Navigation Links
Noninvasive extenders are better than surgery for men who want a longer penis
Date:4/18/2011

Surgeons should encourage men who request penile lengthening surgery to try non-invasive methods first and, in some cases, consider therapy to help them feel more positive about their body.

An Italian review published in the April issue of the urology journal BJUI found that penile extenders are more successful than techniques like vacuum devices, exercises and botox injections and that psychological satisfaction is often just as important as physical changes.

"Urologists are constantly approached by men who are concerned about the size of their penis, despite the fact that the majority of them are normal sized" says Associate urology Professor Paolo Gontero, from the University of Turin, who carried out the research review with Dr Marco Oderda.

"However there are also a number of medical and surgical conditions that can cause penile shortening, such as radical prostatectomy for men with prostate cancer, Peyronie's disease and congenital abnormalities. Then there's 'hidden penis', which is caused by overlying abdominal fat and skin in obese aging men or a lack of skin because of chronic inflammation or an aggressive circumcision.

"Surgery is characterised by a risk of complications and unwanted outcomes and lack of consensus among the medical profession on the indications for surgery and the techniques used. That is why a non-invasive technique is preferable."

The review compared five evidence-based surgical studies covering 121 men and six evidence-based non-surgical studies covering 109 men, published between 2000 and 2009. Key findings included:

  • The average age of the men included in the studies ranged from 24 to 56 and the average follow-up ranged from three to 16 months.

  • Surgical techniques resulted in average flaccid size increases of between 1.3cm and 2.5cm. One report mentioned a highly invasive surgical procedure that achieved up to 4cm, but the authors could find no reports to suggest this has been reproduced by others. Meanwhile, studies of three types of penile extenders resulted in average flaccid increases of 0.5cm to 2.3cm.

  • The most common surgical technique - used on 83 per cent of patients - was dissection of the suspensory ligament, carried out on men with underdeveloped penises, Peyronie's disease, very small penises (micropenis), penile carcinoma or trauma. A number of patients had surgery because of dysmorphophobia, a psychological dislike of their body.

  • Nineteen men with an erect penis length of 6-10cm received the invasive surgery that involved penile disassembly with autologous cartilage and five of those experienced moderate dorsal penile curvature after surgery. The authors foresee a high complication and dissatisfaction rate with this surgical technique.

  • A total of 72 men used the penile extenders. Six reported minor problems, with three experiencing bruising and one each reporting temporary discolouration, pain and itching.

  • A study on the long-term effects of repeated vacuum treatment showed no significant physical change after six months of therapy, but it did provide a degree of psychological satisfaction for some men. Two of the 37 men experienced side effects, with one haematoma (blood under the tissue) and one case of numbness recorded.

Further research showed that:

  • One study showed that botox may have a temporary effect in decreasing penile retraction and improving flaccid length.

  • Another suggested that penoscrotal rings could help augment penile size and maintain erections in men suffering from anxiety if combined with a PDE5 inhibitor (erectile dysfunction drug). However, the authors could only find two case reports that described the efficacy of these devices.

  • There is no scientific evidence to show that penile lengthening exercises work. Despite this, it is very attractive to patients who like the idea of a non-invasive, low-cost method of penis enlargement and is widely discussed on the internet.

  • Many men feel that their penis is too small when, in fact, very few seeking help have a micropenis. This suggests that therapy could play an important role in helping men to address their concerns.

"No studies have been carried out to compare surgical and non-invasive methods of penile lengthening" says Professor Gontero. "However our review suggests that penile extenders represent an effective and durable method of penile lengthening, capable of elongating the penis by an average of 1.8cm with minimal side effects. This compares favourably with surgery, which is much more invasive for the patient.

"Based on current evidence, we suggest that penile extenders, not surgery, should be the first-line treatment for men seeking a penile lengthening procedure.

"Cognitive behavioural therapy can also be useful in building men's confidence if they have body image issues."


'/>"/>

Contact: Annette Whibley
annette.wizard@gmail.com
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Noninvasive Test May Identify Down Syndrome Early On
2. Noninvasive test for trisomy 21 closer at hand
3. Noninvasive Glaucoma Test Might Speed Up Detection
4. Noninvasive brain stimulation helps improve motor function in stroke patients
5. Noninvasive Test for Colon Cancer Shows Promise in Early Trial
6. Prediction tool helps estimate local recurrence in patients with noninvasive breast cancer
7. Noninvasive combination technique may reduce number of breast biopsies
8. New research shows innovative respiratory stress test can quickly detect significant coronary artery disease in a noninvasive setting
9. Better HIV prevention interventions needed for juvenile offenders
10. UCSF analysis shows newer surgery for neck pain may be better
11. Organic Label Seems to Make Food Taste Better
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/27/2017)... , ... February 27, 2017 , ... The threat of ... to work for a company involved in the underground testing of nuclear weapons. Years ... for Answers: Expendable Workers of the Cold War Nuclear Testing,” Clayton exposes the critical ...
(Date:2/27/2017)... ... 2017 , ... Orange County dentist, Dr. A. Rassouli, comments on ... when the bacteria in plaque infect the gums and other tissues supporting the teeth. ... planing or SRP, and can include surgical therapies if the condition has led to ...
(Date:2/27/2017)... ... February 26, 2017 , ... Miro is the ultimate smart media ... system brings songs, movies, TV shows and much more apps for user exploration. Its ... An immersive view of 1280 x 720 provides crisp images with remarkable clarity and ...
(Date:2/27/2017)... , ... February 27, 2017 , ... ... threshold mark last week. In addition, Discount Power's RCE (Residential Customer Equivalent) count ... in March 2014. The company had 800 customers and 2,250 RCEs at the ...
(Date:2/27/2017)... CA (PRWEB) , ... February 27, 2017 , ... ... for hair transplantation therapy, is proud to announce a new informational post on ... therapy procedures. Follicular Unit Extraction (FUE) hair transplant and Follicular Unit Transplantation (FUT) ...
Breaking Medicine News(10 mins):
(Date:2/27/2017)... Md. , Feb. 27, 2017  RegeneRx ... a clinical-stage drug development company focused on tissue ... licensee for RGN-137, GtreeBNT Co., Ltd., received a ... Phase 3 clinical trial design for RGN-137 to ... wound healing gel that incorporates Thymosin beta 4 ...
(Date:2/27/2017)... 27, 2017 A recent research report published ... market alone is expected to reach a value of $55.8 billion ... along with 28 states have legalized marijuana for medical uses. In ... Florida , North Dakota , ... to use the drug in medical applications such as chemotherapies and ...
(Date:2/27/2017)... N.J. and PETACH TIKVAH, Israel ... Therapeutics Inc. (NASDAQ: BCLI), a leading developer of adult ... appointments of June S. Almenoff , M.D., Ph.D., ... to its Board of Directors.  "Dr. ... executives whose appointments come at an exciting time for ...
Breaking Medicine Technology: