Penis implant: Is it possible to surgically enlarge the penis?

Have you ever wondered: how can I surgically enlarge my penis? I’m Dr. Sébastien Beley, a urologist and andrologist based in Paris, specializing in male sexual health. Today, I want to address a question frequently asked by my patients and many men: is it really possible to enlarge the penis surgically, especially when erect? This question is at the heart of many discussions, often surrounded by myths and sometimes unrealistic hopes. In this article, I will explain in detail the current medical options, the limitations of surgery, the associated risks, and the existing alternatives.

The central question: can the erect penis be enlarged through surgery?

The answer to this question is not simple and depends on the perspective adopted. From a strictly safety standpoint, surgery to enlarge the erect penis is not recommended and, in routine practice, is not performed. However, if a patient is willing to assume all the risks, some surgical procedures exist, but they are invasive and complex, and their use is very limited.

In practical terms, there’s a surgical procedure that involves grafting an artificial material to lengthen the corpus cavernosum, the internal structure of the penis responsible for erection. This surgical procedure is highly invasive: it involves detaching the gland (the head of the penis) and the urethra from the corpus cavernosum to enable this gain in length. This type of operation is reserved only for very specific pathological situations, such as :

  • True micropenis, i.e. a medically abnormally small penis.
  • Placement of a penile implant after a serious injury or illness resulting in loss of penile volume.
  • Some cases of severe Lapeyronie’s disease with significant retraction.

However, it is important to emphasize that surgery to enlarge the penis for purely cosmetic reasons, in an otherwise healthy man, is neither recommended nor performed in the majority of cases. The risks and potential complications are significant, and the results are often disappointing.

The limits of simple surgery: sectioning the suspensory ligaments

Another type of intervention often mentioned in discussions is the sectioning of the suspensory ligaments of the penis. This technique involves cutting the ligaments that attach the penis to the pubis, which can give the illusion of penis lengthening at rest.

It’s important to understand that this technique does not alter the length of the erect penis. Indeed, it only increases the visible length of the penis at rest, as the penis is suspended lower, but the functional length when erect remains unchanged. In addition, this procedure can lead to complications such as :

  • Instability of the penis during erection, which can affect sex life.
  • Arisk of scarring and chronic pain.
  • The aesthetic result is sometimes disappointing, with a hanging penis and no real gain in functional length.

For these reasons, I strongly advise against this procedure if it is intended purely for aesthetic purposes or to lengthen the erect penis.

Medical alternatives: volume enhancement using less invasive techniques

If the goal is to enlarge the penis, particularly in girth, there are medical procedures less invasive than surgery. These techniques aim to increase the diameter of the penis, which can indirectly give the impression of volume and sometimes a visual effect of lengthening when flaccid.

Penile fat grafting (lipofilling)

Lipofilling involves taking fat from another part of the body and injecting it into the penis. Performed under local anaesthetic, this techniqueincreases the volume of the penis. It offers several advantages:

  • Minimally invasive procedure compared to major surgery.
  • Improved penis diameter and volume at rest.
  • Low risk if performed by an experienced surgeon.

However, this method is not without risks, such as partial resorption of the injected fat, the formation of nodules or cysts, and the risk of inflammation. What’s more, it does not alter the length of the erect penis, but can contribute to a more massive and therefore visually impressive effect.

Medical and injectable treatments

There are also medical treatments based on injectable products, but their effectiveness is limited and temporary. They are not a substitute for surgery, and should only be considered after a thorough assessment and in-depth discussion with a specialist.

Risks and complications of enlargement surgery

It is crucial to understand that any procedure to alter the size or shape of the penis involves risks:

  1. Infection: As with any surgery, there is a risk of infection, which can seriously compromise sexual function.
  2. Scars and chronic pain: unsightly or painful scars can appear, affecting quality of life.
  3. Impaired erectile function: Certain procedures can damage nerves or blood vessels, resulting in erectile dysfunction.
  4. Disappointing results: The actual gain in length or volume is often less than the patient had hoped.
  5. Penile instability: especially after the suspensory ligaments have been severed, the erection may be less stable.

These risks must be clearly explained to any patient considering such an operation. Caution is advised, and it is essential to consult an experienced urologist-andrologist for a personalized assessment.

The professional perspective: why I advise against penis enlargement surgery

As a specialist in men’s sexual health, my opinion is clear: surgery aimed solely at lengthening the erect penis is neither a satisfactory nor a safe solution for the majority of men . Extensive procedures carry too many risks, and simpler interventions produce only a limited effect at rest, with no real benefit during erection.

Instead, I recommend considering medical solutions tailored to each individual case, including treatments to improve erectile function, or volume-enhancing procedures under local anaesthetic, which offer a better benefit/risk ratio.

Tips for men who want to improve their confidence and sexual health

Penis size is often a source of concern, but it’s important to remember that sexual satisfaction doesn’t depend on this aspect alone. Self-esteem, communication with the partner, and general health play a fundamental role.

  • Consult a specialist: A urologist-andrologist can help you understand the real options for your situation.
  • Avoid miracle solutions: Beware of promises of spectacular results, especially on the Internet.
  • Work on your confidence: Sexuality is complex and multifactorial. Talking about your concerns is often the first step towards a better sex life.
  • Explore medical treatments: For erectile dysfunction and other disorders, effective solutions exist.

Conclusion

In summary, while surgical procedures exist to enlarge the penis, they are reserved for specific medical cases and are not recommended for purely aesthetic reasons. These invasive techniques carry significant risks and do not guarantee a satisfactory increase in erection length.

Less invasive alternatives, such as lipofilling , can enlarge the penis and improve visual perception, but they do not alter erect length. Any decision should be made after careful consideration and a thorough consultation with a specialist.

Finally, sexual health is much more complex than penis size. Working on all the physical, psychological and relational aspects is essential for a fulfilling sex life.

To find out more about men’s sexual health, don’t hesitate to consult specialized resources on a regular basis, and surround yourself with competent professionals.

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