Penis Lengthening is a surgery to correct the size and length of the penis, aiming to increase confidence and satisfaction in sexual intercourse. Generally, a short penis may be related to several factors.
For example, genetics may cause a naturally very short penis, which remains short even after adolescence. Certain diseases can cause the penis to shrink, such as Peyronie’s disease. Increased body weight with fat accumulation around the pubic area can make the part of the penis protruding from the body appear shorter because the base of the penis thickens.
Why is the Penis Short?
Generally, a short penis is usually congenital rather than caused by other factors. However, a short penis can still increase in length significantly when erect during sexual arousal.
Therefore, measuring the length of the penis should consider both the flaccid and erect states. Even if the flaccid length is very small, if the erect length is sufficient, there is usually no problem.
The surgery to increase length can add about 2-4 cm in the flaccid state and about 1-2 inches in the erect state. The length cannot be increased excessively because it may endanger the blood vessels and nerves responsible for penile sensation.
Lengthening the Ligament that Supports the Penis
The penis consists of three core columns (as shown in the picture). The two upper columns serve as the main structural support of the penis and are attached to the pelvic bone.
About 2-3 cm of the penis is attached to the bone before it protrudes from the body. At the attachment point between the penis and the bone, there is a very strong ligament that secures the penis to the bone.
This surgical technique involves cutting and extending the ligament that attaches the penis to the pelvic bone, allowing the part of the penis attached to the bone to protrude outside the body.
The increased length comes from extending this part. However, the ligament can only be cut up to the edge of the pelvic bone and no further, as cutting beyond this may affect blood vessels and nerves, potentially causing loss of sexual function if not done carefully.
Therefore, the length can increase by about 1-3 cm, depending on the original size of the penis. That is, if the original penis is longer, the part attached to the bone will be longer than in someone with a shorter penis. Hence, those with longer penises will gain more length than those with shorter ones.
The result of this surgery is that the penis will retain the same sensation as before, can become erect, and can be used for intercourse, but the angle during erection will change.
Before surgery, the angle of the erect penis relative to the body is generally about 90-120 degrees. After surgery, this angle decreases to about 70-90 degrees but normal intercourse is still possible, except in some positions that may cause difficulties.
Lengthening the Core of the Penis
This technique is complicated and is used for those who have already undergone the above technique but still find their penis too short. The surgery involves making an incision at the tip of the penis, pulling down the foreskin, separating the blood vessels behind the nerves from the core of the penis, then surgically lengthening the core of the penis before closing the wound using the walls of veins or skin.
Consulting a Doctor Before Surgery
- Before the consultation, prepare photos of the penis in both flaccid and erect states, along with measurements in both states.
- Certain chronic diseases, such as diabetes, affect wound healing and should be discussed with your primary doctor before deciding on surgery.
- If you smoke or have vascular diseases, it may affect wound healing. You may need to choose a technique with minimal incisions. Generally, it is recommended to stop smoking 2 weeks before surgery.
- Those who have injected foreign substances should be cautious as these affect wound healing. Decide where to make the incision—either at the foreskin or the base of the penis.
- If you want a circumcision, it can be done simultaneously.
- If you want to increase the size of the penis, it can also be done simultaneously, but care must be taken regarding the incision. Generally, if fat injection is used for size increase, the incision should not be made on the foreskin.
- Check the pubic bone area for excess fat. If there is a lot of fat above the base of the penis, liposuction can help increase the apparent length of the penis somewhat.
Preparation Before Surgery
- Wear loose clothing.
- Stop smoking or taking painkillers 10 days before surgery.
- Prepare to take about 3 days off work.
- Shower before coming for surgery.
- Shave the hair around the penis on the day of surgery.
- If you have chronic diseases such as diabetes or high blood pressure, inform the doctor before surgery.
- Prepare loose boxer shorts to wear after surgery. Choose dark-colored underwear as lymphatic fluid may leak post-surgery.
- Inform the doctor in advance if you want liposuction at the base of the penis.
- If very anxious, you may take sleeping medication the day before surgery.
- Do not eat or drink for 6 hours before surgery.
Summary of Methods and Techniques Used to Lengthen the Penis
The methods and techniques to enlarge the penis help boost confidence for many men who are insecure about their penis size and rely on medical techniques. Before undergoing any procedure, it is important to study thoroughly to prevent accidents that may cause regret later.
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