[Italy] Penis secrets: how to get extra large and the risks

*This article was contributed by the Esquire Italian editorial department based on an interview with Milan-based urologist Dr. Nicola Macchione.

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In the past, when it came to worrying about the size of male genitals, he said many times that there was no need to worry. I've been introduced. I've said many times that size doesn't matter when it comes to sexual satisfaction with your partner. That said... (I wonder why?) In all ages and countries, there is no end to the number of people who are concerned about the size of the male genitalia.

Urologist supervises article "Sound alarm bells against hype"

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Related Stories "I'm not confident in the size of my penis..." Why worry? Advertisements touting miracle methods of enlargement used to line the back pages of old magazines. You all remember that, right? Those days are over and we're in the age of the internet, but you're still seeing pop-ups popping up all over the internet with the same hype. Also, your mailbox will be flooded with spam with attractive titles--say, "30 days plus 4cm guaranteed" or something like that. Their fantasies about extra-large sizes are the reason why such business is still possible. In the background, while being tormented by anxiety and fear about the menacing urban legend that "sexual ability is evaluated by penis size."

Yes, many men still have the fear that their penis is too small, but the fact is that the majority of men are definitely of average size. It is also proven by research. In fact, it has been reported that 15 to 20% of men are larger than the average size.

In other words, if you're concerned about your size, seek genital medicine before resorting to unreliable, expensive, and potentially harmful remedies. It may be a good idea to consult an expert.

To clarify the problem, let me give you some numbers.

In general, the average length of an erect penis is about 13.5 cm, and the circumference is about 11.6 cm. Before comparing such figures, it is also true that about 91% of men tend to think that their penis is smaller than average. Due to the deep-rooted negative thinking that is peculiar to these men, they raise the thought that "I should eliminate it before it is said that I am 'lack of sexual ability'", and for some reason it makes me rush to do it.

That's exactly what the current "oversized" market is offering, and despite the lack of scientific backing, it's becoming increasingly rich and attractive. It is presenting.

Is it possible to expect an increase in male genitalia with oral medicines, creams, and lotions?

Some of these products (both pills, creams, lotions) promise not only to increase penis size, but also to improve sexual performance at the same time. However, in general, these products tend to be loaded with mysterious things such as vitamins, minerals, herbs, hormones or hormone-like substances.

Despite their claims and seemingly efficacious names, there is no medical evidence that they actually work, and some have even been found to be harmful to the human body. is.

When researchers at the University of Maryland in the United States analyzed some of them, they found lead, ingredients of pesticides, bacteria (such as E. coli), and even animal droppings in some cases. . So please don't be deceived. Miracles do not happen, but rather have the opposite effect.

What is the effect of penis enlargement exercise "jelqing"?

Even in Japan, "Jelking", which is sold online as the most right-wing existence of "Chintre method", has a instructional video, "In order to increase the volume of blood contained in the erectile tissue of the corpus cavernosum, it is in a soft state. He explains that it consists of several systematic exercises, such as "pulling" the penis with the thumb and index finger.

Unfortunately, there doesn't seem to be any scientific evidence to support this technique. On the contrary, you may accidentally damage the penile fascia. If so, there is even a risk of causing sensory impairment.

Pros and cons of devices for penis suction and traction

TUOMAS A. LEHTINEN

This "suction" could temporarily increase the size of the penis by temporarily "sucking" blood into the corpus cavernosum. However, opinions are divided as to whether the “change” will last.

According to a recent study, 31 men were asked to suck the penis for about 20 minutes three times a week for 6 months, and no significant change in the length of the penis was observed. That there was not. However, it is reported that 11% of the subjects reported that their penis length increased by 1 cm, and 30% reported that they were somewhat satisfied. How you judge this number is different for each person.

The device that pulls the penis is an application of the principle of "remodeling tissue by continuously pulling tissue with mechanical force".

