Male Enhancement Surgery
Not got the patience to try natural solutions to grow or improve your penis? I’ve pulled together a list of 5 popular penile enhancement surgeries so you can get a better idea of what to expect before you go under the knife.
15+ minutes read time
Last updated 31 August, 2022
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Ever considered going under the knife for some penile enhancement surgery? If you’re hoping for a quick fix, and you’ve already tried other natural methods to enhance or enlarge your penis but simply aren’t happy with the results or time and dedication required to achieve those results, our list of the top 5 male enhancement surgeries might be what you’re looking for.
Notably there are other types of penis surgery such as penile reduction surgery for those with a specific medical condition, penile removement for those perhaps looking for gender reassignment or suffering from cancer, as well as numerous surgeries that focus specifically on the foreskin of the penis to correct medical conditions such as frenulum breve [source] (resolved using a surgery called frenulectomy) or where the foreskin needs to be widened due to a narrow non-retractile foreskin (a procedure called a preputioplasty or prepuce plasty surgery).
For the purposes of this specific article we’re going to focus primarily on the types of male enhancement surgery that provide either a size or performance based improvement – after all the Penis Enlargement Resource website is primarily focused on just that; penis enlargement.
I’ve got to be honest, the idea of penile surgery actually scares the living crap out of me.
I think the issue and fear is perhaps a result of middle age and understanding that if it all went wrong, my penis is a very important part of my body – it notably works perfectly – that I really don’t want to risk breaking or damaging.
That said I’m not completely innocent where penile surgery or surgeries in that specific area are concerned however not as you might think for enlargement specific reasons; if i actually wanted to increase the size of my penis i definitely wouldn’t have surgery and size wise i’m more than happy with what i’ve got!
For starters when I was a young lad, due to medical reasons I had to be circumcised (which was done under general anaesthetic), then more recently at the tender age of 35 at the beginning of February 2018, I opted to have a vasectomy.
I had a vasectomy [source] not because I had to, but because it was something after a considerable amount of thought and discussion with my wife, that I felt was good for me, my family and ultimately (hopefully) my sex life.
I think the important thing to take away from the fact that I opted for a vasectomy is that despite my fear of having it done, the procedure itself and the recovery time that followed afterwards was ultimately worth it due to my personal reasons for having it undertaken.
It’s therefore quite understandable for men that are unhappy with their size, perhaps struggling with erectile dysfunction or who have other conditions that can be resolved specifically by a penile surgery procedure, to take the plunge and go under the knife (especially if less invasive approaches have already been explored and tried).
That said i do have the personal view that penile enhancement surgery (especially for penis enlargement) is a massive decision to be made and should really only be undertaken if other approaches to enhancement have tried but perhaps failed.
In this article we’re going to look at some of the most common and popular types of penile enhancement surgery whilst staying away from those that relate to your testicles – let’s just focus just on those that involve the penis.
When we think about penile surgery especially if you’re visiting this specific website, your first instant thought will likely be about penile enlargement surgery however as you’ll see there are quite a number of other reasons for men wanting to undergo surgery on this specific area of their anatomy.
So here are 5 popular male enhancement surgeries and why you might (or might not) want to undergo them!
In my view this is probably a very overlooked and dismissed method of male enhancement.
Circumcision is generally undertaken for either medical or religious reasons whilst the procedure itself generally drawers controversy with a split of people viewing it as genital mutilation, whilst others view it as a pragmatic hygienic practice – basically your knobs potentially a little bit cleaner and healthier than the non-circumcised equivalent.
Circumcision in men is essentially the process of surgically removing the foreskin from the penis and can be done under either general or local anaesthetic – that said just be thankful that you live in the modern age as the procedure of circumcision is suggested to be the world’s oldest planned surgical procedure!
The first such procedure was thought to have been undertaken literally thousands of years ago predating any official written records.
Back in those days and even in the late 19th and early 20th century, cultures across the globe undertook the procedure without any form of sedation or pain relief – there were even specific circumcision knives made from wood and iron used to undertake the procedure.
Setting aside the specific medical and religious reasons as to why circumcisions are undertaken (as entire books have been written about the procedure and ethics behind this type of surgery) from a male enhancement point of view medical evidence and studies indicates that by being circumcised you won’t suffer any decrease in sexual satisfaction, sensitivity of the penis or sexual function.
Statistically speaking approximately 37% to 39% of men worldwide are circumcised and of approximately half those men, the procedure has been undertaken for medical or personal reasons (rather than cultural or religious ones).
As to whether or not your penis appears to be bigger or smaller as a result of being circumcised… technically speaking removing a small amount of skin from the penis will very slightly decrease the girth of the penis (at the tip) however ultimately the difference is really going to be rather negligible – it’s going to be more of a visual difference.
