A $13,000 implant makes an XXL dick in an hour

"The question of penis enlargement has been asked by patients for years, but doctors have never had a definitive answer," says James Elyst, a urologist and sexual dysfunction surgeon in Los Angeles. "Especially for men with small penises, penile fractures, curved penises or general body dysmorphia."

In 1984, he was the first urologist to publish an article in the press linking smoking to erectile dysfunction. Since then, Elist has been keenly interested in helping male patients live better lives with their reproductive organ.

Until recently, these patients could be offered several options, mostly ineffective, and some even causing long-term damage. There have been patients who, ironically, even had a postoperative effect of penis contraction, Elist reports.

The first penis enlargement surgeries were performed in the early 1990s when cosmetic surgeons theorized that they could cut the penile suspensory ligament to "release" it and allow it to protrude further out of the body. It was also practiced to inject oil, gels or other fillers to pump up the penis and give it a larger girth.

See also: Is it possible to enlarge the penis?

The problem was that cutting the ligament of the penis could actually cause it to retract into the body, shortening its apparent length. And injectable fillers had a habit of dissolving and "clumping" often unevenly. This left patients with deformed limbs.

In 1994, the American Urological Association recognized that procedures for injecting fillers to increase penile girth and surgery to cut the suspensory ligament of the penis to lengthen it "are not safe or effective."

Despite this official stance against surgical penis enlargement, says Elist, many patients still insisted on it. Looking for a potentially safer way to meet the demand for penis enlargement, the surgeon turned to another cosmetic breast augmentation procedure for inspiration. For years, cosmetic surgeons have proven that the best material for breast implants is a cohesive silicone gel that will not rupture. Elist suggested that such material would also work for penis enhancement, and, crucially, could be removed if necessary.

He therefore developed the only currently FDA-approved permanent silicone penile implant. Penuma is a silicone sleeve inserted under the skin of the penis that increases both the length and girth of the penis in both flaccid and erect states.

The $13,000 operation is performed under a mild form of anesthesia and takes less than an hour. Elis says his patients can walk the next day and have sex six weeks later. Implants are made in large sizes, XL and XXL, because "nobody wants a medium". More than a thousand men have already had this operation, and Elist reports a success rate of 95 percent.

"I love it when I open a patient's penis after surgery and see his partner smile," says Elist.

This surgical procedure does not treat erectile dysfunction, but can be paired with a penile pump. Of course, this fabulous "device" comes with its own caveats.

"Patients need to be very careful," says Ira Charlip, a San Francisco urologist, and strongly recommends that anyone seeking penis enlargement study the success rates of any surgical procedure to ensure there is no risk of infection or organ deformity. .

One more tip before implantation: always check if there are publications about the procedure in reliable sources of information.

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