How can I safely increase my penis size?

There Are No Safe or Effective Medical Methods to Increase Penis Size

There are no medically recommended procedures or treatments to increase penis size in men with normal anatomy, and attempting such interventions can lead to serious complications including permanent disfigurement, sexual dysfunction, and even death. 1

Understanding the Issue

Penis size concerns are common but rarely represent a medical problem:

• Most men seeking penile enlargement have physiologically normal penises but may suffer from penile dysmorphophobic disorder (excessive preoccupation with penis size) 2
• Psychological counseling should be the first-line approach for men concerned about penis size 1
• The median ejaculatory latency time in Western countries is 5-6 minutes, which is considered normal sexual function 3

Available "Enlargement" Methods and Their Risks

Non-Surgical Approaches

1. Penile Extender Devices

   • Limited evidence suggests minimal gains (less than 2cm in flaccid length) 1
   • One small study showed modest increases in flaccid and stretched penile length after 3 months of daily use for 9 hours 4
   • Requires extensive daily use (4-9 hours) for minimal results
   • Not endorsed by any major urological guidelines

2. Vacuum Devices

   • No evidence of permanent size increase 1
   • Primarily indicated for erectile dysfunction treatment, not enlargement 3
   • Can be used to prevent penile length loss after prostate cancer treatment, but not for enhancement 3

3. Injectable Fillers

   • Associated with high complication rates 1
   • Can lead to penile deformity and sexual dysfunction 5
   • No standardized technique or safety profile

Surgical Approaches

1. Suspensory Ligament Incision

   • Most commonly used surgical technique 1
   • Complications not infrequently reported
   • Not validated by external research
   • No major urological guidelines endorse this procedure

2. Tissue Grafting

   • Multiple techniques exist (autologous, dermal fat, etc.)
   • High complication rates
   • Not validated by external research

3. Penile Prosthesis

   • Only indicated for erectile dysfunction, not for cosmetic enlargement 3
   • Significant risk of complications including infection

Medical Complications of Enlargement Attempts

• Penile fibrosis and scarring
• Permanent erectile dysfunction
• Penile deformity
• Decreased sensation
• Infection
• Death (in extreme cases) 2

What Medical Guidelines Actually Recommend

The American Urological Association (AUA) guidelines do not endorse any penile enlargement procedures for men with normal anatomy. Instead, they focus on:

1. For Peyronie's Disease (abnormal curvature):

   • Medical and surgical treatments focus on correcting deformity, not enlargement 3
   • Treatments include collagenase injections, plication, grafting, or prosthesis for severe cases 3

2. For Erectile Dysfunction:

   • PDE5 inhibitors (e.g., sildenafil)
   • Vacuum erection devices
   • Medicated urethral systems
   • Intracavernosal injections
   • Penile prosthesis as a last resort 3

What You Can Do Instead

1. Seek psychological counseling if concerned about penis size

   • Most effective intervention for men with normal anatomy concerned about size 1
   • Helps address body image concerns and sexual confidence

2. Focus on overall sexual health

   • Treat any underlying erectile dysfunction according to established guidelines 3
   • Consider psychosexual counseling to improve sexual functioning and satisfaction 3

3. Address modifiable factors that can affect perceived size

   • Weight loss if overweight (can make the penis appear larger)
   • Proper grooming of pubic hair

Bottom Line

Penis enlargement procedures should be considered experimental at best and potentially harmful at worst. No major urological guidelines recommend these procedures for men with normal anatomy. If you have concerns about penis size, speak with a urologist or mental health professional specializing in sexual health rather than pursuing unproven and potentially dangerous interventions.