Medical Problems Of Penis Enlargement

Despite common saying that “the most important is quality of sex and not penis size”, most men anyway want to increase their penis length at least at several centimeters not depending on the initial penis length. This desire is quite reasonable and it may hardly be called cranky one, first of all because it is subconsciously put by the nature and expressed the more strongly, the more a man feels like a male or a leader in the community.

Insufficient penis length may cause male enchainment with women, loss of interest, diffidence and a number of complexes. So penis size becomes one of the major factors in realization of male as an individual as well as an important indicator that directly affects the quality of life.

Besides its social significance, penis size also reflects general men's health, particularly the condition of endocrine and reproductive system. The point is that penis length depends on the level of sex hormones (testosterone) at puberty, when occurs most intensive growth of external genitalia. Low testosterone level leads not just to slow growth of penile tissues, it also leads to further emergence of mental problems that may result in infertility because of lowering and finally full stopping of sperm cells production. The more earlier you detect the disease the more quickly you start its treatment.

Today are known about 20 congenital diseases characterized by breaking production of sex hormones and resulting in small penis length. In some cases it may even result in male infertility. Congenital diseases prevalence is high enough and it is about 1 in 500 newborn boys. It is necessary to make examinations of the child. Those examinations should be made by andrologist or endocrinologist that specializes at men's health.

Examinations should be made when the boy is achieved 14 years old, because at early age treatment of this pathology will be very effective. One of the most frequent causes of poor development of penis is Kallmann syndrome. Early stage of body development in this syndrome is characterized by dyspoiesis of brain hypophysis cells responsible for synthesis of hormone producing testosterone. As a result, diseased children of 3-4 years have no testes in the scrotum. After making corrective operation on testes omission, parents usually calm down thinking that problem is solved.

However, when boy achieves 18-25 years old and he compares himself with other boys he understands that he has evident problems with the development of penis and testicles. This may lead to development of inferiority complex, as a result boy reduces his social circle, he refuses from sports and swimming pool. Fear of being made fun of makes him refuse from communication with girls. As a result these boys become isolated and they chose professions that are not connected with frequent communication with people. In this case there is no talk about brilliant career of journalist, businessman, politician and lawyer.

Penis Enlargement Motivation

Changing the priority of public morality and consciousness in favor of humanization made the improvement of sexual life a major direction in modern medicine.

Quality of sexual life is one of the most important components of this notion. Today operations that help to increase penis length are very popular. 90% of men who make such operations have a normal penis length. What is their reason for making operation?

The results of the research show that the main reason for doing penis enlargement operation is malaise with quality of sexual life. Thus, it is known that penis length has no influence on achieving vaginal orgasm by partner. Moreover, greater importance for coitus may have penis density of coverage during frictions, or in other words, penis diameter. Therefore, the desired density is much easier to achieve by making relatively simple surgery that narrows vagina.

So it is clear that the main motivation for penis enlargement is male wish to correspond to the image of sexuality and masculinity. This image has been developed historically and now is promoted by the media.
One more important reason is that big penis is an additional visual erogenous stimulation factor. Here may be made an analogy with the size of the mammary glands, for their increase is made implantation of endoprosthesis.

Medical indications for making operation to increase penis length are not determined and in most cases the only indication for penis enlargement is patient's wish.

Social Aspects Of Penis Enlargement

Health is a condition of full physical, mental and social well-being and nut just absence of diseases and physical defects.

Men's wish to change external look of penis is main indication to esthetic corrections.

The problem of penis enlargement traces its roots from ancient phallic cults. In trade and sculptural pictures of ancient Hindu prevailed males with very big penises. On Corsica Island were found phallic monuments of Bronze Age having length of 15-25cm.

Extremely big penis is the main theme of numerous Japanese “night books” used over ages as an visual stimulant. In Europe in Renaissance period in vogue were male left flypiece. D. Richards explains this phenomenon: “Penis size is very important for a man. In penis is concentrated all male great pride. In penis lives the greatest part of male “ego”.

Therefore, exists a particular cultural and social tendency for big penis worship. Research workers claim that exists huge documented information proving that feeling of disappointment caused by distress of soul, their anxieties, matrimonial problems, along with mental disorders result from ignorance and lack of exact information about sex and genital organs.

