Penis lengthening – A retrospective review of 300 consecutive cases

Many normal adult North American men would prefer to have a longer penis. The penis is the ultimate symbol of virility. To improve self-esteem, some men desire a larger penis, a desire that is similar, in many respects, to that of women who want breast augmentation (1). Until recently, there has been no treatment available for the normal mature male who wished a longer phallus. Children with micropenis respond to testosterone therapy (2), but adults appear resistant. Cosmetic phalloplasty has been performed in the Orient for over 20 years (3,4). In Canada and the United States, this is still a new and controversial procedure. The controversy has been compounded by the aggressive marketing of various penis augmentation procedures in North America by some surgeons, without adequate followup and peer review. Western medical literature has reported reconstructive penis lengthening techniques for more than 35 years (5-25). There are only a few papers on cosmetic enhancement (26,27). This report is a retrospective study of 300 consecutive penis lengthening procedures performed by the author.