Introduction to Penile Enlargement Surgery

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Table of Contents

Introduction to Penile Enlargement Surgery

Definition and Brief History

Penile enlargement surgery, also known as phalloplasty, refers to any surgical procedure aimed at increasing the size, length, or girth of the penis. While non-surgical methods for penis enlargement have been pursued throughout history, modern surgical interventions emerged in the late 20th century, specifically in the 1970s, and have been refined over the years. These procedures often attract men who, despite having a normal-sized penis, suffer from ‘penile dysmorphophobia,’ a type of body dysmorphic disorder where they perceive their penis size as inadequate.

Understanding Penile Enlargement Surgery

How Does it Work?

Penile enlargement surgery works by altering the physical structures of the penis. During a lengthening procedure, the surgery entails the separation of the suspensory ligament, which links the penis to the pubic bone, allowing for increased hanging of the penis. On the other hand, girth enhancement usually involves injecting fat or other substances into the penile tissue or placing grafts around the shaft.

Types of Penile Enlargement Surgeries

Lengthening Surgery (Phalloplasty)

This surgery involves severing the suspensory ligament that anchors the penis to the pubic bone. Once this ligament is cut, the penis appears longer because more of it hangs down. However, cutting the suspensory ligament can cause an erect penis to become unstable.

Girth Enhancement

Girth enhancement can be performed using various techniques. Autologous fat injections involve obtaining fat—usually from the patient’s abdomen—purifying it, and injecting it into the penile shaft. Another method includes the use of allografts or dermal fillers. Some surgeries involve placing tissue grafts or silicone-based implants around the penile shaft.

Glanular Enhancement

Glanular enhancement involves injecting hyaluronic acid or another filler into the glans, or head, of the penis, making it appear larger.

Are You A Suitable Candidate?

Ideal candidates for penile enlargement surgery are men who feel that their penis size impacts their quality of life or mental health. Eligible candidates need to be above 18, maintain good physical health, and possess realistic anticipations about the outcomes.

The Procedure of Penile Enlargement Surgeryes

Pre-operative Measures

Before the surgery, the surgeon conducts a thorough medical examination and discusses the patient’s medical history, expectations, and possible risks. The patient should stop smoking, avoid taking aspirin or other anti-inflammatory drugs, and maintain a healthy weight.

Step-by-Step Procedure


The operation is usually performed under general anesthesia but can also be executed with local anesthesia paired with sedation.


In a lengthening surgery, the surgeon makes an incision in the pubic area. For girth enhancement, the incision can be in the abdomen (if fat is harvested) or in the penile shaft.


For lengthening, the suspensory ligament is cut. The harvested fat, graft, or filler is injected or inserted for girth enhancement at this stage.

End of Procedure

After the incisions are made, they are closed using sutures, and bandages are applied. On average, the entire procedure lasts around 1 to 2 hours.

Post-operative Care and Recovery

What to Expect After the Surgery

Post-operative discomfort is common, and medications are provided to manage pain. Swelling and bruising will occur but should decrease over time.

Possible Side Effects

Short-Term Side Effects

Short-term side effects include pain, swelling, bruising, and a temporary decrease in penile sensation.

Long-Term Side Effects

Possible long-term side effects include scarring, asymmetry, lumpiness, and dissatisfaction with the results. In some cases, the erect penis may become unstable.

Recovery Period

Most patients can return to work within a week but must avoid sexual activity and strenuous exercise for 4 to 6 weeks.

Efficacy and Results

Immediate Results

Immediate results can be seen, especially in terms of girth. However, swelling may distort the actual outcome initially.

Long-Term Results

The final results are usually evident after several months. Gains in length vary but are typically up to an inch. Girth increases depending on the technique and can range from 1 to 2 inches.

Risks and Concerns

Possible Complications

Potential complications include infection, bleeding, loss of sensation, inability to achieve an erection, and dissatisfaction with the results.

Addressing Common Fears

It’s important to discuss all concerns with your surgeon. By selecting a skilled surgeon and adhering to pre and post-operative instructions, it is possible to mitigate risks.

Penis Enlargement Surgery Cost

Factors influencing the cost

The cost can differ significantly, depending on the surgeon’s expertise, the specific procedure, and the geographical area. On average, the range is between $10,000 to $25,000.

Insurance Coverage

Most insurance plans do not cover penile enlargement surgery, which is typically considered a cosmetic procedure.

Alternatives to Penile Enlargement Surgery

Non-surgical Procedures

Fillers and Injectables

Non-surgical penile enhancement can involve dermal fillers or injectables similar to those used in facial aesthetic treatments.

Stretching Devices and Exercises

Devices like penis extenders or pumps can provide modest enhancements in size. Similarly, penile exercises like jelqing can be tried, although their efficacy is not scientifically established.

Psychological Counselling

For some men, dissatisfaction with penile size is more psychological than physical. Engaging in counselling and cognitive behavioural therapy can yield advantageous results.