Recent years was increased popularity of penis enlargement operations and it requires statistic researches. Wessels H., et al. (1998) tried to establish mathematical relationship between penis length in rest state and penis length in erected state. According to the results, relationship between penis length in rest state and in erected state is not so great to use it for prognosis.

The increase of penile length compared with the initial size is more frank for small penises, but anyway the difference can not be considered statistically significant. The most accurate length of penis during erection can be predicted by the maximum tension.

The popularity of this kind of researches once again proves that big penis is firmly associated in public mind with domination and this certainly is an important argument in favor of a more delicate attitude to genital surgery.

What Is A Normal Penis Length?

Normally, erect penis length is from 12 to 18cm and non-erected is from 7.5 to 10.5cm. Thickness of a normal penis is 3-3.5cm. Erected penis is called small when its length is less than 12cm and penis called micropenis when its length is less than 8-10cm.

In a non-erected state the length of penis is determined by the degree of blood filling in cavernous bodies. Cavernous bodies are a spongy mass consisting of many small vessels and bladders which, like other vessels, are able to respond on action of active substances in the blood and on effects of temperature factors. So, when the temperature lowers, in a penis occurs vessel constriction which leads to blood admission into cavernous bodies and thus leading to penis decrease.

Rising of temperature causes a reverse reaction. Vessel constriction and penis length decrease also may be caused by adrenalin ejection into the blood in response to fright and other stressful situations. That is why penis, that usually is big during erection, multiply decreases in non-erected state.

Erect penis length is limited by fibrous tunic that is a texture having in its structure firm connective tissue which is responsible for limiting of penis stretching during erection.

Today is considered that testosterone level during puberty plays the main role in penis development because it determines penis length. Small penis length (less than 8-10cm) may indirectly speak about serious endocrine disorders linked with low production of male hormones. On the other hand, the big difference in measures of penis length (12 and 18cm) depends on personal differences in inguinal region anatomy and namely it depends on correlation between insidious and open parts of cavernous bodies and surrounded fibrous tunic.

There is an opinion that normal level of hormones and normal development of cavernous bodies in different males due to individual characteristics showed differently developed insidious parts of cavernous bodies that are responsible for cavernous bodies attachment to pubic bones and penis fixation.

However, for most men are important their own ideas about a normal penis length that is based on personal sexual experience or on the attempt to be better than others. Statistics here is not taken into account.

How To Measure Penis Length?
Penis length should be measured in room temperature. For that purpose should be used a ruler. Penis should be measured in a erected state by its back (dorsal surface) from pubis to the end of penis head. This is the most adequate way of measure because it reflects functional penis length. Such factors as extra subcutaneous fat depot in pubic region and insufficient erection may influence on functional penis size making penis smaller.

Ideal Penis Size

Penis sizes do differ as male growths। When we talk about penis size, we mean its size in erected state. Penis sizes may be divided according to the next criteria:
1. statistical indicators – average/small/big sizes
2. growth proportions – penis size makes up 10% of male growth

As penis sizes do vary in a relatively wide range, so during research it was established the average statistical penis size. Penis, according to its size, may be divided into average, small and big sizes. According to the results of the research, the average penis size is from 6 to 7.2 inch (15-18cm), and diameter 5.2 inch (13cm). Penis having size less than 6 inch is considered small, and penis with the size more than 7.2 inch is considered big. Most men (70%) have penis size more than 6 inch when erected!

Human body is proportionate. Those proportions are strictly taken into account when drawing a man. Penis size also has particular proportions: proportion between size and diameter, head size towards whole penis and proportion of penis and male growth.

Ideally, erected penis must be 10% of male growth, and in a relaxed state it must have 2cm+5% of male growth. So man with growth 72 inch should have penis 7.2 inch when erected, and 4.4 inch in relaxed state. In a man having growth 76 inch may have average penis size is 6.4 inch which visually looks small, but penis with 7.6 inch will be proportionate to his growth.

Ideal Penis Size
When defining parameters of ideal penis size it is necessary to take into account all parameters mentioned above along with penis shape, foreskin, proportion between penis head size and penis body, and also anatomic and functional factors. The ideal penis is long and thick enough, it has well-developed foreskin and penis head, with right placed urethra and firm erection.

