the number one question i get on my social media is how can i get bigger how can i get longer or how can i get more girth well today i am going to address those questions and give you the evidence behind penile lengthening treatments i'm dr rena malek urologist and pelvic surgeon and a urologist is a doctor who takes care of the genital urinary tract both medically and surgically if you like what you see here make sure you subscribe so you can see new videos each and every monday so did you guys know that they
did a survey of 50 000 heterosexual men and what they found was that 55 of them were unhappy with the way their penis looked when they asked those men's partners 85 percent of women were satisfied with the way their partner's genitals looked but at the end of the day it matters how you feel about your appearance but there's a lot of issues with that because pornography has really blurred the lines of what exactly is normal so i made a video previously talking about the average penile length an average penile length if you look at all
the data approximately the average penile length is about 5.2 inches or 13.2 centimeters and it's normal for penile length to be within two and a half standard deviations of that so either greater or smaller and so what's considered abnormal in terms of length being too short would be anything less than 2.9 inches or seven and a half centimeters and that's called micro penis micro penis is prevalent in less than one percent actually point one four percent of the population so it's extremely rare it can be due to a number of causes which can include congenital
abnormalities hormonal abnormalities previous surgeries or cancer but today we're going to talk about people who have a normal penile length so while it is true that the large majority of people who are concerned with the size of their penis have a normal penile length based on these numbers the true issue is that a significant portion of men can have distress related to the idea that their penis is not as long as they desire and this is a form of body dysmorphic disorder actually has a term it's called small penis anxiety it doesn't mean that they
have a small penis but they have anxiety related to the fact that they believe that the size of their penis is not long enough and the way this is defined is that people have a preoccupation or obsession of the size of their penis which they spend over one hour a day thinking about this and actually some portion of these men can be so distraught that it can affect their activities of daily living and some of them can end up in the hospital due to their overwhelming obsession or even have suicidal ideation this is not a
joke this is serious this can have real serious complications for people and so i think it's important to talk about this because this is part of men's health the other major issue with this problem is that if you google how am i going to make my penis longer you'll be inundated with tons and tons of websites and information that may or may not be reputable many people will go abroad or find non-licensed providers to do things to them that can have dramatic consequences so please don't do that look for a reputable urologist psychologist to help
you with these issues i will also preface the rest of the information that i'm going to share on this video by telling you that the sexual medicine society of north america states that procedures for penile lengthening or girth enhancement are not recommended and considered experimental unless they are in context of someone who has a micro penis so the things i'm about to tell you are in the literature for urology and have some data to support them however before doing any of these things please establish care with a urologist who is familiar with these things as
a caveat i do not discuss or offer treatment for penile lengthening in my practice but because this is such an important topic i went ahead and did the research for you guys there are two categories of treatment options available to people who suffer from small penis anxiety or distress due to the belief that their penis is smaller than normal and for those people there are non-surgical treatments and there are surgical options that are reported in the literature starting off with non-surgical treatments psychological counseling so there are validated measures and questionnaires and assessments that can be
done to help you understand what normal penile size is and also help you deal with some of these anxious feelings interestingly when you look at people who've undergone just psychological counseling and nothing else the large majority of men no longer want to look for any other treatment whether it's non-surgical or surgical to enhance the length of their penis so this is big i would recommend anyone who's suffering from anxiety to please seek out psychological care to help you with this anxiety there are three other non-surgical options one is penile extenders two is vacuum erection devices
and three is penile injectable treatments the only one of these three that has any data to suggest it actually results in penile enhancement as in length is specifically penile extenders and penile extenders are essentially a device that has a hole in which you put the penis as well as two metal rods on either side and then a silicone circle at the end to hold the glands in place and it slowly and mechanically applies traction to the penis to provide length and it does this over a course of many months and with a lot of time
dedicated to it in each day and when you look at the data people who religiously used these penile traction devices actually did gain some length on their penis and they measured their penile length by a flaccid length as well as a flaccid stretch length in urology we use a flaccid stretch length to estimate the size of an erect penis so the flaccid stretch length has actually been compared to the erect length and has been shown to be very similar for measurement purposes so what was the end gain after months and months of daily use about
two centimeters so there was a gain however it was very very small so you have to be extremely compliant do this daily for several hours a day to achieve the desired effect also there are some complications this can include numbness bruising or overall just lack of efficacy you can spend a lot of time doing this and see no benefit so this is the only thing that has been shown in the literature to have consistently good results with very low side effects the other options vacuum erection devices specifically did not increase penile length at all and
lastly penile injections there are a number of different penile injections out there that have been tried used and many of them have had devastating complications so i do not recommend doing any penile injections in fact next week i'm going to be talking a little bit about the history of penile injections and what types of penile injections people have done with good results bad results again right now the data is not strong enough to recommend any sort of injection in the penis and as i mentioned you can have devastating complications up to 40 years after getting
a penile injection so please do not inject anything into your penis as far as surgical treatments a lot of different surgical options have been discussed and written out in the literature one of the most common ones is a suspensory ligament incision and what that is is the penis is held to the pubic bone which is the bone right in front of your penis by a ligament and by releasing that ligament you can give a little bit more length to the penis however this is not without complications there are also a number of other techniques using
different flaps graphs and even using rib cartilage to help increase the length of your penis and all of these overall have poor outcomes with poor satisfaction the studies that have actually been able to give results on these particular surgeries have not been really rigorously reported so at this time we cannot recommend a surgery to increase your penile length that is not without a multitude of complications the only time that you should proceed with any surgery for penile lengthening would be in the context of a clinical trial and what is a clinical trial well a clinical
trial is one that is done at an institution where there is an institutional review board or irb what that irb does is it makes sure that any study that is done in that institution is safe and ethical to be done on human patients they also make sure that there is data monitoring and a way to report adverse events that occur during the trial on a regular basis so that things that happen because of the surgery are accurately documented and then those things are published in the literature so that you can get true clear and complete
data from a study that's being done on a certain type of surgery and so that we as urologists can say okay this has been done in 100 patients and only 10 of them had a complication and that was minor compared to 20 of them had a horrible complication and then this is not safe for us to continue doing and this is the way that we start looking at data scientifically to make sure that it has good outcomes and is safe for people to proceed with doing bottom line there's not a lot you can do to
change the length that you are given you can gain a small amount of length with penile traction therapy and that has been shown in the literature however there are many other things that are currently under investigation and are not recommended for routine care i think first and foremost is getting treatment under the care of a psychologist to deal with this anxiety before doing anything that may be irreversible and have you end up with something that is disfigured not functional and worse than what you started off with thank you so much for watching and make sure
you join me next week on monday when i talk about penile injections and what are some of the side effects complications that have happened in patients who've injected their penis or gotten their penis injected with a number of different substances and always remember to take care of yourself because you're worth it
