have you ever wanted a longer penis well you're not alone in fact in studies of thousands of men 10 20 50,000 men they found that anywhere from 45 to 55% of men want a longer penis that's almost more than half that's a lot of men so if you're in a room with 10 men anywhere between four and five of them want a longer penis this is not a uncommon desire I'm DrReena Malik urologist and pelvic surgeon and welcome back to the Arena Malik MD podcast this is your source for accurate evidence-based information about your sexual health and more and in this episode we're going to cover all the evidence-based ways to increase penal length the risks the benefits what you should consider and what you should probably not consider I want to reassure you if you are thinking about having a longer penis very likely you have a normal siiz penis in fact they've looked at this they've investigated this information and they've to see that the average man who's looking to increase penal length actually has a average or greater than average penal length now what is average average is anywhere from 5. 1 to 5. 5 in and the range is anywhere from 3.
5 to 6. 5 in now that's for the majority of people of course there are outliers who have longer penises and there are men who have micr penises now what exactly is a microp penis it's a micropenis that's about 2. 9 95 in or less now how do you actually measure Pena length because I can see all of you guys getting out rulers and trying to measure but these measurements are done in a very standardized way either they are done on erect penises or they are done on stretched length penises meaning that the penis is extended as long as it can go and you take a ruler and you measure from the pubic bone which is the bone you feel all the way to the tip of the penis so not just actually the skin you're actually indenting into the the bone and measuring that whole length it's important to realize also that length can change depending on how cold it is in the room how comfortable you feel how aroused you are if you're doing it erect and so you know it may be different one day from another but on average you will have a certain length that will remain about the same and I've talked about this before on my YouTube channel but there is a subset of men who suffer from small penis anxiety and this is a real body dysmorphic disorder meaning they perceive their penis to be very small and it causes them significant distress and this is not to be undermined this is a serious condition it affects their daily life they are constantly preoccupied with thoughts about their small penis and this is really important to acknowledge because I think this is a serious mental health condition that affects their ability to function as normal adults and this does not mean that if you are in this category doing one of these things will immediately alleviate your anxiety iety you need to address this with a mental health professional before going ahead and doing something to try and elongate your penis because that may not cure the issue it's important to deal with you as a whole human being and your brain is a very powerful part of how you perceive yourself whether it's your penis your your abs anything you are concerned about your biceps whatever it is a lot of it is dysmorphic meaning that you have what's considered Aver or even above average and it is bothering you that is not some idealized view of what you see or what you want to see so now before I get into different techniques or devices that you can use to help increase penal length I want to talk about the things you can do easily and for free at home first and foremost is lose weight if you are overweight or have gained some weight you may look down and actually see this area of fat above the pubic area which some people call the FAA now this often as this increases in size will actually limit how much of the penis you are seeing so the penis is not just what you see it the erectile tissue is two corpa or two spongy bodies that go deep into the pelvis and turn downward and go into the perineum and so that's why some people find stimulation of their perineum very pleasurable because there's still erectile tissue there and so if you gain weight in the pubic area you are now covering the penis you're actually not seeing that portion of the penis so you may have said like hey when I was 20 my penis looked great and now it's shrunk like 2 or 3 cm well yeah you've probably gained a little bit of weight and that is a difficult area to lose weight from you need to work on losing your body fat overall body fat you can't just Target that area and lose weight but if you are able to lose weight through you know healthy exercise with resistance training and uh cardiovascular training and increasing protein and eating lots of fibrous natural healthy foods unprocessed Foods as much as possible then you will see an improvement in penile length the next easy thing is to actually trim or shave your pubic hair now of course you want to be safe when you're doing these things you want to avoid shaving if you are a really poorly controlled diabetic and the reason for this is if you get a cut in the area it can very easily get infected and create a very devastating infection setion called fornias disease are you sick of going to the doctor only to have them talk at you for 15 minutes and leave without knowing exactly why they're prescribing you this certain medication and what exactly the next step is to take to optimize your health wouldn't it be great to finally find a doctor who actually listens to you answers your questions and doesn't rush you out the door well at my practice Reena Malik MD I aim to do just that I specialize in taking care of patients who have issues with their sex lives issues with their bladder with their Hormone Health or are having pain in their pelvic region or with sex my goal is to give you the time and attention you deserve so you can leave with a clear understanding of your condition as well as our treatment plan that's optimized for your goals during your Vis it I'm 100% present with you for an entire hour and after you leave you can reach me it is super easy to send me a message through our secure portal and I'll get back to you within 24 to 48 hours no questions asked no hidden fees scheduling is easy just visit our website renam Malik md.
