MTP 121: The Truth About Penile Length

[00:00:00][music] So Alfie, here we are again talking about penis length. Okay, penis length. Penis length has been the bugaboo of many a urologist, many a plastic surgeon, many a cosmetic surgeon, and then many crazy providers that do crazy things to a penis in the name of making a penis longer. Um, and I'm I'm doing this off the cuff because I've done this lecture for almost 20 years to my colleagues who are board certified urologists. But you know what? you out there in the public, you guys are doing your research and yeah, I I can see where sometimes you feel like you're actually looking at real research, but you're not. Let me tell you, the only place that you can get length in a penis is in the fat pad above the penis. And that is the length that you will get if you can remove that fat. And Alfie hopefully right now will be able to show you a couple pictures where you can remove it in block surgically or you can do lipos suction.

[00:01:15]There won't be a picture for that but you can do lipos suction on what's called the man's penis and you can actually get real penetrating length for your penis. That's the only place absolute only place. And I need to give you a little history about some of these crazy operations that are becoming quote unquote vogue again. And I would love to see real numbers for these types of procedures. And some of my colleagues who are amazing surgeons attempted to to bring these procedures up and bring them into the public again after they were started many years ago by an Italian surgeon named Estonia. I'm Italian, so I'm a busting on Italians. He just happens to be Italian. His name was Estonia. He was looking for any way to make a penis longer, and it was anywhere from 0.5 cm to I think 2 and 1/2 cm using this technique, which ended up getting him shot in the pelvis eight times because not one but several patients had lost their glands.

[00:02:23]And that has has [clears throat] occurred again with this the resurrection of this procedure. And one of my friends in in in the you know was really trying to help patients and he did everything he could to avoid this complication of glandular necrosis. But anything that you surgically do where you have to mobilize nerves and vessels leading to the glands or you have to mobilize the actual urethra which is builds the glands. These are extremely dangerous procedures and you have to ask yourself is it worth possibly losing your glands for that much? Is somebody going to notice that much if they're fating you or if they're making [clears throat] love to you? Will they notice that much? And is it worth it?

[00:03:16]You'll also read about liating the uh suspensary ligament, transsecting the suspensary ligament. Uh Alfie hopefully has a little slide for this here. And yes, you can cut that suspensary ligament and then you can do what's called a YV plasty, uh, which is a nice plastic skin procedure to advance some skin onto the penis. But I can tell you that YV plasty almost never looks good.

[00:03:43]And I can promise you, it's in the literature. I've been presenting this stuff for 15 years. Your penis will wag like a dog's tail because it's no longer stabilized. So, I can tell you that most of us that are in the game, they don't do that anymore. So, let's go back to what I first said that the only place you can really get it and with these new peptides, you can actually get rid of that fat pretty quick. Let's do, you know, simple stuff with simple appropriate goals. I know that patients that have dysmorphic character are not going to listen to the last four minutes that I just said, but those of you out there, don't be fooled by these sites that say this is an easy procedure to gain one to four centimeters. It have them give you numbers. have them give you previous past experiences from uh patients and make sure you don't end up being one of those patients that finds Dr. Oonia and shoots him eight times in the pelvis.

[00:04:52]>> [music]