When Considering Girth Enhancement, Think About the Future

By Dr. Paul Perito, MD FACS | Founder of the UroFill® Clinic and Perito Urology

Not all male enhancement techniques are created equal. Many, especially “permanent” techniques, entail injecting foreign bodies including bone cement, plastic beads, or silicone sleeves into the penis to give the appearance of enhanced girth and length. Others take fat from the patient (or cadavers) and transfer it into the penile tissue. (It must be noted that the anatomy of the penis is mostly blood vessels and erectile tissue; fat, even when extracted from the patient, is foreign to the penis). 

Pay Now with Money, Pay in the Future with Your Penile Health

Most techniques that don’t involve hyaluronic acid filler administered by a qualified medical professional come with a wide range of immediate risks; at my clinic, we’ve treated many patients from other cosmetic providers to attempt to repair the damage. In some cases, the anatomy is able to fully recover, in others, patients have life-long complications with their penis and ability to maintain erections.

Even if these high-risk procedures result in a satisfactory outcome for the patient, it completely ignores the reality of the difficulty they present in treating medical issues later on in life: If someone in their 30s has a silicone sleeve in their penis and presents with erectile dysfunction or Peyronie’s disease in their 50s, commonly performed procedures become significantly more complicated. 

The same goes with PMMA microspheres, which causes unremovable scarring in the soft tissue of the penis (for PMMA providers, this is considered a feature and not a bug). This presents a number of obstacles for even the most experienced urologic surgeons and massively complicates the recovery process.

While autologous fat transfer doesn’t present the same immediate risks for patients undergoing penile implant surgery or treatment for Peyronie’s disease, oil cysts, fat necrosis, and calcified nodules are all frequent complications (over 4 percent of procedures) that can complicate surgical procedures. Lower risk doesn’t mean zero-risk.

Hyaluronic Acid, UroFill®, and Qualified Providers Make All the Difference

In studying the possibilities for girth enhancement and penile enlargement, I, along with my colleagues researched several options for the best, safest, and most efficacious outcomes for patients. High-quality, cross-linked hyaluronic acid injections administered by board-certified urologic surgeons remains the gold standard in this field. 

As HA is naturally occurring within the human body and is present in the penis, the risk of rejection is extremely low. HA-saturated tissue can be operated on, and if needed, the filler can be dissolved with hyaluronidase prior to a surgical procedure.

If you’re considering penile girth enhancement, don’t just look at the immediate results–think about the impact it may have when seeking surgical treatment decades ahead. It may be one of the most important decisions of your life.