Q: I am looking into options for penis enlargement. Can you tell me about the options and the side effects?
A: Almost every man, porn stars included, would in theory want to increase their manhood. But before we get to the possible ways to lengthen and/or widen your disco stick, there is an important thing to consider. Many men think they are "less than average" in size, but the typical erect penis is usually five to six inches long with a circumference of four to five inches. Does that sound familiar?
There is a psychiatric diagnosis known as `penile dysmorphic disorder,´ where a man will never be satisfied by the size of his member. In other words, if you are average or above average and still obsessing about your penis size, you may want to talk with your doctor about any possible psychological reasons for your fixation rather than embarking on any of the options discussed below. When it comes to penile enlargement, there are non-surgical and surgical options.
*The best and safest non-surgical option is simple; lose those extra pounds. Not only with this enhance your overall health and sexual stamina, but it will also allow for more of your shaft to show beneath the lower abdominal fat, giving the satisfying illusion of increased size.
*Other options include the vacuum pump (popularized by Joe Manganiello in the hit film "Magic Mike"); stretching with weights; and pills, supplements, and creams as advertized online and on late night television. But beware, each of these has several drawbacks. The pump will only make your penis as large as it gets with a normal erection and using it for too long or keeping the cock ring on afterwards for an extended time can cause tissue damage. In addition to being potentially dangerous, the weight stretching must be done for up to eight hours a day and can take months for an effect, which would be about ½ an inch at most. This process also comes with significant risk of tearing the delicate tissues and blood vessels in the penis.
*The final non-surgical options being the pills, supplements, and creams, and none have these have shown any evidence of benefit and would really just be a waste of your time and money.
*Surgical options are not well studied, and they all come with risks of nerve damage, reduced sensitivity, erectile dysfunction, infection, and scarring that can actually leave the penis SHORTER than before the procedure. The most common procedure involves cutting the ligament that attaches the penis to the pelvic bone. Another option involves disconnecting the part of the scrotum that attaches to the base of the penis, and then reattaching the scrotal skin further down to reveal more of the shaft. Finally, a surgical option for widening the penis involves implanting fat or silicone, but this can leave the penis looking a bit lumpy and bumpy.
In my opinion, the options for penis enlargement are not significantly encouraging at the present time. You should discuss all these options with your doctor and a urologist who specializes in these treatment and procedures. However, the studies are minimal and the side effects can be severe, so think long and hard before you undertake the endeavor to increase the size of your member. Remember, it´s not the size of the boat, but the motion in the ocean that makes the man. -- Bryan McColgan, M.D.