There are not many men with ideal penis. As well as many men try to make athletic build in a gym it is necessary to improve penis in order to bring it to the ideal.

What Should You Know About Penis Size

It is considered that a normal penis size of erected penis is from 12 to 18 cm, and in relaxed state average penis size is 7,5 - 10,5 cm। The width of penis in erected state is 3 - 3,5 cm.

Penis of less than 12 cm in erected state is considered small, penis of less 8-10 cm is considered micro penis. According to bookish data, the size of the most big penis is 25 - 30 cm having 15-18 cm in diameter. Naturally, there is a big doubt about the ability of proper use of such penis.

In relaxed state, penis size is defined by degree of filling with blood of cavernous bodies. Cavernous bodies are a kind of spongy lumps consisting of lots of vessels and cavernas, which are able to respond to activity of the active substances existing in blood and also they respond to influence on temperature factors. So when air temperature lowers, then occurs vessel constriction of penis which leads to lowering of blood admission into cavernous bodies and lowering of penis size. When temperature of air rises then occurs reverse reaction.

Vessel constrictions and lowering of penis size occurs when adrenaline is ejected in blood as a reply to fright and other stress situation. That is why occurs such thing as penis, big during erection, is lowered multiply and is decreased at rest. The size of erected penis is limited by fibrous tunic – a texture consisting of strong connective tissue which limits traction of penis during erection.

It is considered today that level of testosterone during sexual development plays main role in penis development by defining its size. Small sizes of penis (less than 8-10cm) can indirectly indicate serious endocrine disorders connected with low production of testosterone. Quite great dispersion of measures of penis normal size (12 cm and 18 cm) can be result of individual differences in anatomy of inguinal region.

There is an opinion that men with normal level of testosterone and normal development of cavernous bodies owing to individual differences have frank latent part of cavernous bodies which are responsible for their attachment to pubic bones and also for penis fixation.

However, for most men most important thing is their own ideas about normal penis size which are formed by personal sexual experience or by the wish to be better than others. Here overall average data as a rule is not taken into consideration.

How to measure penis length?
Penis should be measured with a ruler at room temperature. Penis is measured in erected state on its backside (dorsal surface) starting from pubis till the end of penis head. This is the best way of measure because it reflects functional penis length. Such factors as concretion of subcutaneous fat in pubis region and bad erection can influence on functional penis length making it smaller.

Penis enlargement and your important decisions

Before you decide to lengthen your penis, you should answer the next questions:
1) Will you have about 4 hours a day to wear extender during a long period of time?
2) What else I want to do to achieve maximum result?
First question bears just organizational character. If extender will be kept well, you can bear it at your job in case it is not connected with physical activity, or staying in the office. When you are dressed in slacks, other people don't see extender. Besides that, slacks do not interfere with extender wearing and do not draw it up bringing traction to nought.

The second question is more complicated. Proceeding from postulate that the final result depends on the original penis length, it is important to consider the advisability of operation.

The surgical indication is not only patient's desire but the original penis length.

If penis is less than 12cm, then it is necessary to make operation because here the talk is about penis hypoplasia and we have to fight every single millimeter.
If penis is less than 15cm, then operation should be made to achieve maximum result.
If penis length is 15-18cm, it is wiser to make operation.
If penis length is more than 18cm, then there is no reason to make operation.

Certainly, this classification is quite relative and in majority of cases patient's desire is determining factor.

You should remember that penile ligament surgery increases only the length that will be enlarged on extender, in other words, it helps extender to act upon inner (latent) side of penis.

As to usage of hormones, in case of penis hypoplasia and hormonal dysregulations, they should be used for integrated effect on penis tissues. In these cases testosterone injections are prescribed. If penis length is normal and there is no hormonal regulation dysplasia, then you should use only creams containing active testosterone (dihydro-testosterone).

The idea consists in local action of active testosterone upon organ sensitive to it. During penis traction on extender growing zones are activated and local action of dihydro-testosterone can help this process. Moreover, that is actual for patients with small penis and paucity of skin after cutting of foreskin.

Administration of dihydro-testosterone in form of creams is not causing testosterone rise, so there is no suppression of own testosterone production. Besides that, testosterone does not become estradiol – female sex hormone.