com slappointment we see patients in both Ervine and Beverly Hills California and I see patients virtually in California Florida flid Illinois Maryland New York New Jersey and Virginia oh and don't forget Texas if you're outside these states consider seeing me for an educational visit I look forward to seeing you make sure you trim or shave that area if you can and you will notice that your penis automatically looks a little bit bigger because now you've taken that hair that's again covering the penis just like the fat was and you're getting rid of it and so now you can see more of the penis the other thing you could do that's free is try to work on anxiety reduction and that can be a variety of different things for you that may be exercising that may be meditating that may be taking time for yourself whatever that is but you will notice that when you are relaxed you will have better erections or your the smooth muscle in your penis will be able to relax more allowing your penis to appear bigger and so that's something that may help you particularly if you are very anxious and have a lot of anxiety all the time working to improve that now maybe at home techniques are not going to work for you maybe you need to see a doctor to get some medication to reduce your anxiety but certainly that may overall improve the appearance of your penis and lastly if you are having trouble with erections check out all my content on improving erections but the reason being particularly if you're not having nighttime erections we're worried that then you're not getting good blood flow to those tissues and over time you could develop scar tissue in those tissues which then makes your penis shorter so you want to have continued blood flow to those tissues at all times to prevent the scarring which will ultimately shrink your penis those are the things that are free and don't require you to buy anything they do require you to invest in yourself invest in your health with diet exercise and stress reduction let's start with nonsurgical means to increase penal length now before I go on I'm going to tell you no magic Elixir or pill that people are trying to sell you online is going to elongate your penis so don't fall for the traps don't spend your money on those things nothing is going to work now some things some supplements I've talked about in a podcast before on supplements for erectile disfunction do have some improvement in Penal rigidity and erection quality and that may if you're getting better erections and you weren't getting them before you may notice some degree of erectile length Improvement because because when you're not getting erections that tissue tends to scar down and so potentially you might notice some benefit but not just from a length perspective alone vacuum erection devices work because they have a cylinder that creates a negative pressure flow that then draws blood flow into the penis now this will create an erection and increase penal size when you're using it as you're using it you then use a constriction band that is usually associated with the vacuum erection device to maintain the erection now this is FDA approved for erectile dysfunction the benefits are they're non-invasive you can do it in the privacy of your own home and it's likely not going to damage your tissues there are studies that have looked at the ability to increase penile length with the use of vacuum erection devices now the large majority of them have been done on two populations one of which is if they've had a radical prostatectomy meaning they've had a cancer surgery to remove their prostate which affects the ability of those men to get erections and also affects the nerve function so they're not having normal nerve function to the penis which makes it more difficult for them to ultimately get erections and the other category of men is men who've had an inflatable penal prosthesis and are trying to increase their length prior to that penal implant being placed in both those groups they have seen some modest benefit when using these regularly for 5 minutes twice a day to increase or at least maintain the penal length that they have so in terms of the radical proctectomy population they've seen that men who use a vacuum erection device they prevent length loss after that surgery in men who've had an inflatable penal prosthesis or are going to have one they've seen that it actually allows them to get a longer implant and have an easier surgery if they use the vacuum erection device before in terms of healthy individuals they have not seen an increase in Penal length using it now I've had people push back with me on this because they said well people are using it for 20 minutes a day or there's animal studies that have shown increase in Penal length and yes perhaps using it for longer periods of time or in animals you will see an increase in Penal length but very likely you're going to see a modest Improvement and it's not going to be long lasting and at this point I really can't tell you that there truly is because there's no scientific evidence that using a vacuum erection device will create sustained improvements in penile length next non-invasive option is penile extenders or traction devices now these are devices that are placed on the penis so usually they have a circular insertion point and then they have an attachment that attaches to the glands of the penis and then it creates tension or stretching of the penis for prolonged periods of time and this is meant to be constant gentle stretching it shouldn't be extremely painful it shouldn't be feeling like your penis is going to fall off this is meant to be gentle traction over time there's actually been several studies done on penal traction and the early studies looked at using these for 4 to 6 hours a day for months at a time and so it was a very long time comment and they did see an average increase of about 1 to 2 cm in length so I think when used appropriately these can safely increase panal length but they require a very motivated individual who's going to spend a considerable amount of time doing traction now you can get bruising you can get swelling it can be a little bit uncomfortable um at times and so these are sort of the risks with it in terms of newer data so there's a new device that has come up called restorx and I'm not funded by them but essentially they've done some really nice clinical data showing increases in Penal length specifically in men who've had prostatectomy or men who have diabetes and have had a shrinking of their penis over over time due to likely lack of blood flow to the area from the diabetes and they've seen about a centimeter increase in length