BJU International

Before we get to the article itself, let's learn a little about the source. Formerly known as the British Journal of Urology, the BJUI was first established in 1929 and covers the field of urology. Urology is the medical and surgical specialty that focuses on the urinary tracts of males and females, and on the reproductive system of males.

The BJUI publishes peer-reviewed papers on urological oncology, evidence-based medicine, sexual medicine, laparoscopic and robotic urology, upper and lower urinary tract, reconstructive, pediatric, and investigative urology. It is the official journal of the British Association of Urological Surgeons, Urological Society of Australia and New Zealand, The Urological Society of India, and The Caribbean Urological Association.

Why am I spending time talking about the BJUI? Aside from the fact that you should always know the source of information, I want to make it clear that this is no crack-pot organization. Membership is composed of Doctors, Surgeons, Scientists and Researchers who excel in their practices and are considered some of the top minds in their field.

The Article – Non-invasive methods of penile lengthening: fact or fiction?

The aforementioned article is entitled "Non-invasive methods of penile lengthening: fact or fiction?" The abstract from the article reads:

"Penile size is a matter of great interest among men who are affected by 'short penis syndrome' or just believe themselves to have a small penis, even though the dimensions of the organ fall within the normal range. Surgical procedures of 'lengthening phalloplasty' lack standardized indications and carry a high risk of complications. Several non-invasive methods of penile lengthening have been described, such as vacuum devices, penile traction devices and penoscrotal rings; even 'physical exercises' have been popularized through the media. Most of these techniques, however, are not supported by any scientific evidence. We briefly analyse the efficacy and scientific background of such non-surgical methods of penile lengthening."

It's important to note that they are referencing "non-invasive" methods of penis enlargement. Penis surgery is considered an "invasive" method since it involves the actual cutting of skin and tissues. The article continues:

"It seems that penile extenders represent the only evidence-based technique of penile elongation. Results achieved do not seem to be inferior to surgery, making these traction devices an ideal first-line treatment option for patients seeking a penile lengthening procedure."

Source:BJUI / DOI: 10.1111/j.1464-410X.2010.09647.x

Although this conclusion may be unnecessary for the thousands of men across the globe who have already successfully enlarged their penises using traction devices (also called penis extenders), it is nice to see some confirmation from a published and reputable source. It is not the first scientific affirmation of the effectiveness of penis extender devices but it does somewhat help reduce the stigma commonly associated with natural penis enlargement.

I hope and anticipate that future medical studies and reports will continue to surface and bring about a greater understanding of the options men have when seeking to enlarge their penis. Men who are unsatisfied with penis size and wish to increase it can achieve that goal… they just need to be made aware that it's possible! These types of reports will hopefully serve to reassure men and raise awareness of the non-surgical options that exist to them.

Other case studies and research regarding the use and effectiveness of penis traction devices can be found here:

Penis Extender Studies and Research

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Post tags: penis enlargement, penis extenders, penis surgery, penis traction devices, phalloplasty

Phalloplasty, the technical term referring to artificial re-constructive modification of the penis, first began as a surgical remedy for a medical condition known as "micropenis." This congenital defect results in an abnormally small penis (less than 6 centimeters) and affects only a very small percentage of the male population. In subsequent years, the procedures and techniques involved in the surgery were redefined to focus specifically on increasing the length of the penis for purely cosmetic reasons.

Penis Lengthening

The refinement of penis lengthening procedures is largely credited to a surgeon from China named Long Daochao. Dr. Daochao's contribution involved severing the suspensory ligament that anchors the penis to the body. This was done in order to allow the penis to drop more down and forward thereby increasing the amount of shaft that projects outside of the body. While not actually increasing the length of the penis, this technique does give the appearance of making the penis longer.

Penis Widening

Not too long afterwards, a man by the name of Richardo Samitier began work on a specific technique designed to increase the thickness of the penis. A surgeon from Miami Florida, Dr. Samitier previously specialized in lip enlargements before shifting his focus to penis enlargement. His technique involved the use of liposuction to transfer fat from another part of the body and inject it directly underneath the skin of the penis. Although this technique did effectively increase width, it was plagued by problems involving the migration of fatty deposits which often resulted in misshapen penises.

