A large proportion of men are unsatisfied with the length of their penis, but the truth is very few need penis enlargement surgery. In most cases urologists dissuade the patients suffering from minority problems caused by porno films, and try to persuade the patients that their size is absolutely normal, any surgery is unnecessary. In case of congenital micro penis, when the size does not reach six centimeters when the patient has an erection, then the penis enlargement surgery is reasonable because this size is unsuitable for reproduction. In such cases this routine penis enlargement surgery can ease the life of the patient with these several plus centimeters.
Approximately one-third to one-half of the penis is inside the body, and is internally attached to the undersurface of the pubic bone. Penis lengthening involves the release of the fundiform ligament and the suspensory ligament that attaches the two erectile bodies to the pubic bone (ligamentolysis). The suspensory ligament makes the penis arch under the pubic bone. Release of this ligament allows the penis to protrude on a straighter path, further outward to give more functional length. With the penis on stretch, the ligament is divided close to the pubic bone until all midline attachments have been freed. Once these ligaments have been cut, part of the penile shaft (usually held within the body) drops forward and extends out, enlarging the penis by 3-4 centimeters.
Length of the penis may be enlarged also with a much simpler plastic surgery. In case of obesity, fat builds up in the area of the vulva and it comprises the area of residuum of the penis, thus the length of the penis seems several centimeters shorter. A routine surgery, liposuction is done, and after the excess fat disappears a few centimeters of growth can be seen immediately.
Next to the surgeries, nowadays different penis enlargement appliances are used by plastic surgeons, which work on the principle of rendering – pulling. These appliances can be used independently after the doctor’s instructions, and can be worn discreetly in all situations. The effectiveness of the appliance reclines on the reaction capability of the tissues, which counterweight the continuous pulling, and this tension causes the cells to divide in the tissues. The achieved augmentation stays permanently, and does not influence the erection and the orgasm.