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Penile SystemFor those men experiencing severe symptoms of erectile dysfunction where medications or other types of treatment prove ineffective or unsuitable, a last resort often involves the use of surgically implanted penile prosthesis devices. While penile implants have been shown to help in a large percentage of these cases, one common complaint is the accompanying decrease in overall penis size. Some researchers now suggest a possible remedy to the resulting dissatisfaction with penis size experienced after penile prosthesis implantation may involve the utilization of additional surgical augmentation techniques.

Penis Surgery

The decision to undergo any form of penile surgical procedure is not one to be made lightly. It should involve consulting with a qualified medical practitioner who is able to diagnose your condition and explain all the advantages, disadvantages and possible complications. That said, penile surgery is sometimes the only option available when less invasive medical treatments have been exhausted.

Understanding Penile Prostheses

A penile prosthesis is a surgically implanted device sometimes used in the treatment of medical conditions such as erectile dysfunction, penile trauma (accidental or intentional) and Peyronie's disease. The purpose of these devices is to artificially simulate an erection sufficient for penetration and sexual intercourse in cases where this would not normally be possible.

Types of penile implants:

  • Rigid Prosthesis - an implant that is permanently erect
  • Malleable/Semi-Rigid - these implants can be manually adjusted and bent into position
  • Inflatable/Hydraulic - prostheses that operate through cylinders inserted into the penis which can be inflated or deflated on demand

While mechanical failure and certain complications including infections, erosion and urethral injury have been noted in the past, newer penile prosthesis technology has helped to create a safer and more effective device. These advances, however, do not address one of the major complaints commonly associated with their usage, namely that of a loss in penis size.

Penile Implants and Penis Size

Even though penile implants work to effectively produce "erections", their use does not have an effect on the glans itself. During a normal erection, the glans (penis head) hardens and swells in size which aids in penetration. Intercourse is often made more difficult without the help of this natural process.

Another side effect of using a penile prosthesis is that artificial erection size is generally smaller than that of a normally functioning penis. In general, men lose approximately 1-2 cm (.25-.75 in) in length as the penis is unable to achieve the rigidity of a naturally occurring erection. The combination of these factors is what often leads to a lowered level of satisfaction among penile implant recipients.

The Use of Penile Augmentation Surgery

A study published in the Journal of Sexual Medicine suggests that one way to counter the dissatisfaction experienced by penile prosthesis patients is by employing various augmentation techniques.

In a trial consisting of eighteen patients, eleven men underwent various surgical augmentation procedures (the remaining seven had their complaint relieved by counseling and the administration of PDE5 inhibitors). Of these eleven patients, two had elongation, girth augmentation, and glans injection; six had elongation and girth augmentation; and two had elongation and glans injection. With the exception of one patient who suffered graft loss, all patients indicated increased levels of satisfaction after the procedures were completed.

At the end of the study the researchers concluded:

"Implantation of a penile prosthesis may improve penile rigidity, yet may confound couple's satisfaction with penile size to variable degrees. Sex education may alleviate those concerns. In refractory cases, penile augmentation may enhance phallic size and increase patient/partner satisfaction."

Source:Journal of Sexual Medicine / DOI 10.1111/j.1743-6109.2010.01723.x

For these men, surgical penis augmentation proved to be an effective means to remedy their displeasure with penis size. Their particular experience however should not be considered an endorsement of penis surgery for the singular use of increasing penis size.

In this case, specific circumstances precluded these men from employing any other means of natural penis enlargement. Undergoing penile augmentation surgery for the simple sake of vanity, where a man has an otherwise normally functioning penis, still remains a method in which the risks far outweigh the benefits.

Posted by PRS
Friday, March 12th, 2010

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15 Responses to "Penile Implants and Penis Size Dissatisfaction"

I have the penile implant & have loss in size. although it works great,a increase of about 2" in length would be more enjoyable. Is there anything to increas the size of my penis? my surgeon says there is nothing that can give you length with the implant.

Hello Chuck,

I don't want to contradict your surgeon since his opinion is obviously far more qualified than my own. According to the study cited above however, there are men with implants who have undergone penile augmentation (surgical length and girth enhancement) with some varying degree of satisfaction. Your surgeon may be keeping your best interests in mind since there is risk inherent to any surgical procedure and he/she may believe that the danger far outweighs any potential benefits.