Dermal Fat Grafts

To avoid fat migration, later refinements of this technique replaced pure fat injections with dermal fat grafts. This involves removing two narrow strips of flesh from a patient's abdomen or buttocks, sewing them together, and inserting the pieces beneath the skin through an incision near the penis head.

While this proved to be more effective at creating a smoother penis texture then when using pure fat injections alone, it can leave thick scarring on the penis and in the area where the flesh was originally removed.

Alloderm Grafts

The latest and most common method used today to increase penis thickness is to insert tissue harvested from cadavers beneath the skin of the penis. Called Alloderm Grafts, this technique is meant to avoid unnecessary scarring on the body and reduce the possibility of fat lumping by allowing blood cells to generate new tissue which is more naturally incorporated into the body.

The effectiveness of this technique is still questioned by many surgeons who believe the tissue will never properly amalgamate into the body. To date the FDA has still not approved the use of this harvested tissue.

Penis surgery has evolved quite a bit from the early days but there remains much skepticism in the medical community regarding its use for cosmetic enhancement. Although many surgeons still refuse to consider using such techniques on patients, there are others that specialize in the procedure. Incidentally, there are those who specialize in the repairing of botched operations. Regardless, surgical procedures designed to increase penis size are still being performed on men from around the world even today.

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Post tags: Alloderm Grafts, Dr. Daochao, Dr. Samitier, Penile Surgery, penis surgery, penis surgical procedures, phalloplasty, surgical enlargement

While penile enlargement surgery is not new, it still remains a very controversial method due to the inherent risks involved and often unpredictable results. The surgery itself is comprised of two separate procedures; one to lengthen the penis and another to increase it's width.

Penile Lengthening

Surgical lengthening of the penis is achieved by making an incision at the base of the penis and cutting the ligament that anchors it to the pubic bone. By cutting the suspensory ligament, the portion of the penis that is normally hidden within the body is allowed to protrude. This allows more of the penis to be exposed and gives the illusion of more length. This procedure will usually add the appearance of anywhere from one to two inches in length.

Penile Widening

Penis widening is done to add girth (thickness) to the penis. This procedure requires the insertion of a filler material under the skin of the penis which can be accomplished in the following ways:

• Fat Transfer – involves taking fat cells from the lower abdomen or inner thighs via liposuction, purifying the cells and then injecting them directly beneath the penis skin.
• Dermal Augmentation – involves removing two strips of tissue (consisting of skin and under lying fat) from the crease of the buttocks, and then grafting these strips beneath the skin of the penis.
• Alloderm Graft – usually involves the layering of cadaver skin which has been treated and freeze-dried around the penis to build up the desired girth.

Both of these procedures are fairly expensive with penile lengthening ranging from $4,000 to $6,000 and penile widening from $7,000 to $10,000.

Unfortunately there is no guarantee regarding final penis size and these methods may also bring on post-operation complications including deformation, permanent numbness, infection, scarring, impotence and penis shortening. Some surgeons recommend traction devices or weights to be used after the stitches and incisions have healed to help sustain the increase in size. These methods expose the penis to a constant stretch which reduces the chance of retraction and allows the expansion of the skin and tissues that were not surgically modified. Many patients choose to maintain this traction for up to a 6 month period after surgery.

It should be noted that penis traction methods by themselves have been shown to significantly increase the size of the penis without the surgical procedure. While this does take a longer period of time than the relatively quick penis enlargement surgery, it is still infinitely safer and far less expensive.

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Post tags: alloderm graft, penile enlargement surgery, penile lengthening, penile widening, penis enlargement surgery, penis shortening, penis size, penis widening, phalloplasty, suspensory ligament, traction devices

If you are a private individual that has a lot of free time, then using a traction device for penis enlargement might be the right choice. These devices are fastened to the penis and exert a constant stretch on the soft penile tissues. They can usually be concealed under the clothing but this might not be a good choice for someone who is constantly active as it can be a bit uncomfortable. While it is has been proven effective after consistent use, this type of equipment might not be feasible for many men.

Another device used by many men is the penis vacuum pump. These pumps are sometimes recommended by doctors for patients that have difficulty attaining erections, such as those suffering from diabetes or severe circulation problems. This device however only promotes temporary size increase and there are many risks and dangers involved in its use.

