Penis enlargement

Sexual medicine treatments

Penis Enlargement

The growth and development of the penis begins at birth, but is most noticeable as a general rule at the age of 13 years and reaches its maximum length around 18 years.

Penis Enlargement

Table of Contents

Definition

Anatomy and development of the penis

The penis is the main male sexual organ. The “trunk” of the penis consists of two corpus cavernosa (cavernous bodies) and a spongy body that ends in the glans.

The corpus cavernosa

The corpus cavernosa are composed of an erectile tissue that is filled with blood during an erection, thus lengthening the penis and giving it firmness. These bodies are covered by a tissue called "tunica albuginea". The cavernous bodies border the pubic bone, where they are anchored as well as the glans.

The spongy body

The spongy body prevents the urethra which is the tube through which urine and semen are expelled, from being compressed during the erection. This body is found in the urethra and in the distal part that forms the glans.

The growth and development of the penis

The penis starts growing and developing from birth, but is generally most noticeable at the age of 13 years before reaching its maximum length at over 18 years. The penis rarely continues to grow a few years after.

General anatomy of the penis.

alargamiento de pene
Medical Evaluation

Sizes of the penis. What is considered a small penis? And how is the penis measured?

alargamiento de pene

What is a small penis?

At this point, it must be said that what is considered a small or large penis is very relative. Always remember that average penis sizes vary among different ethnic groups. With Europeans considered as a “social group”, detailed studies indicate that the average penis sizes of citizens differ by a few centimeters between the different countries.

We could say that the average penis size for Europeans is around 13 cm in length and about 3.8 cm in diameter or thickness in the state of erection.

According to a study by the Spanish Association of Andrology, we could consider that the sizes of Spanish penises are as follows:

Although it may seem obvious, it is important to clarify that there is no proven relationship between penis size and masculinity, virility or male reproductive capacity.

How is the penis measured?

The penis is “officially” measured using the upper part from the pubis to the tip of the glans.

Also, whatever size considered a small or large penis is very relative and personal. It differs very much from couple to couple.

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DOES THE SIZE MATTER?

Psychological and physiological effects: small penis Does size matter?

This may be one of the questions that all men pose at some point in their lives in relation to their masculinity. Does the size of my penis matter? Do I have a big or small penis?

In general terms, you have to be objective and you can approach the answer technically, with a scientific basis. Size is important, but not so much.

Physiological effects in patients with small penises

The first point to consider which is the most obvious, is if a patient has a penis so small that it can be called a “micropenis”, causing difficulty during sexual activity or in some dramatic cases. the impossibility to penetrate.

The second important consideration recognizes that sex should be pleasant for both partners. We must say that the vagina is full of nerve endings. Logically, stimulating more nerve endings during penetration leads to more pleasure for the woman.

How is the penis measured?

The penis is “officially” measured using the upper part from the pubis to the tip of the glans.

Also, whatever size considered a small or large penis is very relative and personal. It differs very much from couple to couple.

Psychological and physiological effects: small penis

The first point to consider which is the most obvious, is if a patient has a penis so small that it can be called a “micropenis”, causing difficulty during sexual activity or in some dramatic cases. the impossibility to penetrate.

The second important consideration recognizes that sex should be pleasant for both partners. We must say that the vagina is full of nerve endings. Logically, stimulating more nerve endings during penetration leads to more pleasure for the woman. Here, you must also realize that women have different vaginal sizes and sensitivity levels. So, in this regard, a very small penis will find it difficult to stimulate certain areas, although there are always positions that favor the stimulation of different areas of the inner walls of the vagina.

Therefore, the question should be more personalized. For instance, How important is penis size FOR ME, or in MY particular relationship with my partner?

The third point to consider is the psychological effects caused by the size of the penis:

Here, we must differentiate between what men think of their penises with regards to women and their thoughts with regards to other males.

With regards to women, men with small penises tend to have more difficulty when it comes to getting undressed and having sex. This is often related to the fear of rejection and ridicule which ultimately affects erection (as revealed by some patients themselves) because they consider sex as something stressful.

With regards to other men, we must reiterate the fact that there is no relationship between masculinity and penis size although many generally think so. Men usually look at the sizes of other men’s penises, to get an idea of whether their size is correct. There are many places where this is common, but it occurs mainly in public changing rooms and toilets, in the gym, in the sports club, or on many occasions since youth in schools and other institutions.

“We can say in general terms that men are very concerned about this matter, and it is usually the patients themselves who are the most “self-critical”, giving so much importance”

"We can say that men, in general terms, are very concerned about this matter, and it is usually the patients themselves who are the most 'self-critical', who give the most importance to their virile member."

