In this episode, Dr. Rena Malik, MD explores the surgical options available for increasing penile length, shedding light on the ...

is-surgery-really-the-best-way-to-a-longer-penis

Is Surgery Really the Best Way to a Longer Penis?

let's talk about surgical options now I generally don't recommend surgical options for increasing penal length at this time because complications are generally high and this is your penis and so I would hate for someone to go get something done to increase their penil length to only have a complication that makes them unhappy so let's start with suspensory ligament incision so this surgery essentially cuts a ligament that attaches the penis to the pubic bone and this ligament releasing this ligament and cutting a little piece of the ligament allows the penis to hang longer and so what that means is that it will appear longer in the flaccid State however because you've now cut that ligament it may be a little less stable so what this means is if it's less stable when you're trying to have intercourse there is a little bit of a higher risk of injury also after surgery you would need to continually sort of stretch the penis to prevent reattach attachment of that ligament or scar tissue from forming between the two ends of the ligament that will then essentially do exactly what it was before or maybe even make it appear a little shorter and then there's also risk because that area is essentially very close to where the nerves to the penis are they're at the dorsal aspect or the top aspect of the penis and so this can then potentially risk changes in sensation although rare it can also risk penal def formity or potentially erectile dysfunction if those nerves are affected now what is the result in small studies they've looked at this they've seen an increase of about 1.4 cm in length but when they looked at satisfaction it was generally low about a third of men were actually satisfied with the results of their surgery because again 1.4 CM after undergoing a surgery and then having an unstable penis may not be very desirable next up is a penal silic cone sleeve implant this is an FDA cleared device that is used for cosmetic augmentation of the penis or correction of penal deformities now it is basically inserted underneath the skin in a pocket pocket underneath the skin of the penis to then allow the appearance of a longer and girthier penis and it is cut to fit you specifically so there's a relatively new study that came out this year in 2024 looking at outcomes in this study they had 299 men who underwent this implant between 2020 and 2022 and they looked at their outcomes the good part about the study is they weren't just from one surgeon they actually had four different surgeons who were all performing this surgery on average they saw really impressive increases about 4.1 CM increase in length and a 3.4 CM increase in girth but there were complications over 5% had flaring of the implant meaning it was sort of flaring out and so they required surgical revision 5% had a erosion meaning they saw it actually come out of the skin and had to remove the implant 2% had a Thoma which is fluid building up and usually that's not a huge issue uh 1.3% had infection and when you have an infection with an implant usually that means you have to remove the entire thing now I will say these results sound really good but as a urologist who speaks to other urologists and sees patients who've had this surgery I will say when I see patients who have complications they're not small complications they are relatively life ing complications for these patients and so I would really take your time to consider the risks and benefits because if a risk is 5% but it happens to you it happens to you and so I tell patients this all the time even before I see them for surgery is I'm going to tell you these risks they're relatively rare but if it happens to you it happened to you 100% it didn't happen to you 5% and so it's really important to think about those things before you have a major reconstructive surgery but again these are cosmetic surgeries and so any cosmetic surgery whether it's plastic surgery panile lengthening you have to really seriously consider the potential for risk next up we have fat grafting or dermal graphs these surgeries are essentially meant to increase girth they're taking parts of your body your dermis or your fat to then attach to your penis and increase girth this sounds great right because we're not taking anything forign we're not putting an implant in we're actually using your own tissues however the results have been relatively modest they've seen at least a temp temporary increase in girth of somewhere around 2 to 3 cm however they see that that does decrease over the course of at least the first year and they're seeing that that girth is maintained about 60 to 80% in the first year but we don't know long-term effects and of course there are risks there's risk that it could have an uneven distribution you could still get infections um you can develop nodules from sutures or from your body's reaction to those tissues even though that's less likely and as I mentioned some of this your own tissue may be reabsorbed by your body meaning that the girth may not be maintained over the course of time in terms of other surgical options there are many that have been described in literature for very small subsets of patients it has not been done in a large number of patients who are healthy who are just seeking penal augmentation so if you find a surgeon that tells you a surgery that you could get to increased penal length ask them how how many patients have they done it on what is their complication rate and have them list all the possible complications and before you decide to go ahead with this surgery also look up the surgery see if you can find the studies yourself you can Google things like on PubMed which is a essentially a Google search for people to look up articles or go to scholar.google.com and type in the surgery you are considering to find if there are published data on this surgery now in terms of other things that you can do if you are feeling like you're struggling with penal length well first and foremost as I mentioned earlier focus on your overall health because as you get a better overall health things will improve so work focus on getting a healthy unprocessed diet which includes a good amount of protein and fiber on a regular basis make sure to exercise 150 minutes of aerobic exercises a week and that if you are not active can be as simple as going for walks it does not need to be more intense than that at this point now as you become more healthy and are used to doing 150 minutes of excess walking then you can add on more cardiovascular exercise which will be good for your heart and include resistance training of at least two to three times a week and trying to hit all your major muscle groups now these are sort of basic things everyone should be doing them for their health but if you're worried about your penis there is reason to do these things because they will increase your pile length as you lose weight you will see more pile length now I get it media makes a big deal about having a long penis they joke about it they talk about it they make comments about it it makes people feel really insecure and just like women feel insecure about breast size or butt size or whatever men feel insecure about penis size this is a normal occurrence as I mentioned very early on in the podcast more than half of men are dissatisfied with their penal size and their penal size size is largely normal based on the data we have so one is what is making you concerned about your panl length if you are with a partner communicate with them about what they enjoy and what they don't how can you make sure that you are both achieving pleasure and as I've mentioned on this podcast many times and in my YouTube channel is that the clitoris is the most common and reliable source for orgasm for women which does not require a penis to be penetrating the vagina that can be done with oral manual vibration a whole host of stimulation that does not necessarily require penetration and so you and your partner can have wonderful amazing connections pleasure joy and sexual encounters with a even under average penis so it doesn't matter for the purposes of that now yes there are absolutely women who prefer a larger penis likely because they do derive a significant amount of pleasure either from stimulation of the G erogenous Zone which is on the anterior wall of the vagina or the top of the vagina near the urethra or the cervix and in those women you may need to get more creative you may need to bring toys in the bedroom with you and that doesn't mean that you're less of a man that means that you are prioritizing your partner's pleasure and that is unbelievably sexy and if at the end of this video you are still considering doing something to increase penal length I would strongly encourage you to try non-invasive options first and the one that I would recommend at this point would be panal traction device there's a whole variety of them on the market and I plan on making a video about penal traction devices and the different options available on my YouTube channel so if you are not subscribed there already please do hit that notification Bell so you don't miss the video when it comes out from me if you guys have been enjoying my content do me one solid favor go on Spotify or apple podcast wherever you consume your podcast content and leave me a rating or review this goes a long way in helping people find my podcast and get access to Accurate evidence-based information about their health and as always we're going to take care of yourself because you're worth it

Dr.

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