For someone who doesn't have much free time, a natural penis enlargement exercise regimen might be more appropriate. Penis exercises act on the penis in much the same way as traction devices, except of course that they require you manually stimulate your penis with a series of stretches. They can be performed at your leisure and you are in full control of your workout at all times which lessons the chance of injury which can occur with some mechanical devices.

There are also a wide variety of enhancement supplements like penis pills and patches which can be used in conjunction with a natural enlargement exercise routine. The main function of these supplements is to increase the flow of blood to the genitals, elevate testosterone and energy levels, and generally enhance the entire reproductive system.

Cosmetic penis enlargement surgery, also known as phalloplasty, is another method chosen by some men. This procedure however is very expensive and fraught with danger. Impotence, scarring, permanent numbness and deformity are just some of the inherent risks of penis surgery.

As anyone with an email account will know, the natural penis enlargement market is ripe with scam artists and bogus companies looking to cash in on men's insecurities about their penises. "Professionals" are quick to dismiss the effectiveness of these solutions but I've yet to meet one that has actually taken the time and effected the dedication needed to make these methods successful. There is no money in natural penis enlargement for the doctors and big pharmaceutical companies that push drugs as the cure for any condition.

Look around and review some of your options before you start on a natural penis enlargement solution and remember that nothing good ever comes easy. If you're expecting to see huge gains after only a month of stretching or taking some pills, then you probably shouldn't be considering penis enlargement at all.

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Post tags: penis enlargement method, penis exercises, penis pills, penis surgery, penis traction device, penis vacuum pump, phalloplasty

The man pleaded guilty to a charge of "use of weapon of mass destruction." If you ask me it's the surgeon who performed this hack job that should be charged with "use of a weapon of penis destruction"!

Don't get me wrong, I'm not condoning the actions taken by this man, but it is easy to understand how enraged someone might get in this situation. Imagine coming out of a phalloplasty operation expecting to have a bigger and sexier penis only to find that you are now the owner of a deformed penis. His lawyer contends that his client was mentally ill, but if that type of thing happened to me, well then you could just lock me up in a padded cell and throw away the key because I would have lost my mind too.

Of course you'd never find me in that position to begin with. Yes everyone wants a bigger penis and yes, many of us do obsess about it. But spending the time and effort to research and practice naturally proven enlargement methods is certainly a heck of a lot better than ending up like this guy.

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Post tags: penis enlargement surgery, phalloplasty

Basically phalloplasty consists of two separate procedures: one to increase the length of the penis and another to increase the girth or thickness.

Surgical lengthening of the penis is accomplished by cutting the ligament that supports erections. This allows the penis to extend forward and outward, exposing some of the penis that is normally hidden inside the body. The downside of this procedure is that the ligament which forces the penis to point upward in a normal erection can no longer do so and erections will then point downward.

Increasing penile girth surgically, on the other hand, is a much more complicated process. Girth, or thickness, is increased through several types of procedures including Alloderm Graft, Fat Transfer, and Dermal Augmentation. These methods involve harvesting fat cells or strips of tissue from other parts of the body and inserting or grafting this flesh directly to the penis.

It should be noted that these techniques often bring about unwanted complications and side effects. These may include infections, bleeding, bruising, painful scarring, reduced angle of erection making the penis susceptible to injury, re-absorption of fat cells leading to penile shortening, asymmetry and deformities, soft erections, permanent numbness, loss of sexual function, and impotence.

Aside from the inherent dangers and risks involved with phalloplasty, penile surgery is also very expensive. The costs associated with these various types of cosmetic penis augmentations can run anywhere from $3,000 to as much as $10,000.

Further complicating the issue, many times the size gained from surgery may be lost as a result of post-operative complications or improper post-operative care. Sometimes men who have had unsuccessful procedures will end up spending large sums of money on further cosmetic surgery in an attempt to restore their penis, oftentimes without success.

It is always advisable to seek out a natural method of enlarging your penis before committing to phalloplasty. While natural penis enlargement may be a more involved and time consuming solution, it is a far less expensive and infinitely safer route.

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Post tags: cosmetic penile enhancement, Penile Surgery, penis augmentation surgery, phalloplasty