Treatment

Pretreatment conditions

Before proposing a penis enlargement treatment or any surgical intervention, Dr. Natalio Cruz studies the details of each case, performing a physical examination and an in-depth evaluation. Every single aspect necessary for success will be discussed with the patient. Each penis is different with varying shapes and sizes, and there may be several associated pathologies that we must know before going to the operating room. There is definitely no standard, thus, making this section of previous conditions very important when talking about penis enlargement.

The doctor must have a perfect knowledge of the patient’s general state, whether there have been any previous treatments and of course, know everything from their age, health, possible diseases, and intolerances to any particular allergies the patient may have.

The physical aspects are logically the most important: the size and current shape of the penis and pubis, including their anchors and elasticity.

"Surgical penis enlargement techniques are the most effective and safest solutions with long-lasting results. We strongly discourage massage and manual manipulation techniques such as jelqing that can lead to very serious structural problems that make erection impossible."

“No hay método más eficaz, duradero y seguro que las técnicas quirúrgicas de alargamiento de pene. Advertimos de forma tajante contra las técnicas de masajes y manipulación manual como el jelquing que pueden desembocar en gravísimos problemas estructurales que imposibiliten la erección.”

The resulting final characteristics between the patient’s expectations and the “real” possible result must be well specified. The best way to avoid a disappointing result is to give realistic information about potential outcomes. We must never promise what is impossible to achieve.

The psychological aspects of the different cases must be studied and taken into account. Some patients have great fears and previous insecurities that deeply affect their conscious decisions.

The doctor must have a perfect knowledge of the patient’s general state, whether there have been any previous treatments and of course, know everything from their age, health, possible diseases, and intolerances to any particular allergies the patient may have.

The physical aspects are logically the most important: the size and current shape of the penis and pubis, including their anchors and elasticity.

Surgical penis enlargement techniques are the most effective and safest solutions with long-lasting results. We strongly discourage massage and manual manipulation techniques such as jelqing that can lead to very serious structural problems that make erection impossible.”

The resulting final characteristics between the patient’s expectations and the “real” possible result must be well specified. The best way to avoid a disappointing result is to give realistic information about potential outcomes. We must never promise what is impossible to achieve.

The psychological aspects of the different cases must be studied and taken into account. Some patients have great fears and previous insecurities that deeply affect their conscious decisions.

The doctor will need detailed information about the patient’s lifestyle: Whether it is healthy or not (Tobacco, alcohol, diet, obesity, sports).

All this and much more is clarified during the first consultations and pretreatment examinations conducted by Doctor Cruz under a strict ethical and moral professional code, which of course, includes absolute discretion with a deep respect for privacy and confidentiality.

OPINION

Real testimonies from our patients

Emilia Clarke
SURGICAL TECHNIQUE

Surgical enlargement techniques – correct indication

1) Surgical technique of penis enlargement. Augmentation Phalloplasty

Surgery of the suspensory ligament: Today, the penis enlargement operation can be considered very SAFE and relatively SIMPLE. However, it is very important that you consult with experts and high-quality professionals. This implies that such operations require more focus on who performs the surgery rather than how much it is going to cost because a bad result does not equate to an economic saving which can come from a “cheap surgeon” or a clinic that offers the operation at a “low cost”

This enlargement surgery affects the section of the suspensory ligament of the penis located in the dorsal and basal part of the penis. It is about advancing this and setting it in an advanced position to the lower and anterior part of the symphysis pubis. A deep dorsal incision of about 2.5 cm/ 3 cm is made in the scrotum, which will later be covered by pubic hair. We advance the non-visible part of the penis (“buried” in the pelvis) outwards, gaining between 2 and 4 cm in length depending on each case. In this step, we get to lengthen the external part of the penis and correct any curvature that might exist. The blood vessels and nerves are completely intact.

Only part of the penis protrudes from the body, the rest is hidden in the abdominal wall and is attached to the pubic bone through the suspensory ligament.

In the surgery, an incision is made in the pubis and the suspensory ligament is divided, so that part of the intra-abdominal penis hangs out

After the surgery, a distractor should be used, which “stretches” the penis downwards to help sagging and prevent the penis from retracting upon healing.

This operation lasts approximately 2 hours. And the patient can leave the hospital 5 hours after the surgery, although it is sometimes recommended to spend at least one night in the center.

2) Surgical technique of pubic fat reduction: liposuction, tummy tuck, liposculpture.

These techniques involve the removal of accumulated fat around the pubis. The more obese the patient is, the more changes will be noticed since this fat tends to bury and hide part of the body of the penis. A considerable part of the penis body could be buried under fat and this technique can help you gain up to 2 cm in length.

Pubis liposuction technique 

Pubis liposuction technique 

These operations are simple and risk-free and could last about an hour, although they are usually never isolated. They are often combined with the suspensory ligament release technique explained above and with other penile corporoplasty techniques.