On the flip side of that viewpoint though is the idea that not only does the penis look a lot more attractive without a foreskin and is considerably more hygienic, but in the case of sexual intercourse it’s perceived to be considerably more stimulating due to the enhanced contours of the penis.
Although it comes down to your partner’s viewpoint (or your own) on whether or not a circumcised penis looks and feels better, ultimately the answer varies based on someone’s personal preference and experience.
Being a guy and having undertaken the procedure myself (albeit at such a young age that I can’t really compare or remember the difference between before and after) I personally believe that from both a sexual and hygienic viewpoint, being circumcised is ultimately the better choice.
If you want some more conclusive proof that women view a circumcised penis as more stimulating, then take a look at some of the popular online sex toy websites.
Many of these websites list their products on the basis of “most popular first” and if you look through all those products you’ll see that in the majority of cases the products modelled on a circumcised penis are generally the most popular.
If that isn’t a true indicator of what women prefer, then I don’t know what is.
Although technically not a surgery, penile injections are still a rather invasive clinical means of temporarily resolving erectile dysfunction if perhaps natural solutions or prescription medications are either not suitable or haven’t been successful.
A penile injection generally involves using a syringe or needle to deliver a direct dosage of medication to the penis – unlike prescription medications such as Viagra, by injecting directly into the penis, results from such an injection are generally more effective (as much of a pills nutrients and ingredients dissipate whilst being digested leading them to be less effective) hence for those that suffer from more severe erectile dysfunction, having an injection rather than popping a pill can be a much more successful and effective means to gaining an erection.
For those of you who are eagle-eyed, you may have noticed the word temporarily used when highlighting what a penile injection actually does.
It’s very important to note that in much the same way as natural penile enhancement pills and prescription grade medication such as Viagra, whilst having a penile injection for the purposes of resolving erectile dysfunction is highly effective in helping you gain and maintain an erection for a couple of hours, the effects do invariably wear off (although medical professionals also recommend the use of a penis pump after any injections such as the P-Shot to maintain results for the long term).
Where treatments such as penis pumps aim to cure the condition of erectile dysfunction, injections such as the P-Shot treat the penis and the likes of erectile dysfunction on a molecular level using PRP – platelet rich plasm.
From a personal point of view, penile injections really are a rather extreme means of male enhancement (the thought of it literally makes me cringe), however compared to the other more surgery specific solutions, injections might provide a viable “rise” to those that can push past the concept of sticking something sharp into their penis not to mention the potential health complications and scaring that come with undertaking this type of self administered therapy. All that said however, my interview with Dr John Leonardo about the Priapus Shot provides some great insight into this topic and treatment method.
To give you a more conclusive and in-depth overview of exactly what penile injections actually involve, why don’t you check out our dedicated Guide to Penile Injections for Erectile Dysfunction article.
Also known as penile prosthesis, penile implants are another viable treatment option for men suffering from erectile dysfunction and are really the next step having already tried Viagra and/or penile injections (a temporary approach to resolving your erectile dysfunction as we’ve already discussed above).
There are two main types of penile implants – these are semirigid rods and inflatable penile implants
The most common form of implant. They are manually inflated and deflated by the man as and when required.
There are usually three parts to these type of penile implants, a fluid filled reservoir that is implanted under the abdominal muscle wall, this is joined by a pump and a release valve placed inside the scrotum and two inflatable cylinders within the penis itself.
There are two part options available where the reservoir is located in the scrotum in a single unit containing both the pump and valve)
To achieve an erection the user simply operates the valve to allow the fluid to flow into the cylinders inside the penis. This causes the penis to swell and become erect. When the erection is no longer required the valve is operated once again to drain the cylinders sending the fluid back into the reservoir, returning the penis to its flaccid state.
These devices usually create the most natural solid erection and a natural flaccid penis when deflated.
These are always firm, the penis can be bent away from the body when its time for sex, when not in use can be folded back towards the body.
These semirigid rod implants are made from a semi-rigid device made from a number of spring loaded segments that can help to maintain a good erect position.
These implants are the easiest to use and are often used in patients who do not have good manual dexterity, but they do keep the penis in a permanent erect condition which can be difficult to conceal under clothes.
The permanent rigidity can also place the internal skin tissue of the penis under constant pressure which could cause possible injury and infections.
Peyronies Disease Treatment
Peyronies Disease is seemingly a lot more common than I first realised – I know from experience in the penile enlargement industry, and being aware of a number of key products that aim to resolve this condition, that there is a demand for such products however I truly wasn’t aware of the seemingly high number of men that actually suffer from this condition that causes curvature of the penis.