P-Long Procedure

The P-Long method revolutionizes the field of natural and safe penis enlargement, backed by scientific and clinical validation. Unlike invasive surgeries or questionable treatments, P-Long offers a secure and effective alternative that protects men from the disappointments and risks associated with those methods. Developed by esteemed board-certified urologist Dr. Judson Brandeis, the P-Long Methodology employs a comprehensive approach, incorporating:

  • Injections of 6 PRP Platelet Rich Plasma 
  • AFFIRM Nitric Oxide Booster 
  • The RestoreX Traction Apparatus 
  • Dr. Joel Kaplan’s Vacuum Device

The P-long procedure is a non-surgical alternative to traditional penile enlargement surgeries. Instead of invasive procedures, the P-long technique involves PRP injections (P Shot), the application of a traction device to the penis, application of a penis vacuum device, and taking Nitric Oxide Booster. This procedure leads to an increase in length and girth over time. 

The process relies on the principle of tissue expansion, a naturally occurring phenomenon where the body generates new tissue in response to sustained stretch or tension. Users wear the traction device for several hours a day over months. The P-long procedure is painless and can be done at home, making it a convenient and less risky alternative to surgical enlargement methods. 

The efficacy of the P-Long protocol is not based on mere anecdotes or marketing tactics but is grounded in rigorous scientific research and clinical trials, notably the P-Long Study. This study is registered with the National Institutes of Health (NIH) at and has obtained approval from an institutional review board, an essential component for validating any scientific research involving human subjects.  MORE INFO

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Q & A

What is penis enlargement surgery?

Penis enlargement surgery, also known as penile augmentation or penile enlargement surgery, is a procedure aimed at increasing the length and girth of the penis.

Who is a good candidate for penis enlargement surgery?

A good candidate for penis enlargement surgery is someone who is in good overall health, has realistic expectations about the results, and has a genuine concern or desire for the procedure.

How does penis enlargement surgery work?

The procedure can involve various techniques such as suspensory ligament release, injection of fat cells, or the placement of silicone implants to increase the size of the penis.

What are the risks of the procedure?

As with any surgery, there are risks involved, including infection, bleeding, scarring, dissatisfaction with the results, and potential complications such as erectile dysfunction or damage to blood vessels.

What is the recovery time after penis enlargement surgery?

The recovery time can vary depending on the individual and the specific procedure. It may take several weeks for the swelling and discomfort to subside, and it is important to follow post-operative instructions provided by the healthcare provider.

Are the results of penis enlargement surgery permanent?

Although penis enlargement surgery can lead to a substantial increase in size, it is essential to acknowledge that the outcomes may vary and are not necessarily permanent.

Are there non-surgical alternatives to penis enlargement surgery?

Yes, there are non-surgical alternatives available, such as the P-Long procedure. P-Long includes the use of penis pumps, stretching devices, and injectables like PRP (Platelet-Rich Plasma). Clinical studies have shown an increase of one inch in length and half inch in girth after 6 months on the P-Long procedure.

What are some medical reasons for considering penis enlargement surgery?

Some medical conditions, such as Peyronie’s disease, where the penis is curved or bent due to scar tissue, may warrant consideration for penis enlargement surgery. It is important to consult with a physician to determine if the surgery is appropriate in such cases.

Are there clinical studies or scientific research on penis enlargement surgery?

There have been clinical studies and research conducted on various techniques and procedures related to penis enlargement surgery. These studies can provide valuable information about the effectiveness, risks, and outcomes associated with the procedures.

How can I find a qualified healthcare provider for penis enlargement surgery?

It is important to seek out experienced healthcare providers, such as world-renowned urologists or physicians with extensive experience in penile enlargement surgery. Referrals from trusted sources, online research, and consultations can help find a qualified healthcare provider.

Does insurance cover penis enlargement surgery?

In most cases, penis enlargement surgery is considered an elective cosmetic procedure not covered by insurance. It is advisable to check with the healthcare provider and insurance company to understand the coverage options, if any.

What are some of the personal needs that may lead someone to consider penis enlargement surgery?

Personal needs that may lead someone to consider penis enlargement surgery include concerns about self-esteem, body image, satisfaction with sexual intercourse, or addressing psychological distress associated with perceived inadequacy.

Can penis enlargement surgery help with erectile dysfunction?

Penis enlargement surgery is primarily focused on increasing the size of the penis and may not directly address erectile dysfunction. However, in some cases, the procedure may be performed alongside treatments for erectile dysfunction to address both concerns. It is important to discuss this with a healthcare provider.

Is a reputable organization providing information on penis enlargement surgery?

The American Urological Association and the Urology Care Foundation are reputable organizations that provide information, guidelines, and resources related to urological conditions and treatments, including penis enlargement surgery.

Are any known products or advertisements promising penis enlargement without surgery?

Various products, ads, and claims on the internet or other platforms promise penis enlargement without surgery. It is important to approach such claims cautiously, as many may be unsubstantiated or lack scientific evidence.

