Girth Matters guides the reader through the intricate science of penile size enhancement, exploring its history, various methodologies, and a biting analysis of the risks vs. the rewards. Nearly half of all men report dissatisfaction with the size of their penis, and a billion-dollar-per-year industry of opportunists peddling creams, pills, devices, and even surgery has popped up to profit on this insecurity. Most of these methods don’t work, and some are harmful. Girth Matters separates the wheat from the chaff, showing the reader what is effective, what isn’t, and what is too dangerous to even consider.
Dr. Luis Casavantes is one of the founders of non-surgical penile girth enhancement using injectable fillers, having been on the front lines of phalloplasty for over a decade and successfully performing the procedure on more than 4,000 patients. In Girth Matters, he shares what he has learned along the way, providing the reader with practical information on how to safely and effectively obtain a thicker penis - covering everything from how to select a practitioner to an in-depth, illustrated look at the procedures themselves to figuring out whether girth enhancement is even suitable for you.
If you are among the men unsatisfied with what they have and want to do something about it, this book will arm you with the knowledge you need to obtain optimal results.
The perfect patient for girth enhancement meets most of the following criteria:
Good health.
Age between 25 and 60 years old.
Circumcised.
Penis longer than 7.5cm (3") during full erection.
Lean pubic fat pad.
Non-retractive penis.
Psychologically sound and stable.
Realistic Goals (increase of 1.2-2.5cm or 0.5"-1.0").
Prospective patients who don't fulfill the entire list can still be accepted, provided they do not fall into any categories that make them non-acceptable.
The following conditions may require a medical evaluation before deciding if the patient is the right for a girth enhancement procedure:
Uncircumcised.
Peyronie's disease.
Congenital or acquired malformations, including micropenis.
Extreme obesity.
Buried penis.
Penile prosthesis, hard or soft silicone subcutaneous implants (scaffoldings).
Inflatable pumps.
History of trauma, surgery, scars, active lesions.
PRevious use of soft tissue fillers.
Chronis, degenerative, autoimmune, or metabolic diseases; especially if they are not well controlled.
Co-existing conditions like diabetes, cirrhosis, chemotherapy, HIV infection.
Smoking, alcoholism, use or abuse of recreational drugs.
Disapproval of his sexual partner.
Religious implications.
Financial hardship.
Prospective patients that are not accepted
Many conditions disqualify potential phalloplasty patients. The most common ones are listed below:
Prior treatments with silicone oil injections or unknown substances.
Multi-treated individuals with scars, tissue damage, deformity.
Phallocentrism: unrealistic expectations, looking for extreme results, obsessive behavior towards the penis.
Dismorphophobia: individuals that won't tolerate irregularities or are obsessively worried about future complications.
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Too often, we keep medical procedures within the scope of science, logistics, and reasoning. We believe healthcare is about facts, not feelings. While the progression of effective medical procedures requires such an approach, we must not neglect to view them from our patients’ perspectives: To understand their motivations is to create better solutions and to provide better care.
A part of this requires us to study the behavioural trends, emotional needs, and mindset shifts evolving in modern society. One phenomenon that’s at least survived since the 16th century is penile augmentation. From the inflammation of venomous snake bites to weighted stretching devices, men have found a way to increase penis size throughout history.1 As a long-standing symbol of masculinity, attraction, and fertility, penis size affects how men see themselves and interact with others. Today, genital size is still a running joke found throughout the media.
This desire to become bigger isn’t anything new, but the number of those actively seeking penile augmentation is growing. The number of cosmetic procedures performed for both men and women is increasing year after year. From 2001 to 2021, The American Society of Plastic Surgeons reported a 99% rise in male patients seeking injectable aesthetic treatments. In 2020, multiple Harley Street clinics experienced a 50% increase in men seeking such treatments.2
Why is this? To understand the social, cultural, and psychological motivations behind size, researchers in a 2019 study conducted one-on-one interviews with six adult men who received penile augmentation treatments.3 However, instead of analysing their physical results, the researchers assessed the patients’ emotional, mental, and social motivations. As a result, they identified three core themes amongst the patients’ answers: “Influence of pornography,” “comparison with peers,” and “indirect appearance-related teasing.”