At a rough estimate approximately 12% of men suffer from some form of Peyronies Disease – that percentage equates to approximately 14 million men worldwide – that’s no small number!
Despite that rather massive figure, I think it’s really important to understand that there are massively varying degrees of Peyronies Disease.
For some men there is a marginal, slight curvature (which won’t affect their sex lives – some would say it might even enhance it) whilst for other men, their Peyronies Disease is significantly worse and is not only a visual bend, but also a painful one.
The condition itself is caused by a build-up of scar tissue in the penis which as a result causes the penis to gradually bend as the build up of scar tissue gradually grows bigger over a prolonged period of time.
The actual cause of such scar tissue is still to this day somewhat unknown however the suggestion is that in most cases that build-up is as a result of some form of trauma that has affected the penis or relates to some form of autoimmune disease.
It is notably very important however that we highlight that there is a complete difference between Peyronies Disease (which occurs due to injury or an autoimmune disease) and congenital curvature (which is something you will have from birth) – as a result the surgical procedures may invariably differ based on the suggestion and recommendation of your consultant due to your personal needs and symptoms.
As with any medical procedure, I would highly recommend always looking at the natural solutions that you can attempt before even considering the pain and the cost of an invasive penile surgery especially due to the fact that in most cases invasive surgery for Peyronies disease will only be performed once you have been routinely monitored over many months to ensure the disease is not active otherwise the curvature of the penis will simply reoccur.
For those that have Peyronies Disease or congenital curvature, penis traction devices have been shown to be highly effective in reducing or even resolving penile curvature.
It is also possible to resolve Peyronies Disease using a penis pump however my personal viewpoint is that pumps should be avoided because although they can help to break down the build-up of scar tissue (due to the vacuum pump pressure) they are only effective when your curvature is in the region of 20% or less (or thereabouts) – hence they aren’t really suitable for all men suffering from the condition.
If however surgery is your only option there are two specific approaches to resolving this condition… firstly however, the following process is undertaken in both types of surgery.
Preparing for a Nesbit or Lue Penile Curvature Correction Procedure
Once it has been determined and confirmed that the disease is not in a progressive state (which can take anywhere from 9 months to a year to monitor and determine), the surgery is undertaken either by general anaesthetic or in some cases a spinal anaesthetic (which is notably rather different to an epidural).
Once sedated the surgeon, urologist or consultant will induce an artificial erection which will allow them to determine the extent of your curvature. An incision is then made just below the head of the penis (hence it is often recommended to undergo a circumcision during the procedure as well) following which the penis skin is degloved – the best way of describing this process is like removing the skin from a banana whereby you start at the top and then peel the skin down and off.
Now the surgeon will either take the Nesbit or Lue approach to correcting the effects of Peyronie’s Disease.
Option 1: Plication Operations (Nesbit procedure)
This procedure can be undertaken by those that suffer from both Peyronies Disease and congenital curvature of the penis and is best for those with good erectile function and curvatures of less than 60 degrees.
Once the extent of the curvature is determined and the penis is degloved, the Nesibt procedure then involves bunching up the erectile tissue on the opposite side of the curvature using multiple stitches – this essentially shortens the longer side of the penis (plication) and as a result pulls the penis in the opposite direction to the existing curve hence reducing the curvature.
Option 2: Plaque Incision & Grafting (Lue Procedure)
Very much like the Nesbit procedure, the Lue procedure works in a similar way but on the opposite, shorter side of the penis – the inner area of penis where the curvature occurs. It’s also better suited to those men that have a curvature that is greater than 60 degrees.
Having already been degloved by this point, instead of building up the opposite side of the penis curvature with stitches, the shorter side of the penis is lengthened by cutting into the plaque, releasing the scarred area that is the direct cause of the Peyronie’s Disease and then using a graft, the area of skin is made longer by filling the gap the removed plaque has made.
The graft can be provided in a number of different ways – in some cases the graft comes from another part of the patient’s body (for example the groin) which provides a “natural” graft, or an artificial grafting material which is synthetic, works just as well, reduces the overall time of the surgery and importantly preserves your grafting veins for future surgeries such as (for example) a heart by-pass operation.
Ultimately the type of procedure will be down to the expertise and advise of your surgeon however the key contributing factor as to which approach is best suited to your penis, will more than likely be determined by the level of curvature you’re experiencing.
Just as a final thought it’s also worth remembering that although this sort of surgery will hopefully correct the curvature of your penis, it does have some disadvantages specifically where size is concerned.
As an example, operations such as the Nesbit procedure are more likely to give patients a decrease in penis size of 1cm for every 15 degrees of curvature that was corrected… that’s quite a few centimetres of lost length if you suffer from a higher level of curvature.