when using it starting from about 30 minutes a day up to 60 minutes a day and so not this 4 to 6 hours of routine but a little shorter period of time and they have seen improvements so I tell people if you're thinking about doing something for penal lengthening this is a coste effective non-invasive option that you can try at in the privacy of your own home but realizing again that this is something that requires dedicated time and effort and we don't know after you stop using the traction device will the penis then shrink back to some degree next up is injectable fillers now injectable fillers can come in a whole variety of different flavors they can be silicone based they can be autologous fat transfers they can be oil-based now the only one that has reasonable safety data in my mind is hyaluronic acid and typically they're used more often for girth enhancement rather than length enhancement they're not going to essentially increase length necessarily but they may increase girth now there have been studies that have shown some improvements with these fillers particularly the hyaluronic acid fillers but usually they require injecting smaller doses of hyaluronic acid than modeling manually so trying to sort of get these in a good position and then adding more sequentially over time when you add too much all at one time you get more of a lumpy bumpy result which is not as desirable now in general these do have some risks they have risks of bruising swelling nodule formation and even asymmetry and pain associated with the injection itself I do think at this point in time we're starting to see more and more people offer honic acid fillers I would love to see more data on this space I still haven't seen a lot of the data on the newer techniques of girth enhancement and I think uh it would be wonderful if all these people who are performing these uh procedures would actually show us true data of both good success stories which we hear many of as well as complications but generally I think if you're using hyaluronic acid fillers and they are you you're using a reputable Source that's using small amounts and trying to take their time to get you the best possible result then you may see a benefit but do know that fillers are shortlived generally these last for 18 to 24 months because hyaluronic acid is a naturally occurring substance and our body will break it down now it's really important to understand if you decide to get fillers what is being injected some of these fillers have had devastating complications upwards of 75% complications with very serious issues either requiring surgery to get them removed or um having feeling disf figured or dysmorphic after having these fillers placed so please do your research if you're going to get these done they will not increase length but they may improve girth when done appropriately are you feeling in a rut in the bedroom wishing you had the kind of sex life you could brag about I've spent years helping patience and creating content for people all around the world to improve and optimize their sex life today you can get my knowledge for 100% free with my new ebook called better sex better life in this ebook I review my top 10 tips for improving your sex life all from the comfort of your own home all you have to do is go to Reena malic md. com slor pleasure to download it for free today before I move on to surgical techniques I want to review the European Association guidelines on penal size abnormalities for men with body dysmorphia that were released in 2023 these guidelines are specifically for either men who have congenital shortness they've acquired penal shortness because of a surgical procedure or some other issue or they have body dysphoria or essentially small penis anxiety and so they looked at these techniques both non-surgical and Surgical and put together guidelines based on the evidence available to them on how you should proceed but I think we can apply the analysis to anyone looking to enhance penal length through any variety of means now in terms of the things we've already discussed they do mention penal traction devices and they read specifically that overall penal traction therapy seems to be effective in lengthening the penis in both the flaccid and stretch state with minimal side effects so in terms of vacuum erection device they State one study that was done again we don't have a lot of data on healthy young men but this one study looked at men for 6 months and did not see a change in Penal length after 6 months of use and so they say basically data is sparse we can't really make a recommendation now what about hormones you may Wonder can I use testosterone or HCG or FSH to increase penal length as an adult and the answer is there is no data supporting the use of these medications causing any increase in Penal length after puberty and so likely The receptors are no longer sensitive to these hormones in terms of elongating penal length now let's talk about surgical options now I generally don't recommend surgical options for increasing Pena length at this time because complications are generally high and this is your penis and so I would hate for someone to go get something done to increase their penal length to only have a complication that makes them unhappy so let's start with suspensory ligament incision so this surgery essentially cuts a ligament that attaches the penis to to the pubic bone and this ligament releasing this ligament and cutting a little piece of the ligament allows the penis to hang longer and so what that means is that it will appear longer in the flaccid State however because you've now cut that ligament it may be a little less stable so what this means is if it's less stable when you're trying to have intercourse there is a little bit of a higher risk of injury also after surgery you would need to continually stretch the penis to prevent reattachment of that ligament or scar tissue from forming between the two ends of the ligament that will then essentially do exactly what it was before or maybe even make it appear a little shorter and then there's also risk because that area is essentially very close to where the nerves to the penis are they're at the dorsal aspect or the top aspect of the penis and so this can then potentially risk changes in sensation although rare it can also risk penile deformity or potentially erectile dysfunction if those nerves are affected now what is the result in small studies they've looked at this they've seen an increase of about 1. 4 cm in length but when they looked at satisfaction it was generally low about a third of men were actually satisfied with the results of their surgery because again 1.