You may wish to ask your surgeon if using a PDE5 inhibitor (such as Viagra) might help to improve your condition. That was also mentioned in the study as one treatment that provided patients some relief from penis size dissatisfaction issues.

i would like to know more about penis implantation treatment. i have undergone penectomy 2 years ago due to carcinoma in situ. so i would like to know more about what can be done for me to live a normal life.

Hello Madhu,

As I understand it, plastic surgery is possible in cases of partial penectomy. Although it is rarely attempted in the case of radical penectomy (complete removal), I do believe that some surgeons can reconstruct the penis using skin from another part of the body such as the forearm. You would really need to speak to a professional about your options.

[...] in March of 2010 we reported on the results of a study that linked penis size dissatisfaction with the use of penile implants. It was conjectured that penile augmentation surgery might offer [...]

It seems that a surgeon would have the ability to create a longer and thicker implant to insert into a man. If the man had his ligaments released and the shaft released from inside of him, the longer prosthesis should be inserted to give him a much longer and thicker penis. Why hasn't this been done?

Hi Danny,

I believe the limitation arises from the size of the penis itself. The existing length and thickness with determine how large of an implant can be inserted. There are additional surgical procedures that can be done to physically enlarge the penis (grafts, and as you mentioned, severing the ligaments) but keep in mind that those cosmetic procedures are performed on healthy men looking specifically to enlarge the penis because of dissatisfaction with size. Men who get penile prosthetics do so because they have an existing physiological condition that prevents them from achieving erection normally - in other words, they have an actual medical problem. Most penis enlargement surgeons will not even consider phalloplasty if the patient has any sort of pre-existing medical condition.

I had a penile implant in June 2014 and I have recovered fine. My concern is my penis is smaller and skinnier than it was before. Is there any any way to increase size and gerth without any more surgery? Second I don't have the sensation I use to in the head of my penis and I can't seen to have an orgasm. It is very frustrating. Is there anything I can do?

I also had a implant i too am smaller and lack feeling. i too would like something done. my implant was 8/2014

Hello Charles. There was a study that showed penile traction devices (penis extenders) were effective in increasing size but those results occurred prior to implantation so I'm not sure how effective it would be post-implant. You can read more here:

I just got my penile implant in June and started cycling it 7/1/15 after being at 50% for the entire month of June. my concern is that preop my penis had a very nice cylinder shape and now it's flat shaped. it looks odd, and advice from a internet web site stated that you have to be aroused to get that shape back. I like to know first if that's true and second if there is some exercise I can do to shape it like it was preop. I looked at a lot of post op penis pics and they all looked cylinder shaped to me except one that was flat like me.

It doesn't seem like it's been that long so it make take some time to see changes. If there's adequate blood flow for an erection then it should be encouraged - you want to be functioning as close to 100% as possible so really any sort of stimulation should be good (masturbation, intercourse or manual exercising). There's really no way in knowing if you will regain your shape completely but it's definitely something you should bring up with your doctor if it's a real concern.

When I first started pumping up my penis was flat as a pancake and wide the other directions. Now 2 months later I get the same shape but I massage my penis and get it close to shape it was before. I discovered that if I take a Viagra it get the blow flowing in other areas and the pump makes it hard and I get the round shape

I originally had a thick 7 3/4 inch penis until I contracted a severe form of peyronies disease in 6/2012. Had a 47 thousand dollar penile implant surgery in 9/2015 with lots of hope having a functional penis again. What I received was a very narrow, 5 inch penis that no man should put up with. Is it vanity to want to please my female partner? There is no way any female will find a narrow 5 inch penis pleasing. I am demoralized. I have fingers larger than this expensive penis. Why would a company make such a small device like the one I have and why would a Urologist use it. If there is a way to enlarge my penis please let me know. Thank you.

It seems to be a common complaint with implants. There is some data that suggests traction therapy may be a viable option - you can learn more at this link:

Penis Traction and Prosthetic Implant Study

You can read our penis traction device review to learn more about this method.

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