Finally we’re into the realm of penis enlargement surgery or penoplasty as it’s also known – a term used to encompass the construction or reconstruction of the penis.
There are notably various articles on the internet that claim that the number of men undertaking penis enlargement surgery is growing exponentially – one article that I read detailed the fact that in the space of just four years (in the lead up to 2015), such surgeries had increased from just 1,000 to a whopping 15,000 per year.
I quite honestly think this level of growth and interest in penis enlargement surgery is ultimately completely untrue and fuelled most likely by the actual cosmetic surgeons that undertake the procedures.
For them, indicating a higher number of men are going under the knife makes people perceive such a procedure as something that is easy, mainstream and normal – this as a result will give men more confidence to have the procedure and spend an exorbitant amount of money doing so.
The reality is, if we look at Google Trends which allows us to look at the level of interest for a specific search term – although not being 100% accurate does give us a really insightful overview of whether a specific topic is growing and trending or is simply in a state of decline – we can see from looking back to the beginning of 2004 the overall trend for penis enlargement surgery is that of a downward decline (in fact the entire penis enlargement industry is seeing decline).
If we fast forward to 2012 and take a slightly closer look, we can see that there was a big trending growth in interest with people searching for the term penis enlargement surgery.
This growth and jump in interest (perhaps was mentioned or picked up in the mainstream media about it), lasted until May 2013 and ever since apart from a few little blips, people searching for this topic online has generally been consistently declining.
Maybe men are less interested in penis enlargement, perhaps the cost and pain of penis enlargement surgery is putting the majority of men off or maybe natural techniques such as jelqing and products such as pumps and penis extenders have become the midpoint to increasing penile size without resorting to the dangers and complications of surgery.
Regardless men are still undertaking penile enlargement surgery albeit in much smaller numbers.
So how exactly is a penile enlargement surgery done?
Well the answer varies and ultimately lies how you want to enlarge your penis – are you looking for an increase in length or an increase in girth? Or perhaps both?
Penis Length Surgery
Of all options available to men who want a longer penis, surgery is without a doubt the most extreme and invasive.
It is a tried and tested technique that involves cutting the ligaments that connect the penis at the base where it meets the pubic bone.
This allows the mass of the penis to naturally fall forward slightly, with an average gain in visible size of around 2cm – yes, only 2cm!!!!
The actual increase in penis size is an optical illusion, it doesn’t not actually increase the physical length of the penis, it simply allows more of the flaccid penis to become visible to the naked eye.
Adding to this, the increase in visible size only applies to the penis in its flaccid state, it will not make any difference to the penis size when erect.
There is another point to mention with this kind of surgery, with the ligaments cut and not providing the support that they naturally provide, the penis will point at a lower angle when it becomes erect.
While this fact may not appear to be crucial or important, it’s actually the opposite.
Many men do not realise that the shallower angle of erection means that sexual intercourse can become uncomfortable for both them and their partner.
It can mean that a couple have to change their methods and preferred sexual positions to have enjoyable sex.
Penis Enlargement surgery is a purely cosmetic procedure and as such can be quite an expensive option with costs of between $3,500 and $15,000 being quoted online.
Penis Girth Surgery
Increasing the girth of a penis requires a slightly different surgical approach.
Up until recently there has really only been one method to achieving a thicker penis and that involved essentially injecting the penis with fat deposits usually taken from elsewhere on the body (usually the stomach).
By injecting this fatty tissue back into the penis, it can provide added girth in both the flaccid and erect state by up to 2.5 inches – that said, that statistic does focus on the maximum girth increase you can expect and ultimately the actual amount you’d feasibly be able to gain from such a procedure would be much, much lower.
As if the discomfort and stress of going through such a procedure for quite a likely meagre increase in girth wasn’t enough, numerous studies over the years have continued to highlight and suggest that actually the results from a penis girth enlargement surgery are generally rather disappointing.
Not only is the amount of girth gains not that impressive, there is a high risk of numerous complications including infections, scarring, lumpiness and disfigurement.
Despite these drawbacks, the industry is however still changing and evolving given the ongoing demand for such procedures.
In more recent years a rather new and experimental approach takes a completely different approach – the use of a tube-like biodegradable frame which is placed under the outer layer of skin of the penis and then filled with tissue cells.
Although both techniques have the potential to increase the girth of the penis, it is unfortunately medically acknowledged that although these two girth enlargement procedures can work, over a period of time the fat that has been injected to produce the increase in girth will ultimately get broken down naturally by the body and simply absorbed.
Put simply, you’re more than likely just going to end up with exactly the same girth as you started with.
I also personally feel that for increasing the girth of your penis, the best approach is a penis pump as this allows the ability to naturally (if slowly) increase the size of the corpus cavernosum – the two main erectile tissues in the penis.