Yes, men really can make it longer: study Some non-surgical methods for increasing the length of the male sex organ do in fact work, while others are likely to result only in soreness and disappointment, a review of medical literature has shown. Yes, men really can make it longer: study Surgical procedures, however, can be dangerous and have an "unacceptably high rate of complications," according to the study, published this week in the Journal of the British Association of Urological Surgeons. "An increasing number of patients seek urological advice for the so-called 'short penis'," the researchers reported. This is true despite the fact that "penile length is normal in most of these men, who tend to overestimate normal phallic dimension." A male member -- measured on the dorsal, or upper, side -- can be considered normal in length if it is at least four centimetres (1.6 inches) when limp, and 7.5 centimetres (three inches) when rigid, noted several of the studies evaluated. Some allowances, they added, must be made for a man's height and his body-mass index (BMI), which measures deviation from optimal levels of body fat. To determine the efficacy and safety of both surgical and non-surgical techniques for so-called "male enhancement," Marco Orderda and Paolo Gontero of the University of Turin in Italy canvassed scientific literature. They found 10 relevant studies. Half reported on surgical techniques, performed on 121 men. Among the non-invasive methods, tested on 109 subjects, so-called penile extenders that stretch the phallus through traction were shown to be most effective. One study reported an average increase of 1.8 centimetres (0.7 inches), while another measured an extra 2.3 centimetres (0.9 inches) in a flaccid state, and 1.7 centimetres (0.67 inches) when erect. But the regimen for achieving these gains was arduous: six hours of daily traction over four months in the first case, and four hours every day over six months in the second. Another device, known as a "penis pump," uses a manual or motorised pump to create a vacuum inside a hard cylinder sheath, stretching the phallus. Six months of treatment, however, "was not found to be effective for penile elongation, although is provided some sort of psychological satisfaction for some men," the researchers said. So-called peno-scrotal rings -- expandable or rigid bands that fit around the base of the scrotum and penis -- "might help to augment penile size and maintain erections in men suffering from anxiety", they reported, but only two cases were evaluated. Advertisements claiming that another popular technique -- so-called "penile lengthening exercises" -- can add centimetres or inches to one's manhood are unfounded, say Oderda and Gontero. Even the methods that did show some increase in length did not result in a gain in thickness, they noted. But nor was their shrinkage. "It is interesting that no girth decrease was reported with traction therapy, as one would have instinctively thought," the researchers said. Non-Invasive Methods Of Penile Lengthening: Fact Or Fiction Penile size continues to represent a matter of great concern among men and an increasing number of patients seek urological advice for the so-called ‘short penis’, wondering if there is the possibility of having their penis enlarged. Notably, penile length is normal in most of these men who tend to overestimate normal phallic dimensions. Furthermore, surgical procedures of ‘lengthening phalloplasty’ remain a controversial issue, being characterized by poorly defined indications and an unacceptably high rate of complications as recently outlined by a literature review. In this brief overview we aim to explore whether non-surgical methods of penile lengthening, largely popularized through the media, may have some scientific background. Oderda M, Gontero P. Non-invasive methods of penile lengthening: fact or fiction? BJU International 2011;107(8):1278-82. Non-invasive methods of penile lengthening: fact or fiction? - Oderda - 2010 - BJU International - Wiley Online Library What's known on the subject? and What does the study add? Penile lengthening methods remain a controversial issue. Surgical procedures of “lengthening phalloplasty” are characterized by poorly defined indications and an unacceptably high rate of complications, as recently outlined by a literature review, while non-surgical techniques are largely popularized by the media but often lack scientific evidence. In the literature we found only ten articles/abstracts of studies pertaining to the topic of our review. With our review, we aimed to explore whether non-surgical methods of penile lengthening may have some scientific background. We focused specifically on penile extenders, which among conservative methods are those whose efficacy is supported by some scientific evidence. It seems that penile traction devices should be proposed as the first-line treatment option for patients seeking a penile lengthening procedure. Penile size is a matter of great interest among men who are affected by ‘short penis syndrome’ or just believe themselves to have a small penis, even though the dimensions of the organ fall within the normal range. Surgical procedures of ‘lengthening phalloplasty’ lack standardized indications and carry a high risk of complications. Several non-invasive methods of penile lengthening have been described, such as vacuum devices, penile traction devices and penoscrotal rings; even ‘physical exercises’ have been popularized through the media. Most of these techniques, however, are not supported by any scientific evidence. We briefly analyse the efficacy and scientific background of such non-surgical methods of penile lengthening. It seems that penile extenders represent the only evidence-based technique of penile elongation. Results achieved do not seem to be inferior to surgery, making these traction devices an ideal first-line treatment option for patients seeking a penile lengthening procedure.