Genital surgery
What is a small penis? Well... There are no internationally recognized parameters that clearly indicate what a small penis, a medium-sized penis and a large penis are. Some authors believe that a micropenis is a penis that is at least 2.5 standard deviations below normal.
Before talking about micropenis, it is necessary to carefully examine the subject, measure the penis in a state of rest from the pubic symphysis to the apex of the glans in a situation of maximum passive stretching… This measurement leads to values similar to those of the penis in erection. However, we could reasonably say that a penis that in such conditions reaches a minimum of 12-13 cm can be considered normal. The caliber is also a subject of discussion and opinions vary widely. According to a study conducted by Vessels and published in the specialist journal Journal of Urology in 1996, the average caliber in flaccidity must be 9.7 cm and in erection 12.3.
In summary: there are no standard dimensions but a small penis is reasonably defined as a penis that measures less than 14 cm when erect.
It is important to underline that the problem is often highly psychological and much, much less anatomical. The locker room syndrome, exacerbated by the sometimes gigantic (out of average) genitals served up by pornography, can create inconvenience even for those who are able-bodied.
Treatments for lengthening and enlarging the male genital organ must be limited to those who truly have an anatomical problem.
Able-bodied people with the classic “imaginary locker room syndrome” are instead unsuitable candidates; Before accessing treatment, these cases require a favorable opinion from a psychosexologist who certifies a condition of significant existential distress.
Stretching techniques
The length of the penis can be increased by lysis of the suspensory ligament of the penis, the structure located at the upper base of the member and designed to keep it close to the pelvis. If this structure is engraved, 2.5-3 cm is generally acquired; however, the erect penis will be more detached from the pubis.
Some authors support the usefulness of inserting silicone wedges at pubic level in order to prevent cicatricial retraction of the interrupted ligament, others the use of external extenders to be used for at least a couple of months. No study has demonstrated the superiority of one method over the other.
The length can be further increased by using the so-called WY flaps which allow you to gain another 2-3 cm.
In some cases, pubic liposuction can be combined, which by reducing the fat at the base of the penis, enhances its length.
Pubic liposuction, miniabdominoplasty and abdominoplasty
Pubic liposuction helps greatly in overweight subjects to highlight the base of the phallus, highlighting it. In some cases, the miniabdominoplasty or complete abdominoplasty procedure may be useful in order to reduce the fatty tissue and lift the pubis.
Prosthetic implants
They are indicated only in the case of erection defects and not for mere lengthening of the organ.
Volumetric augmentation techniques
The volume can instead be increased with various methods, none of which, however, are capable of giving very appreciable or stable results over time.
Injective methods of implantation of non-absorbable substances (e.g. methacrylates and similar) must be discarded because they are very dangerous because they harbinger of possible and very serious complications.
The safest, I would say the least potentially harmful, is lipostructure, i.e. the injection of adipose tissue into the subcutaneous tissue. The procedure involves the collection and centrifugation of adipose tissue which is subsequently injected into the penis. In order to allow maximum engraftment, the injectable quantity must not exceed 5-10 cc; reabsorption can be estimated at approximately 50% at 3 months.
The procedure should therefore be repeated at least 3 months later in order to further increase the volume.
Some authors have proposed saphenous, or dermis, grafts. The results, however, despite the surgical effort, are often unsatisfactory.
A temporary alternative is the use of macromolecular hyaluronic acid, as recently proposed by some Spanish authors. However, this too must not be implanted in excessive quantities due to the risk of moving the product and the formation of unsightly and potentially harmful “bubbles”.
In my opinion, these are interventions intended only for those who really need them because they suffer from very small penises.
It is necessary to carefully evaluate whether it is really worth it or not.
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