Can weight loss or exercise affect the size of the penis?

Weight loss and exercise can improve overall health and increase blood flow, which may positively impact erectile function. However, it is important to note that weight loss and exercise alone do not directly affect the size of the penis.

What is the role of the base of the penis in penis enlargement surgery?

The base of the penis is an important consideration in penis enlargement surgery as it provides stability and support. Procedures such as suspensory ligament release may involve the base of the penis to achieve increased length.

Are there any specific conditions that may affect the eligibility for penis enlargement surgery?

Certain medical conditions, such as bleeding disorders or uncontrolled diabetes, may impact the eligibility for penis enlargement surgery. A thorough physical exam and consultation with a healthcare provider are essential to determine individual suitability for the procedure.

What is the first FDA-cleared implant for penile enlargement surgery?

The Penuma implant is the first FDA-cleared implant for penile enlargement surgery. It is a silicone implant that is surgically inserted to increase the girth of the penis.

How does the Penuma procedure work?

The Penuma procedure involves making small incisions in the penile shaft and inserting a Penuma implant to increase both the girth and length of the penis. The implant is positioned under the penile skin and secured with stitches.

Are there affiliates or support groups for individuals considering or who have undergone penis enlargement surgery?

Online communities and support groups exist where individuals can connect with others who have either undergone or are contemplating penis enlargement surgery. These platforms can provide a space for sharing experiences, asking questions, and offering support.

Can the P-long procedure be considered an alternative to surgical penis enlargement?

Yes, the P-long procedure involves PRP (P shot) injections, using a penis vacuum device, using a traction device to stretch the penis over time and is a non-surgical alternative to traditional penile enlargement surgeries. It is a less invasive option that can increase stretched penis length.

What is the role of blood flow and blood vessels in penis enlargement?

Adequate blood flow is crucial for erectile function and overall penile health. Penis enlargement surgeries aim to enhance the size of the penis while maintaining proper blood flow and the integrity of blood vessels.

Is the cost of penis enlargement surgery standardized, or does it vary among healthcare providers?

The cost of penis enlargement surgery can vary among healthcare providers based on their expertise, geographical location, the specific technique used, and the extent of the procedure. It is important to discuss the cost with the chosen healthcare provider.

Can penis pumps or vacuum erection devices help with penile enlargement?

Penis pumps, also known as vacuum erection devices, are primarily designed to assist with erectile dysfunction by drawing blood into the penis. The penis vacuum therapy is part of the P-Long procedure.

What role do clinical studies play in advancing the field of penis enlargement surgery?

Clinical studies provide valuable insights into the safety, effectiveness, and outcomes of different penis enlargement procedures. They contribute to the scientific understanding of the field and help guide healthcare providers in offering evidence-based treatments.

Is it necessary to schedule a consultation with a healthcare provider before considering penis enlargement surgery?

Yes, scheduling an appointment with a healthcare provider, such as a urologist or a physician experienced in penile enlargement surgery, is essential. The consultation allows for a comprehensive evaluation of individual needs, discussing potential risks and benefits, and exploring suitable treatment options.

Can low self-esteem be a motivating factor for considering penis enlargement surgery?

Low self-esteem regarding penis size can motivate individuals to consider penis enlargement surgery. Addressing the psychological impact and providing support are important aspects of the overall care and decision-making process.

Can penis enlargement surgery address problems related to Peyronie’s disease?

Penis enlargement surgery is not specifically designed to address the curvature or other issues associated with Peyronie’s disease. However, in some cases, surgical techniques used in penis enlargement procedures may be combined with corrective procedures to address both concerns. It is best to consult a healthcare provider to discuss appropriate treatment options for Peyronie’s disease.

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Key Considerations Before Opting for Surgery

Before opting for surgery, realistic expectations are essential, understanding the potential risks and considering non-surgical alternatives.

Penile enlargement surgery can enhance a man’s confidence and sexual satisfaction. However, a significant decision should be made with thorough understanding and consultation with a qualified surgeon. Safer non-surgical alternatives such as the P-Long procedure is recommended before embarking on surgical solutions.


Scientific Studies

  1. Veale, D. et al. (2015). “Am I normal? A systematic review and construction of nomograms for flaccid and erect penis length and circumference in up to 15,521 men. BJU International, 115(6), 978–986.”
  2. Elist, J. et al. (2019). “Penile Girth Enhancement With Polymethylmethacrylate-Based Soft Tissue Fillers. The Journal of Sexual Medicine, 13(9), 1437–1447.”

Further Reading

  1. Wylie, K., & Eardley, I. (2007). “Penile size and the ‘small penis syndrome.’ BJU International, 99(6), 1449–1455.”
  2. Mondaini, N., et al. (2002). “Penile length is normal in most men seeking penile lengthening procedures. International Journal of Impotence Research, 14, 283–286.”
Introduction to Penile Enlargement Surgery
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