Penis Be Enlarged with Medication or Injections?

Penile growth can be achieved with various medications or injection treatments, primarily in children. However, this does not mean it will be applied to everyone with a small penis. A specialist physician’s opinion is needed for a definitive assessment of the condition.

Can the Glans Penis Be Enlarged Separately?

As is known, the glans penis is anatomically positioned as a continuation of the corpus spongiosum. Its sensory perception differs from other parts of the penis. Its skin structure is also anatomically different. Due to all these distinguishing features, treatments that can be applied to the glans differ from those applied to other parts of the penis.

Although different techniques have been defined to achieve an aesthetically larger appearance, a definitively established enlargement method has not been defined to date.

Are Penis Enlargement (Lengthening – Thickening) Surgeries Permanent?

Generally, permanent results are obtained after penis lengthening and thickening surgeries. Although some regression may occur after surgery in some cases, satisfactory results for patients are mostly achieved.

Non-Surgical Filler Materials Used for Penis Thickening: Advantages

Among non-surgical techniques for penile thickening, the frequently applied method is penile filler applications. Although various products have been tried as filler material, hyaluronic acid is most commonly used.

Advantages of the thickening procedure using hyaluronic acid:

• The greatest advantage is that it does not require surgery.
• Operating room conditions are not required; it can be performed in clinical settings.
• There is no need for general anesthesia.
• It is mostly painless.
• The penis can be used for sexual intercourse at an earlier stage.
• The risk of infection is lower as there is no open wound.
• There are no incision marks on the penis.
• It is a practical procedure that can also be performed in a short time.

References:

• PenileGirth Enlargement Strategies: What’s the Evidence? Hehemann MC, Towe M, Huynh LM, El-Khatib FM, Yafi FA. Sex Med Rev. 2019 Jul;7(3):535-547.
• Cosmetic penileenhancement surgery: a 3-year single-centre retrospective clinical evaluation of 355 cases. Littara A, Melone R, Morales-Medina JC, Iannitti T, Palmieri B. Sci Rep. 2019 Apr 19;9(1):6323.

• Strategies for maintaining penilesize following penile Lee KC, Brock GB. Transl Androl Urol. 2013 Mar;2(1):67-73.

• PenileStretching as a Treatment for Peyronie’s Disease: A Review. Cowper MG, Burkett CB, Le TV, Scherzer N, Hellstrom WJG. Sex Med Rev. 2019 Jul;7(3):508-515.

• Strategies for maintaining penilesize following penile Lee KC, Brock GB. Transl Androl Urol. 2013 Mar;2(1):67-73.

• Non-invasive and surgical penileenhancement interventions for aesthetic or therapeutic purposes: a systematic review.

• Romero-Otero J, Manfredi C, Ralph D, Osmonov D, Verze P, Castiglione F, Can-Serefoglu E, Bozzini G, García-Gómez B.BJU Int. 2020 Jun 23.

• Cosmetic surgery of the male genitalia. Chevallier D, Haertig A, Faix A, Droupy S. Prog Urol. 2013 Jul;23(9):685-95.

• Position paper: Management of men complaining of a small penisdespite an actually normal size. Ghanem H, Glina S, Assalian P, Buvat J. J Sex Med. 2013 Jan;10(1):294-303.