The combined use of different techniques in the same patient is what guarantees the best possible results, not only from an aesthetic point of view and size gain (enlargement) but also from a cosmetic and functional point of view.

The functional aspect of the penis is fundamental. Unlike other parts of the body that are only looked upon with an aesthetic sense, the penis has a very important function and some peculiarities that make it unique and irreplaceable. Both the urinary and sexual functions of the penis are expected to develop and this is particularly complex, since it has to change size and adapt to the different ages of men.

In our opinion, undertaking these penile surgeries with guarantees in renowned aesthetic centers ensure the presence of a professional in Urology responsible for proper functionality. The fact that ANDROMEDI is a renowned urological and surgical center guarantees special attention to these functional aspects.

At ANDROMEDI, it is always keenly remembered that the aesthetic results and the increase in size should NEVER be done with any risk on the functionality. It is useless to gain a centimeter at the expense of deteriorating the function. In fact, we firmly believe we should never risk an erection, penis sensitivity or the sexual health of a patient for a purely aesthetic issue.

In addition to penis enlargement (length, cms long) we also receive many queries on penis thickening, a technique that aims to increase the thickness or width of the penis. Today, it is a technique that must be used with care and in specific patients, and should not be indicated indiscriminately, as we discussed in this article. Is it possible to increase the thickness of the penis? How is the surgery? Is it safe?

Scrotoplasty 

Scrotoplasty 

Scrotoplasty 

The care, before and after the surgery are extremely important

Postoperative and Care

In some cases, during the first phase of the postoperative period, patients are recommended to use a special bandage provided by the ANDROMEDI team, to protect and heal the penis. This is often in addition to using an extender for a while (depending on the case), to maintain the new shape and advanced position of the penis until its definitive healing.

Logically, (and if we see it necessary) the patient is given antibiotics and analgesics to help heal quickly, safely and as painlessly as possible.

During the postoperative period it is very important to live a healthy lifestyle: optimized genital hygiene (we give you the steps to follow during consultation), patients are advised not to smoke or consume alcohol during the first weeks and must avoid exercises that may affect the operated area. That is to say, no sports, no carrying heavy items, and maintaining enough rest.

A crucial point is refraining from sexual activity in the first 3-4 weeks. Depending on each case, it might be a few days more or less. This will be assessed during your reviews with Dr. Natalio Cruz.

Once this time elapses, certain specific exercises with your penis will be recommended as each case may require, in addition to some individualized treatments.

RISKS

Risks of the penis enlargement operation: caution

The greatest danger in lengthening the penis surgically involves the excessive formation of scar, which often leads to the extended part of the penis being pushed back into the body during the healing phase. This formation of excessive scarring can be reduced considerably through special surgical techniques and a non-traumatic procedure.

This peculiarity makes the surgical technique of penis enlargement, which may seem easy in itself, best to be carried out only by experienced specialists. As already mentioned above, the presence of a urologist in the surgical team with a special dedication to Andrology guarantees in ANDROMEDI that adequate vigilance and special care are invested towards preserving the function of the penis.

In our center, we can guarantee that there are no risks related to the erection of the penis or its sensitivity. And at no time is the “erectile” tissue manipulated.

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RESULTS

Results

There are no miraculous treatments when it comes to penis enlargement. All techniques have a maximum result threshold. Although we could talk about a 95% chance of increasing your penis which will be perfectly functional, realistically, the lengthening usually ranges between 1.5cm and 3cm.

It is important that the patient understands this and could doubt other centers that claim to guarantee results of 5cm or 6cm (they never realize this in reality). In the Andromedi Clinic, we are very clear on this subject. Our seal of quality backs us and is based on long years of experience in this field.

We insist that patients be careful about the use of medicines and creams sold in the market as miraculous products without having to undergo surgery. Generally, these products have very little or no effectiveness.

After our surgical interventions, many patients send us their thanks and tell us “without going into detail” their new experiences in their sexual lives and in many cases their first satisfactory sexual relationships.

The two concepts that we hear most from our patients after the penis enlargement operation are “more confidence and greater self-esteem”. These types of comments are some of the factors that drive us to continue with our work investigating new techniques and solutions to the most common problems of patients daily.

Dr. Natalio Cruz

Author

Dr. Natalio Cruz


El Dr. Cruz, con 25 años de experiencia médica, ha sido hasta 2016 Jefe de la Unidad de Andrología en el Servicio de Urología del Hospital Virgen del Rocío de Sevilla, Coordinador Nacional de Andrología de la Asociación Española de Urología (AEU) y Secretario General de la ESSM, cargos que ha delgado para centrarse de lleno en el ilusionante proyecto de ofrecer una consulta médica privada de alto nivel en Sevilla.

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