Facts About Penis Enlargement

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Penis enlargement, or male enhancement, is any technique aimed to increase the size of a human penis. Some methods aim to increase total length, others the shaft's girth, and yet others the glans size. Techniques include surgery, supplements, ointments, patches, and physical methods like pumping, jelqing, and traction.
Surgical penis enlargement methods can be effective; however, such methods carry risks of complications and are not medically indicated except in cases involving a micropenis. Noninvasive methods have received little scientific study, and most lack scientific evidence of effectiveness. However, limited scientific evidence supports some elongation by prolonged traction.[1] Some quack products may improve penis erection, mistaken by consumers for penis enlargement.
There are several surgical penis enlargement treatments, most of which carry a risk of significant complications.[2] Procedures by unlicensed surgeons can lead to serious complications.[3]
Surgical penis enlargement methods include penile augmentation and suspensory ligament release. Penile augmentation involves injecting fat cells into the penis or grafting fat cells onto the penis. Injecting fat cells into the penis can cause swelling and deformity; in some instances, removal of the penis may be necessary. Grafting fat cells onto the penis can be effective; however, the increase in size may disappear over time. Suspensory ligament release increases flaccid penis length, but does not increase the length of an erect penis[4] and can create problems with sexual function.[5]
The American Urological Association (AUA) and the Urology Care Foundation "consider subcutaneous fat injection for increasing penile girth to be a procedure which has not been shown to be safe or efficacious. The AUA also considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious."[6] Both statements were first published in January 1994 and re-affirmed ever since.[6] Complications from penis enlargement procedures include scarring that may lead, ultimately, to penis shrinkage or erectile dysfunction.[7][8]
Other surgical treatments include the injection of dermal fillers, silicone gel, or PMMA.[9][10] Dermal fillers are also not approved by the US Food and Drug Administration (FDA) for use in the penis.[11]
Because of great risk and uncertainty, medical professionals are generally skeptical of penile enlargement and avoid attempting it.[8][12] A 2019 study in Sexual Medicine Reviews found that surgical methods of penis enlargement are typically ineffective and can be damaging to both physical and mental health.[13] The authors found that such treatments are "'supported by scant, low-quality evidence... Injectables and surgery should remain a last option, considered unethical outside of clinical trials'".[14] According to the study, "'overall treatment outcomes were poor, with low satisfaction rates and significant risk of major complications, including penile deformity, shortening, and erectile dysfunction'".[13]
Medical doctors do treat micropenis with surgical procedures.[5] In such cases, surgery can improve urinary or sexual function.[15]
Penis-enlargement pills, patches, and ointments are sold online. Such products are generally considered ineffective.[16]
Physical techniques involve extension devices, hanging weights, and vacuum pressure. There is also significant overlap between techniques intended to enlarge the penis and techniques intended to achieve other, related objectives, such as reversing impotence, extending the duration of erections, or enhancing sexual climax.
Commonly called a "penis pump", a vacuum erection device, or VED, creates negative pressure that expands and thereby draws blood into the penis.[17][18] Medically approved VEDs, which treat erectile dysfunction, limit maximum pressure, whereas the pumps commonly bought by consumers seeking penis enlargement can reach dangerous pressure, damaging penis tissue.[19] To retain tumescence after breaking the device's airtight seal, one must constrict the penis' base, but constriction worn over 30 minutes can permanently damage the penis and cause erectile dysfunction.[20] Although vacuum therapy can treat erectile dysfunction sufficiently to prevent penis deterioration and shrinkage,[18] clinical trials have not found it effective for penis enlargement.[21][22]
The latinized name "jelqing" is the corrupt form derived from the Persian jalq zadan (جلق زدن), jalq meaning "to masturbate" followed by an auxiliary verb zadan meaning "to strike, hit or throb". Performed on the halfway tumescent penis, jelqing is a manual manipulation of simultaneous squeezing and stroking the shaft from base to corona. Also called "milking",[23] the technique has ancient Arab origins.[24] Despite many anecdotal reports of success, medical evidence is absent.[25] Journalists have dismissed the method as biologically implausible,[26] or even impossible, albeit unlikely to seriously damage the penis.[27] Still, if done excessively or harshly, jelqing could conceivably cause ruptures, scarring, disfigurement, and desensitization.[25][26]
Traction is a nonsurgical method to lengthen the penis by employing devices that pull at the glans of the penis for extended periods of time. As of 2013, the majority of research investigating the use of penile traction focuses on treating the curvature and shrinkage of the penis as a result of Peyronie's disease, although some literature exists on the effects on men with short penises.[28]
Scientific evidence supports some elongation by prolonged traction.[1] However, there are also medical studies that indicate that the lengthening effects can be negligible.[29]
Some men seeking penis enlargement have normal-sized penises, and many may experience penile dysmorphophobia by underestimating their own penis size while overestimating the average penis size.[15] Other men may want a larger penis to enhance their sex lives, even if their penis is average or above average in size already. Individuals may desire to enlarge their penis size if they have a fetish for large penises. A larger penis may also play into BDSM and S&M, with a dominant male intentionally having a large penis to inflict pain upon his partner during sexual intercourse.