Pornography consumption has not only increased but evolved. A 2022 YouGov survey found that approximately one-third of UK men watch pornography at least once per week, with 13% watching daily.4 Male actors depicted in pornographic content are often disproportionately represented in size. Analyses have found that the average male actors in pornography are in the “top third percentile” for erect penis size.5 While they’re not impossibly oversized, frequent exposure can lead men to inaccurately compare and perceive their own size. In another 2019 study, participants were shown pornographic imagery and asked to report their levels of self-esteem, specifically regarding genital appearance. The experiment group experienced “statistically significant reduced satisfaction” with the appearance of their own genitalia than the control group. In addition, the experiment group reported lower self-esteem scores. Even if men are aware that these sizes are above average, they can still be affected by social comparison. Some researchers have found this effect is especially damaging to developing adolescents, warping their perceptions of a “normal size” as they learn about their bodies.
All men who participated in the initial study had compared their size to their peers, especially in the locker room. This is what we know as locker room syndrome — the phenomenon that men are more concerned about how their mates view their size compared to how romantic partners perceive them. As a historical symbol of manhood, the pressure of comparing sizes with one’s peers can trigger feelings of self-consciousness, loneliness, and poor body image. Research shows that the social comparison of size can be more distressing for gay and bisexual men, as they’re often in more situations to compare sizes with partners, not just peers.6
The pursuit of the “perfect penis” is more about perception than actual size. One study found that less than half of men are satisfied with their size. Most believe the ideal size is over 15 to 18 centimetres. In reality, the average size is about 13 cm.7 This false perception is not just rooted in the media but in medicine. Penis-size surveys fall victim to the inaccuracy of false self-reporting. Whether due to pornography, social comparison, or the media, many men feel undersized. To compensate, many participants in self-measuring studies overreport their results. In a survey of college men, 30.8% self-reported their length at 18 centimetres or more – when in reality, those measuring at 15 centimetres are considered to be in the 90th percentile. Nevertheless, a correlation was found between those who likely over reported their size and their scores on the social desirability scale.8
Interestingly, none of the six men first mentioned in the initial study had ever directly received negative comments about their size. However, the social and cultural pressures influenced their choice, and the narrative found in the media felt direct.
Penile augmentation is a matter of how men perceive themselves. It’s a matter of confidence, not just size, and it appears to increase both. As healthcare providers, we must seek to understand our procedures’ social and emotional benefits — not just the physical.
Competing interests:
I have read and understood the BMJ Group policy on declaration of interests and declare the following interests:
I am a physician who provides penis augmentation procedures using dermal fillers with financial interest in performing them, but I am writing in a personal capacity.
Jack Chang is a Clinical Instructor at the University of British Columbia and Physician at Pollock Clinics based in Vancouver, British Columbia. March 22 2023
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Presented at the International Society of Sexual Medicine Scientific Meeting
Leading Urologist Presents Clinical Research Study, The P-Long® Protocol, at ISSM’s Fall Scientific Meeting Revealing The First And Only Clinically Proven Protocol To Naturally Increase Penile Length, Girth, And Function
A groundbreaking medical first for penile enhancement was presented this past weekend by leading urologist and sexual medicine researcher Dr. Judson Brandeis at the ISSM Meeting in Miami. Dr. Brandeis reported the breakthrough results of his IRB-approved P-Long Study revealing the safety and efficacy of his pioneering penile enhancement protocol. The P-Long Protocol is the only minimally-invasive male penile enhancement treatment that naturally and safely increases the length, girth and function of the penis using a combination of platelet rich plasma (PRP) growth factors, traction, suction, and a Nitric Oxide boosting supplement.
