Penile Enlargement

 There has been much controversy in the newspapers and magazines recently about surgical procedures to augment both the length and width of penises (enhancement phalloplasty). The controversy is based on the fact that many physicians feel that patients are being charged enormous prices for a procedure that has no scientific validity.

Most urologists, including a specific conference held at the 1994 American Urological Association national meeting in San Francisco and the Society for the Study of Impotence, have taken the stance that men with a normal and functioning penis have little or no justification for trying to augment the size or length of their penis. On the other hand, the physicians, both urologists and plastic surgeons, that are doing the operation, claim that the procedure is safe and effective and have had excellent results.

PENILE LENGTHENING operations require a skin incision at the base of the penis as it joins the body just below the pubic bone. The incision is continued down to the shaft of the penis where a special band or 'suspensory' ligament holds the penis up to the pubic bone. By cutting the suspensory ligament, the penis is allowed to fold down, thereby adding some length to the non-erect penis. GIRTH ENHANCEMENT Presently, the only treatments available for girth enhancement are insertion of dermal graft, or injection of fat under the penile skin. Both methods have severe drawbacks, and possible risks and complications. These include lengthy operating time and patient recovery period, severe pain and discomfort at the site of the graft removal and/or the liposuction, formation of hard lumps and nodules under the penile skin, penile deformity resulting from partial absorption of the fat, and formation of large scar at the site of removal of the graft. Any of the aforementioned complications requires further multiple surgical procedures and patient inconvenience. I use a patented sub cutaneous penile implant (ELIST PROSTESIS) made of a proprietary silicone material, designed specifically for treatment of impotency and penile enhancement.

PENILE LENGTHENING

Genital size has been a source of anxiety for men throughout history. It has various social and psychological ramifications, such as social maladjustment, fear of relationships, and lack of self-confidence. Many men feel a need to enlarge their penis in order to improve their self-esteem, or to satisfy and impress their partners. 'Phallic identity'-the tendency of males to seek their identity in their penis, with an emphasis on the belief that bigger is better-and 'phallocentrism'-the idea that the penis is central to identity and symbolically empowered-are deeply embedded myths that are likely to persist.

Historically, lengthening procedures have been attempted for patients, usually children, with particularly short penises with hopes of gaining some length of the flaccid penis. There are no historical conditions for which girth enlargement has ever been used. The question and controversy, of course, is whether the penis is actually really longer. The physicians who are promoting these procedures claim that the penis may increase in length from 1 to 3 inches, with the average being 2 inches. Using the same techniques, the physicians who claim poor results suggest no more than 1/4 inch is gained in length in most patients. The truth, as often is the case, lies somewhere in the middle. The controversy is probably not whether the penis is actually lengthened as most interviewed feel that there actually some length gain, but whether the modest gain in cosmetic length warrants the risk of the surgery.

Approximately one-third of the penis is inside the body, and is internally attached to the undersurface of the pubic bone by a ligament. Penis lengthening involves the release of that ligament. Release of this ligament allows the penis to protrude on a straighter path, further outward to give more length.

GIRTH ENHANCEMENT

The girth enhancement (increase in width) as mentioned above comes from using a patented, FDA approved sub cutaneous penile block (ELIST PROSTHESIS) made of a proprietary silicone material.

The prosthesis device especially designed so that:

1.       It can achieve enlargement in both radial and lateral direction of the penis. 2.       The design of the prosthesis and the location of the implant in the penis do not interfere with the structural integrity and normal functions of the penis. 3.       The operation is reversible, i.e., the implant could be removed (for whatever reason) without permanent damage to the structure of the penis or its function. 4.       The procedure does not leave any perceptible scars or compromise in any way the aesthetic look of the penis or other parts of the patient's body. 5.       It’s results are permanent, or at the very least, permanency is achieved without any further surgical procedures, discomfort or undue expense to the patient.

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