This section needs expansion. You can help by adding to it. (December 2017)
In 2013 in Vietnam, many Vietnamese men attempted to enlarge their penises by injecting liquid silicone into them. They were hospitalized for complications such as infections, necrosis, tumors, swelling, deformities, and sexual dysfunction.[30]
^ a b Oderda, Marco; Gontero, Paolo (2011). "Non-invasive methods of penile lengthening: Fact or fiction?". BJU International. 107 (8): 1278––82. doi:10.1111/j.1464-410X.2010.09647.x. PMID 20868389.
^ Levine, LA; Becher, E; Bella, A; Brant, W; Kohler, T; Martinez-Salamanca, JI; Trost, L; Morey, A (April 2016). "Penile Prosthesis Surgery: Current Recommendations From the International Consultation on Sexual Medicine". The Journal of Sexual Medicine. 13 (4): 489–518. doi:10.1016/j.jsxm.2016.01.017. PMID 27045255.
^ Blatchford, Christie (May 2, 2001). "The beauty butchers". National Post. Retrieved July 14, 2014.
^ Neligan, Peter C., ed. (2013). Plastic Surgery. 6 (3d ed.). Elsevier Health Sciences. p. 657. ISBN 978-1-4377-1733-4.
^ a b Barrell, Amanda (12 January 2020). "Does penis enlargement work? Methods and effectiveness". Medical News Today. Retrieved 1 March 2020.
^ a b "Penile Augmentation Surgery". American Urological Association. Retrieved 1 March 2020.
^ Nugteren HM, Balkema GT, Pascal AL, Schultz WC, Nijman JM & van Driel MF (2010). "Penile enlargement: From medication to surgery". Journal of Sex & Marital Therapy. 36 (2): 118–23. doi:10.1080/00926230903554453. PMID 20169492.CS1 maint: uses authors parameter (link)
^ a b Vardi, Yoram (2006). "Is penile enlargement an ethical procedure for patients with a normal-sized penis?". European Urology. 29 (4): 609–611. doi:10.1016/j.eururo.2005.12.053. PMID 16439051.
^ Shamsodini, Ahmad; Al-Ansari, Abdulla A.; Talib, Raidh A.; Alkhafaji, Haidar M.; Shokeir, Ahmed A.; Toth, Csaba (December 2012). "Complications of penile augmentation by use of nonmedical industrial silicone". The Journal of Sexual Medicine. 9 (12): 3279–3283. doi:10.1111/j.1743-6109.2011.02563.x. ISSN 1743-6109. PMID 22145947.
^ Fukuda, Hidetsugu; Endo, Hiromi; Katsuzaki, Jyoji; Mukai, Hideki (2016-08-01). "Development of nodules on the glans penis due to hyaluronic acid filler injection". European Journal of Dermatology. 26 (4): 416–417. doi:10.1684/ejd.2015.2600. ISSN 1952-4013. PMID 26081014.
^ Health, Center for Devices and Radiological. "Dermal Fillers (Soft Tissue Fillers)". www.fda.gov. Retrieved 2018-03-14.
^ R. Morgan Griffin (2010). "Penis enlargement: Does it work?". WebMD. Retrieved July 28, 2011.
^ a b Ratan-NM (July 9, 2020). "Penis enlargement surgery ineffective and potentially dangerous". News-Medical.net.
^ G, Kashmira; EDT, er On 5/10/19 at 6:55 AM (May 10, 2019). "Penis enlargements are "ineffective and risky" and leave men at mercy of charlatans, study finds". Newsweek.