“Studies show that a majority of men are dissatisfied with the size of their penis,” says Dr. Brandeis.
“Thousands of men have undergone expensive penile augmentation procedures that did not meet their expectations or even made things worse. Prior to P-Long, there was no research supporting treatment to naturally increase the length, girth, and function of a healthy man’s penis.
I’m happy to provide a safe and effective option, so that men will no longer have to rely on risky synthetic implants or fillers to artificially increase the size of their manhood and potentially suffer unfortunate results.”
The P-Long Study tested a protocol of platelet rich plasma penile injections, daily traction and suction, and a Nitric Oxide circulation boosting supplement over a six-month period on a group of healthy men. The subjects experienced an average increase of almost an inch in length and a half inch increase in girth – with no adverse side effects.
Autologous Platelet-Rich Plasma penile injections stimulate the growth of new tissues. The RestoreX Penile Traction Device has been previously shown to increase the length of the penis in other medical conditions. A Dr. Joel Kaplan vacuum device is incorporated to improve girth. The AFFIRM nitric oxide boosting supplement optimizes penile circulation to deliver growth factors and blood flow required for the enhancement of size and function.
The Phallosan Forte has been creating quite a buzz in the world of male enhancement devices. This revolutionary product is designed to help men achieve their desired penis size and boost their self-confidence. But what exactly is the Phallosan Forte, and how does it work? In this comprehensive guide, we'll delve deep into the world of this innovative device, exploring its features, benefits, and why it's become the go-to choice for men seeking male enhancement. While the PhalloBoards is focused on the penis enlargement surgery itself, we can't ignore the discussions about the Phallosan Forte around the forum and the web.
For discussion on the Phallosan Forte within the PhalloBoards:Phallosan Forte
The Phallosan Forte is a cutting-edge male enhancement device that uses the principle of traction to promote natural penile growth. Developed by Swiss Sana Anstalt, this FDA-registered Class 1 medical device is designed to be comfortable, discreet, and effective. By applying a gentle, consistent force to the penis over an extended period, the Phallosan Forte encourages the formation of new cells, resulting in a larger, fuller penis.
The Phallosan Forte uses a unique, patented vacuum-protected system that combines a comfortable orthopedic belt with a vacuum suction bell. The belt is worn around the waist, while the vacuum bell attaches to the penis, providing a secure and comfortable fit. The device can be easily adjusted to apply the desired amount of traction force to the penis.
As the penis is subjected to this constant tension, the body's natural response is to create new tissue cells. This process, known as cytokinesis, causes the penile tissues to expand, ultimately resulting in a longer and thicker penis.
Comfort and Discretion: One of the primary advantages of the Phallosan Forte is its focus on comfort and discretion. The device's ergonomic design and soft, hypoallergenic materials ensure that it can be worn for extended periods without discomfort. Moreover, its low-profile design allows it to be worn discreetly under clothing, making it suitable for daily use.
Clinically Proven Results: The Phallosan Forte is backed by clinical studies demonstrating its effectiveness in increasing penis size. Men who use the device consistently can expect to see an increase in length and girth over time.
Safety: The Phallosan Forte is an FDA-registered Class 1 medical device, meaning it has met rigorous safety standards. Its vacuum-protected system also ensures that the penis is never subjected to excessive pressure, reducing the risk of injury.
Versatility: In addition to promoting penis growth, the Phallosan Forte can also help address other sexual health issues, such as Peyronie's disease and erectile dysfunction.
Customizable: The Phallosan Forte is designed to accommodate a wide range of penis sizes, and the device's adjustable tension allows users to customize their treatment for optimal results.
The Phallosan Forte is a groundbreaking male enhancement device that offers a safe, comfortable, and effective solution for men seeking to increase their penis size. With its clinically proven results and user-friendly design, it's no wonder that the Phallosan Forte has become the ultimate choice for men looking to boost their self-confidence and improve their sexual health.