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

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