^ a b Campbell, J; Gillis, J (February 2017). "A review of penile elongation surgery". Transl Androl Urol. 6 (1): 69–78. doi:10.21037/tau.2016.11.19. PMC 5313298. PMID 28217452.
^ Nugteren, Helena M.; Balkema, G. T.; Pascal, A. L.; Schultz, W. C. M. Weijmar; Nijman, J. M.; van Driel, M. F. (2010). "Penile enlargement: from medication to surgery". Journal of Sex & Marital Therapy. 36 (2): 118–123. doi:10.1080/00926230903554453. ISSN 1521-0715. PMID 20169492.
^ Stein, MJ; Lin, H; Wang, R (February 2014). "New advances in erectile technology". Theraputic Advances in Urology. 6 (1): 15–24. doi:10.1177/1756287213505670. PMC 3891291. PMID 24489605.
^ a b Qian, SQ; Gao, L; Wei, Q; Yuan, J (May–June 2016). "Vacuum therapy in penile rehabilitation after radical prostatectomy: Review of hemodynamic and antihypoxic evidence". Asian Journal of Andrology. 18 (3): 446–51. doi:10.4103/1008-682X.159716. PMC 4854102. PMID 26289397.
^ Daniel Engber, "Do penis pumps work?", Slate, 29 Jun 2006.
^ Lehrfeld, T.; Lee, D. I. (2009). "The role of vacuum erection devices in penile rehabilitation after radical prostatectomy". International Journal of Impotence Research. 21 (3): 158–164. doi:10.1038/ijir.2009.3. PMID 19225465.
^ Kweon Sik Min, ch 20 "Penile traction therapy (penile lengthening device)", in Nam Cheol Park, Sae Woong Kim & Du Geon Moon, eds, Penile Augmentation (Springer, 2016), p 162.
^ Sarah L Hecht & Jason C Hedges, ch 13 "Vacuum therapy for erectile dysfunction", in Tobias S Köhler & Kevin T McVary, eds, Contemporary Treatment of Erectile Dysfunction: A Clinical Guide, 2nd edn (Humana Press, 2016), p 181.
^ Salvini, Mike (12 April 2005). "Size matters". Salon. Retrieved 6 January 2013.
^ Wylie, Kevan R.; Eardley, Ian (1 June 2007). "Penile size and the ?small penis syndrome?". BJU International. 99 (6): 1449–1455. doi:10.1111/j.1464-410X.2007.06806.x. PMID 17355371. 
^ a b Mayo Clinic staff. "Penis-enlargement products". Mayo Clinic. Retrieved 6 January 2013.
^ a b Wanjek, Christopher (February 20, 2007). "Penis enlargement products come up short". livescience.com. Tech Media Network. Retrieved 6 January 2013.
^ Johanson, Sue (2011). "Jelqing". Talk Sex with Sue Johanson. Retrieved 14 June 2013.
^ Eric C, Geralb B (February 2013). "Penile traction therapy and Peyronie's disease: a state of art review of the current literature". Ther Adv Urol. 5 (2): 59–65. doi:10.1177/1756287212454932. PMC 3547530. PMID 23372611.
^ Mustafa Faruk Usta & Tumay Ipecki, "Penile traction therapy for Peyronie’s disease—what’s the evidence?", Transl Androl Urol., 2016 Jun;5(3):303–309.
^ "More Vietnamese men using silicone to enlarge their penises". Thanh Nien News. August 31, 2013. Retrieved July 14, 2014.
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What to Know About Penis Enlargement
Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved
Jesse Mills, MD, is a board-certified urologist trained in male reproductive medicine, and an associate clinical professor of urology at UCLA.
Medically reviewed by Jamin Brahmbhatt, MD on March 06, 2021
Jamin Brahmbhatt, MD, is a board-certified urologist and Chief of Surgery at Orlando Health South Lake Hospital.
Penis size can be a sensitive subject for many men. Although pills, injections, traction devices, and surgery are regularly marketed to men in search of larger penises, some are more effective than others. Moreover, the risk of certain procedures, particularly surgery, can significantly outweigh any presumed benefits.
A penis enlargement procedure may be indicated for a man who has experienced penile trauma or has a medical disorder that affects the function of the penis. In cases where penis size affects fertility or quality of life, penis enlargement may be considered under the direction of a urologist. These include surgical procedures known as penile augmentation (a.k.a. augmentation phalloplasty).1
There are many reasons why a man might seek penis augmentation. There may be medical reasons, such as the impairment of urinary function or fertility, or psychological ones, in which penis size triggers negative emotions such as anxiety or low self-esteem.
