The Journey to Regaining Sexual Confidence: Penile Implant Surgery

There are many different surgeries to enlarge the penis, each of which has its own method.

Silicone Implants
In this type of surgery, a crescent-shaped piece of medical-grade silicone is inserted under the skin of the penis to lengthen and widen the penis.

Fat Transfer
During a fat transfer procedure, a surgeon will remove fat cells from a fatty area of the body and inject them into the shaft of the penis. They do this by making small incisions in the sides of the penis and injecting purified fat cells into these areas.

Suspensory Ligament Division
Suspensory ligament division surgery, or ligamentolysis, offers a way to make a flaccid penis appear longer by cutting the suspensory ligament. This ligament connects the penis to the pubic bone. During the procedure, the surgeon will cut this ligament and move skin from the abdomen to the shaft of the penis.

Other surgery options also include:

• Tissue Graft
• Hyaluronic Acid Injection
• Polylactic Acid Injection
• Gender Separation

But today in this article we are talking about silicone implants.

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Penuma is the only penis enlargement surgery approved for commercial use under the Food and Drug Administration (FDA) 510(k) regulation. The process costs approximately $15,000 out of pocket plus a $1,000 upfront deposit. James Allist, MD, FACS, FICS, of Beverly Hills, California, founded the procedure.

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Penuma is a piece of medical-grade silicone inserted under the skin of your penis to make your penis longer and wider. It is available in three sizes: Large, XL and XXL. There are two main types of tissues that shape the penis:

• Corpus Cavernosa: two cylindrical pieces of tissue that run along each other at the top of your penis
• Corpus Spongiosum: a cylindrical piece of tissue that runs underneath your penis and sits near the urethra, where urine comes out.

The Penuma device is designed according to your specific penis size. It is inserted into the shaft above the corpus cavernosa. This surgery is performed through an incision in the groin just above the base of your penis. This device stretches the skin and tissues of the penis to make your penis look and feel larger. The Penuma procedure increases the length and girth of the penis by approximately 1.5 to 2.5 inches, the average man's penis is approximately 3.6 inches long when flaccid (3.7 inches in thickness) and 5.2 inches long when erect (4.6 inches in thickness) . Penuma can elongate the average penis by 6.1 inches when flaccid and 7.7 inches when erect.

Some key facts about pneuma surgery are:

• If Not Already Circumcised, You Will Need To Do So Before Surgery.
• You Can Go Home Only On The Day Of Surgery.
• The Surgery Usually Takes 45 Minutes To An Hour To Complete.
• General Anesthesia Is Used During Surgery.
• Swelling Of The Penis May Persist For A Few Weeks After Surgery.
• You Will Need To Abstain From Masturbation And Sexual Activity For About Six Weeks.

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Like any surgery, there are risks associated with the use of anesthesia. Common side effects of anesthesia include:

• Nausea
• Vomit
• Exhaustion
• Hoarse Voice
• Confusion
• Pneumonia
• Heart Attack
• Stroke

The Penuma website reports that after surgery, you may experience pain with an erection and some loss of penile sensation, and these are usually temporary. If these side effects persist for more than a few days, see your doctor. In some cases, removing and reinserting Penuma can reduce these side effects. Possible complications from having this type of surgery include:

• Implant Perforation And Infection
• Stitches Coming Apart
• Implant Rupture
• Blood Clots In Penile Tissue

Additionally, after surgery your penis may look significantly larger or may not be in the shape you like.

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According to the Penuma website, this procedure has a good success rate. Even if there are any side effects or complications, they occur because proper care was not taken after the surgery.

The Journal of Sexual Medicine reported on a surgical study evaluating 400 men who underwent the Penuma procedure. The study found that 81 percent of men were satisfied with their results. A small number of subjects experienced complications including seroma, scarring, and infection. And, 3 percent required removal of the device because of problems after surgery.

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The Penuma procedure is expensive, but may still appeal to some people. The manufacturer of Penuma reports high rates of customer satisfaction and increased levels of confidence with the implants. For some people, this may result in unwanted, sometimes even permanent side effects. If you're concerned about the length and girth of your penis, talk to your doctor. They may also recommend non-surgical options or help you consider surgery.