Penis size has always been the butt of fraternal jokes and a double-edged sword. It is also a source of embarrassment if it does not live up to expectations. And as with the vagina, modern medicine has established a number of procedures to make the penis larger through surgery.
“There is a huge amount of pressure on men,” explains Gordon Muir, a consultant urologist at King’s College Hospital who researches genital anxiety in men. He explains that social media, locker room banter and pornography can make men think their penises are abnormally small, despite the average erect penis size being around 13,1 cm long.
It’s true that many men do not really want to have “a small penis”: 45% feel dissatisfied with the size of their penis, while “penile dysmorphic disorder” is increasingly recognised as a legitimate condition. Despite these figures, we should know that only 0.6% of men have a micropenis, which is defined as a penis measuring 6.98 cm when erect.
For this reason, the surgical technique that consists of, as the name suggests, making the penis thicker and/or longer, is the order of the day. Most of the time there is no medical necessity but the reason is self-confidence. These types of surgeries are highly specialised procedures that carry different risks. According to one study, they may lead to deformities, non-healing wounds and sexual dysfunction.
Among the different procedures, there is the Penuma which was invented in the early 2000s by Dr. James Elist, an American urologist and self-proclaimed “pioneer” of penis enlargement surgery. The Penuma is a kind of sleeve (like a shirt sleeve) but made of silicone, which is placed under the skin of the penis, through an incision in the lower abdomen.
Given the proportion of men who are dissatisfied or anxious about their size, it is not surprising that approximately 5,000 Penuma devices have been implanted, especially since they are FDA-approved and marketed as fully reversible. However, it’s not hard to find Reddit posts expressing quite serious concerns about these types of implants.
“Most straight men haven’t seen another erect penis, except in porn, and most porn actors don’t get the job if they have an average-sized penis,” Muir explains. He adds that men in heterosexual relationships associate size with making their partner enjoy themselves. However, most women, around 80%, cannot reach orgasm through penetration alone.
Muir published research in 2019 that concluded that procedures to make penises bigger are “ineffective and risky”, and should “almost never” be done. Therefore, those interested in having their member in XXL version should think twice before undergoing surgery. However, when successful, these surgeries have the potential to change people’s lives.
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