In some cases, a man's penis might be genuinely "smaller" due to a genetic or hormonal disorder that causes micropenis. Micropenis is defined as a stretched penis length of under 3 inches (when the flaccid penis is fully stretched without causing discomfort).2
Having a penis this size may interfere with a man's ability to direct a urine stream. It may also make sexual intercourse difficult and decrease the amount of semen that reaches to the upper vagina.3
Some men with micropenis have reduced testosterone levels and a low sperm count due to an underlying hormonal dysfunction.4 In such cases, increased penis size will not improve fertility as much as assisted fertility treatments.
There are other conditions associated with reduced penis size:
Other men seek penis enlargement out of the belief that they are "smaller than average." Many of these men fail to realize that the typical erect penis is around 5 to 6 inches long with a circumference of 4 to 5 inches.9
There are even some men with above-average penises who have an abnormal preoccupation with their size. When the preoccupation interferes with their quality of life, it is typically diagnosed as penile dysmorphic disorder (PDD). It is a condition that may benefit more from psychological counseling that penile enlargement.10
According to a 2019 review in Sexual Medicine Review, counseling was effective for the majority of men who felt inferior about their penis size, with most coming to understand that their penis size was normal and in no need of augmentation.1
There are numerous websites that recommend penis exercises to increase the length or girth of the penis. The rationale behind these exercises is that repetitively rubbing the penis creates "micro-tears" in tissues that look engorged when healed.
There is one popular technique called jelqing in which the thumb and forefinger are wrapped around the penis to repetitively stretch the shaft from the base to the tip for 20 minutes every day.11
Despite claims to the contrary, there has never been any evidence that physical exercise of any sort, including jelqing, can increase penis size. In fact, because persistent rough handling of the penis can cause injury or scarring, most medical professionals advise against jelqing or similar exercises.12
If you want to enhance the appearance of your penis because it makes you feel more confident, there are simpler ways to do so:
There are several options advertised to men who are dissatisfied with the size of their penis. While these may be tempting, don't be misled by false claims or anecdotal evidence. Speak with a urologist for insights on what may work for you and what won't.
There are many companies that claim their supplements can enhance penis size. At best, they will do nothing more than waste your money. At worst, they may contain traces of Viagra (sildenafil) or other drugs dangerous to men with heart disease.
Supplements like L-citrulline or L-arginine are said to increase nitric oxide levels in the blood,13 which may improve circulation to the penis. Although some people claim this helps improve erections, there is no evidence that doing so increases penis size.
While there has never been an FDA-approved device for a penile extension, there has been growing interest in products that may help increase penis length using traction. With penile traction, a weighted device is connected to the shaft of the penis and worn for a specific amount of time each day to gradually stretch the penis.
A medical device called "The Extender" has been shown to improve penile length in men with Peyronie's disease14 but has not been well studied in men without Peyronie's.
These devices marketed for penis enlargement wrap around the shaft and provide a gentle squeezing pressure to "stretch out" the penis.11 Some are suggested for use during an erection, while others are used while the penis is flaccid.
There is no evidence that wrapping anything around the penis will lengthen it. In fact, this can cut off the blood flow, causing bruising, hematomas, and nerve damage.
Lotions, creams, and oils advertised as being able to increase penis size by being applied directly to the organ often contain hormones, vasodilating medications that increase blood flow, and essential oils said to promote cell proliferation. There is no evidence any of these works; some may even cause skin irritation or allergy.
Penis pumps and vacuums are popularly used as sexual aids to promote erections in men. They are also used by some with the intent of increasing penis size. These devices are placed over the penis (and sometimes the scrotum) and use suction to engorge the penis with blood.
If used consistently over a long period of time, they can cause the skin of the penis to become "spongy" and have a thicker appearance. Despite their popularity, there is no evidence that vacuums or pumps can increase the length of a penis.11
A VED may be ordered after men have their prostates removed for cancer as part of a penile rehab program. Research has shown the use of a VED promotes an increase in blood flow and oxygen to the penis which may support the return of natural erections after surgery.
Vacuum pumps can cause injury if the suction is too extreme or the device is worn for too long. Urethra bleeding and bruising can occur as superf
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