4 CM after undergoing a surgery and then having an unstable penis may not be very desirable next next up is a penal silicone sleeve implant this is an FDA cleared device that is used for cosmetic augmentation of the penis or correction of penal deformities now it is basically inserted underneath the skin in a pocket pocket underneath the skin of the penis to then allow the appearance of a longer and girthier penis and it is cut to fit you specifically so there's a relatively new study that came out this year in 2024 looking at outcomes in this study they had 299 men who underwent this implant between 2020 and 2022 and they looked at their outcomes the good part about the study is they weren't just from one surgeon they actually had four different surgeons who were all performing this surgery on average they saw really impressive increases about 4. 1 CM increase in length and a 3. 4 CM increase in girth but there were complications over 5% had flaring of the implant meaning it was sort of flaring out and so they required surgical revision 5% had erosion meaning they saw it actually come out of the skin and had to remove the implant 2% had a Thoma which is fluid building up and usually that's not a huge issue uh 1.
3% had infection and when you have infection with an implant usually that means you have to remove the entire thing now I will say these results sound really good but as a urologist who speaks to other urologist and sees patients who've had this surgery I will say when I see patients who have complications they're not small complic ations they are relatively life-changing complications for these patients and so I would really take your time to consider the risks and benefits because if a risk is 5% but it happens to you it happens to you and so I tell patients this all the time even before I see them for surgery is I'm going to tell you these risks they're relatively rare but if it happens to you it happened to you 100% it didn't happen to you 5% and so it's really important to think about those things before you have a major reconstructive surgery but again these are cosmetic surgeries so any cosmetic surgery whether it's plastic surgery penile lengthening you have to really seriously consider the potential for risk next up we have fat grafting or dermal grafts these surgeries are essentially meant to increase girth they're taking parts of your body your dermis or your fat to then attach to your penis and increase girth this sounds great right because we're not taking anything foreign we're not putting an implant and we're actually using your own tissues however the results have been relatively modest they've seen at least a temporary increase in girth of somewhere around 2 to 3 cm however they see that that does decrease over the course of at least the first year and they're seeing that that girth is maintained about 60 to 80% in the first year but we don't know long-term effects and of course there are risks there's risk that it could have an uneven distribution you could still get infections um you can develop nodules from sutures or from your body body's reaction to those tissues even though that's less likely and as I mentioned some of this your own tissue may be reabsorbed by your body mean that the girth may not be maintained over the course of time quick break from this episode to let you know I am so grateful that you're spending part of your day with me I started creating content online to empower people to learn more about their bodies without needing to go see a doctor pay a co-pay wait in a waiting room or find parking and it has been one of the most rewarding experiences of my life if you want to help support our mission of providing free education please consider joining our premium membership there you will have access to adree episodes which are released early as well as free transcripts and the opportunity to ask me anything and these questions are answered in our monthly AMA episodes support the show and join today at renam malik. supercast can't wait to see you there in terms of other surgical options there are many that have been described in literature for very small subsets of patients it has not been done in a large number of patients who are healthy who are just seeking penal augmentation so if you find a surgeon that tells you a surgery that you could get to increased penal length ask them how many patients have they done it on what is their complication rate and have them list all the possible complications and before you decide to go ahead with this surgery also look up the surgery see if you can find the studies yourself you can Google things like on PubMed which is a essentially a Google search for people to look up articles or go to scholar. google.
