In uro-genital reconstructive surgery, an increasing number of men seek help because they are dissatisfied with their size and would like a larger penis. The first and most important point is that your penis is very likely to be entirely normal in both length and girth. You probably do not have a small penis, and it is not essential to have the largest penis possible. It is also important to remember that every operation can cause complications. Do not attempt any home method intended to “stretch” or thicken the penis. Do not turn to unqualified individuals and never agree to an informal or non-sterile injection of substances such as petroleum jelly, paraffin or other materials.
The most widely used lengthening method is ligamentolysis, in which a ligament attaching the penis to the pubic bone is divided. Penile lengthening surgery most often increases visible length by a few centimetres, with a larger change in the flaccid state and a much smaller change during erection. The visible result may be enhanced by surgically exposing more of the penile base from the fatty tissue of the pubic area or by reducing fat in this region with liposuction.
The corpora cavernosa may also be lengthened or augmented using implanted materials. Methods can be used alone or in combination according to individual needs and anatomical possibilities. Penile diameter or girth may be increased by several techniques, including fat transfer (lipofilling), injection of fillers such as hyaluronic acid, PLGA scaffolds and implants. Possible complications include penile deformity, asymmetry, shortening, skin or connective-tissue necrosis, wound infection, disfiguring scars, migration of injected material and other unwanted tissue reactions.
Further information is available on the English-language website of our partner centre.