Surgery is risky and may not work
Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction.
At best, surgery such as division of the suspensory ligament may add half an inch (1 centimeter) to the appearance of the flaccid penis but does not change actual length of the penis. At worst, surgery can result in complications such as infection, scarring, and loss of sensation or function.
Surgical methods of penis enlargement — Not for cosmetic use
The need for penis-enlargement surgery is rare. Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.
Although some surgeons offer cosmetic penis enlargement using various techniques, it's controversial and considered by many to be unnecessary and in some cases permanently harmful. These surgeries should be considered experimental. There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.
The most widely used surgical procedure to lengthen the penis involves severing the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft. When this ligament is cut, the penis appears longer because more of it hangs down.
But cutting the suspensory ligament can cause an erect penis to be unstable. Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone.
A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft. Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body. This can lead to penile curvature or asymmetry and an irregular looking penis.
Another technique for increasing width is grafting tissue onto the shaft of the penis. None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection.
A few things that might actually help
Although there's no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you're concerned about your penis size.
- Communicate with your partner. It may be hard to break old habits or to discuss sexual preferences with your partner. But you'll be glad you did — and you may be surprised at the spark it ignites in your sex life.
Get in shape and lose the belly fat. If you're overweight and have a "beer gut," your penis might appear shorter than it is.
Regular exercise can make a big difference. Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex.
- Talk to your doctor or a counselor. Feeling unhappy about the size of your penis is common. A certified counselor, psychologist, psychiatrist or your family doctor can help.
Many men feel better with reassurance that they are "normal" or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.
The bottom line
Many men believe that increasing the size of their penis will make them a better lover or make them more attractive. But chances are your penis is within the normal size range.
Even if your penis is smaller than average, it may not matter to your partner. In addition, there's no proven way to make a penis larger.
The solution to your concerns about penis size may be as easy as talking with your partner or getting in shape. If those steps don't help, try talking with a professional counselor about your concerns.
June 22, 2017
See more In-depth
- The foundation's recommendation on penile augmentation. American Urological Association. http://www.urologyhealth.org/urologic-conditions/penile-augmentation. Accessed March 24, 2017.
- Veale D, et al. Environmental and physical risk factors for men to develop body dysmorphic disorder concerning penis size compared to men anxious about their penis size and men with no concerns: A cohort study. Journal of Obsessive-Compulsive and Related Disorders, 2015;6:49.
- Casavantes L, et al. Penile girth enhancement with polymethylmethacrylate-based soft tissue fillers. The Journal of Sexual Medicine. 2016;13:1414.
- Shaeer O. Girth augmentation of the penis using flaps "Shaeer's augmentation phalloplasty": The superficial circumflex iliac flap. The Journal of Sexual Medicine. 2014;11:1856.
- Velten J. Satisfaction guaranteed? How individual, partner, and relationship factors impact sexual satisfaction within partnerships. PLoS One. 2017;12:e0172855.
- Campbell J. A review of penile elongation surgery. Translational Andrology and Urology. 2017;6:69.
- Dietary supplements. Office of Dietary Supplements. https://ods.od.nih.gov/factsheets/DietarySupplements-HealthProfessional/. Accessed March 24, 2017.
- Kayes O, et al. Therapeutic strategies for patients with micropenis or penile dysmorphic disorder. Nature Reviews: Urology. 2012;9:499.
- Xu L. Modified penile augmentation by dermal-fat graft in post-hypospadias adults. Aesthetic Plastic Surgery. 2016;40:120.
- Veale D. Am I normal? A systematic review and construction of nomograms for flaccid and erect penis length and circumference in up to 15,521 men. BJU International. 2015;115:978.
- Herbenick D. Erect penile length and circumference dimensions of 1,661 sexually active men in the United States. The Journal of Sexual Medicine. 2014;11:93.
- Castle EP (expert opinion). Mayo Clinic, Rochester, Minn. March 29, 2017.