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Penis Enlargement

We've all seen the ads:

A vacuum cylinder that helps "expand your penis to maximum potential."
A pill, derived from natural sex hormone research, "designed to actually enlarge the penis and induce and maintain multiple, long-term erections."
Come-ons like these rarely offer scientific proof, yet many men spend money on such products hoping for penile enlargement.

They are falling prey to two misconceptions:
1) They have a smaller than average penis;
2) non-surgical penile enlargement is safe and effective.

 

 MISCONCEPTION #1: THE SMALL PENIS

Men in general have a distorted view of what's normal for penile size. The fact is, "average" was not defined until recently. A study published in the September 1996 Journal of Urology concluded that average flaccid penile length was 8.8 cm (3 1/2 inches), and average erect length was 12.8 cm (5 inches). Also, according to many women's magazine surveys, "size doesn't matter." But many men remain fixated on the ideal of the 8- to 10-inch penis.

Some men don't even realize what they have. For example, obese men develop a suprapubic fat pad that conceals the penis, making it look shorter. Pressing firmly on this fatty tissue reveals the true penile length. I often explain this to patients, but a man who is convinced his penis is too small is hard to convince otherwise.

Occasionally a perception of inadequate penile length is a manifestation of underlying feelings of inadequacy in general. In these instances, psychological counseling may prove helpful.

MISCONCEPTION #2: YOU CAN INCREASE PENILE SIZE WITHOUT SURGERY

There are no proven non-surgical methods of penile enlargement. Vacuum devices simply cause engorgement by drawing blood into the penis. (While these devices are very useful tools in the management of erectile dysfunction (ED), they do not progressively enlarge the penis.) No natural pill has any ability whatsoever to enhance penile size. Even Viagra does nothing to permanently affect penile size. Topical testosterone cream used in childhood can increase penile size by accelerating the effects of puberty, but there is no proof that testosterone cream applied to the adult penis enhances penile size.

Techniques & Procedures Advantages of subcutaneous silicone penile implant Frequently Asked Questions Pre and Postoperative Instructions
BATHING
For at least one week prior to surgery you need to shower using HIBICLENS soap daily. This can be obtained at any pharmacy. Please gently scrub abdomen, penis, scrotum, thighs and buttocks. If skin sensitivity is noted, stop using HIBICLENS and use Ivory soap. Please wash for at least 10 minutes and make sure you thoroughly rinse the entire area after washing. This is to help avoid infection during the operative procedure. Your last shower should be on the morning of the surgery with BETADINE with special attention to the genital and perianal area.
MEDICATIONS
Take Vitamin C, 500 mg, 3 times a day, for 1 week before surgery, and plan to continue for about 1 month after surgery. Avoid aspirin or aspirin products for 14 days, including Anacin, Ascriptin, etc. Some forms of Excedrin and many forms of Alka Seltzer contain aspirin. Similarly, avoid Persantine, and other "blood thinners", but get permission first from the doctor who prescribed it and have him personally speak with me. All these agents promote bruising or bleeding On the morning of surgery, do take all the medications you normally do with the exception of diabetic medication. Please have your doctor who is treating your diabetes personally speak with me. You may take your morning medications with a small sip of water. Please bring your medications with you.
FOOD
Do not eat or drink anything after midnight except a sip of water for medications. Please do not eat any spicy foods the day before surgery, or imbibe more than one social drink of spirits or beer.
SMOKING
Smoking should be stopped for 1 month before surgery and not resumed until at least 2 months after surgery.
APPLIANCES
If you use glasses, contact lenses, dentures, or a hearing aid, please be sure to bring them with you.
CLOTHING
Please remember to bring loose-fitting sweat pants and boxer shorts.
TRANSPORTATION
If your procedure calls for general, epidural, or spinal anesthesia, or if you require IV sedation, you cannot drive for 24 hours, and you must plan on other means of transportation. We can arrange this for you.
ESCORT
You must bring a friend or relative (escort) with you to accompany you home after surgery, or to your hotel. Your escort should not be a car service driver. If you do not have anyone we can make arrangements for you. Please let us know this when you schedule your surgery date. Please bring your escort's phone number with you so that after your surgery we may call and inform them of the time they should pick you up after surgery. If your travel time by car to your home would exceed 45 minutes, you and your escort must stay at a hotel or motel within a 45 minute car ride from the surgical facility. All arrangements should be finalized prior to your discharge from the surgical facility.
NIGHT OF SURGERY
You should not be alone the night of surgery. If necessary, we will give you telephone numbers of two nursing services. You should contact one so you are not alone. All arrangements should be finalized prior to your discharge.
PREOPERATIVE STUDIES
The following is required: CBC, PT, PTT, SMAC, URINE ANALYSIS (all patients). These tests must be performed within 30 days but no less than 10 days of the date of surgery. CHEST X-RAY AND EKG (patients over 40 and all patients from out of town). MEDICAL CLEARANCE LETTER FROM YOUR DOCTOR (all patients over 40 in good health, all patients with a history of any serious medical illness such as heart disease, elevated blood pressure, lung problems or diabetes and all patients from out of town).
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