In addition, according to an Italian study, 16 subjects were subjected to traction treatment for 4-6 hours a day for 6 months, and 1 of them had a noticeable increase in penis length (at rest). 2.3 cm, and 1.7 cm when erect) have been reported. Despite these promising results, the outer circumference stretched only slightly (0.03 cm).

Also, in another study using 44 subjects, it seems that the length was increased by about 2.5 cm when at rest and about 1.6 cm when erect. However, even here, even when the thickness was measured three months after the treatment, the "stretch" was insignificant. So a traction device might be a good compromise for someone looking to add a few centimeters to their length.

Injection therapy for penis enlargement

This is the most popular way to gain weight, and autologous fat is by far the most widely used "injectable substance".

This involves first sucking fat, usually from the person's abdomen, and injecting it subcutaneously into the penis. According to major research reports, one year after this operation, the circumference increases by an average of about 2.5 cm. It is not uncommon to see postoperative complications such as nodules, loss of sensation, and skin deformation as side effects, and there have been cases of death due to fat embolism due to deterioration of scars (1 in the past). example reported).

Recently, it has been proposed to use silicon as an alternative. However, this can lead to cosmetic and functional problems with a high probability. Despite the concerns about cosmetic soft tissue implants, they are estimated to be used in about 2.7 million surgeries annually, showing an increase of 312% since 2000.

About penis enlargement surgery using hyaluronic acid and PMMA

Hyaluronic acid, calcium hydroxyapatite, collagen, polymethylmethacrylate (PMMA) microspheres and many other materials are used in countless minor cosmetic surgeries, including penile surgery.

Hyaluronic acid is one of the most commonly used injections, and in a report investigating 41 men who received an average injection volume of 20.56 ml, the circumference of the penis increased from 7.48 ± 0.35 cm to 1 It also increased to 11.4±0.34 cm after 18 months and to 11.26±0.33 cm after 18 months.

The only downside here is that it reduces local sensitivity.

PMMA is also a popular injection and is used for non-absorbable soft tissue. According to the literature, about 1000 patients have been documented to have been treated with this technique, and an average increase in circumference of about 2.5 cm was good. Unfortunately, even in these cases, cosmetic imperfections (often difficult to repair) were found in about 30-50% of cases.

What are the surgical options, benefits and risks?

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A "Flap & Graft" is a penis enlargement procedure that attaches material to stretch the "stretchable" surface of the corpus cavernosum.

Biocompatible porcine dermal cell grafts (InteXen) were used, and a study of 69 operated patients showed that preoperatively (on average 8.1 cm and 10.8 cm, respectively), with a significant increase in circumference (average 11.3 cm and 13.2 cm, respectively).

As for the risks of attaching the implant, it seems that there is a subsequent shrinkage of the penis and occasional loss of sensitivity.

What is Penuma? Effects and risks

Another commonly performed surgery is “subcutaneous implantation”. The best known is the "penuma", a crescent-shaped piece of medical grade silicone that is inserted under the skin of the penis to extend the length of the penis, enveloping the back three-quarters of the penis at the pubic bone. An incision is made at the top of the , and it is inserted under the skin and fixed to the glans.

While there are individual differences in the length of the outer circumference, it has been reported that the average is 3 to 4 cm, and there are many postoperative complications in this case as well. However, it seems to be much easier to deal with than others. The most important thing in such surgery is to create a large penis by attaching a patch that expands the surface of the corpus cavernosum laterally.

Elongation of the circumference is estimated to be around 4.5 cm, but it also carries significant risks, ranging from long-term penile scarring to erectile dysfunction.

Conclusion

In short, you don't need to do miracles with your penis if it's not a pathological size. The road to overcome it is long, and very steep and dangerous. So it doesn't seem like it could be justified. Instead, focus on gentle, healthy sexual enhancements, and the ethos of ``I like my size'' rather than ``getting extra-large'', which does nothing. It would make more sense to replace it.

Related StoriesWhat is the experience of a man who tried penis enlargement injections, the flow of the procedure and its effects? A simple guide to finding the right size condom

Source / Esquire ITTranslation / Satoru Imada is an abridged translation.

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