What's in Your Pants?What's wrong with your penis?
Published: Sunday, September 23, 2007 - 20:16
I think most of us can comfortably agree with the old adage, "nobody's perfect." We women are particularly hard on ourselves in this regard. We understand the theory, but in practice there's always something about our thighs/butt/boobs/hips we'd like to change.
For men, it seems to be much simpler. Men seem to fully and cheerfully accept their various physical imperfections. Except for one important thing. The one body part that causes men the most consternation and angst if it deviates too much from the norm (in every way but generous girth or length) is the part that spends most of the day and night well hidden under clothing. The penis.
Aside from meager dimensions (perceived or real), there are a number of abnormalities which can afflict the Johnson - and thankfully, surgical remedies for each. But first, a quick tour of the tool itself.
See Dick RunSee Dick run.
Let me tell you, this tubular organ is far more complicated than anything Oscar Meyer could ever hope to design.
Beyond its rather public protuberance, the penis has its roots way back in the body underneath the prostate gland towards the anus. Internally, it is attached to the undersurface of the pubic bone.
The shaft of the penis is made up of mostly spongy tissue called the "corpus spongiosum" (sounding rather like one of Harry Potter's spells). During sexual arousal, the small arteries in this tissue fill with blood, and together with a muscular constriction of veins, which drain blood from the penis, cause and maintain an erection.
The bulbous tip of the penis, is called the glans. Around the glans is a ridge of flesh, called the coronal ridge, and in the center, on the underside, is a small band of skin called the frenulum, which tethers the foreskin. It's sort of like that little piece of flesh that keeps your upper lip attached to the inside of your mouth. Sort of.
The outer surface of the foreskin is regular skin while the inner surface is actually a sensitive mucosal membrane containing sebaceous glands that lubricate and protect the glans from friction. Generally, the foreskin is much larger than you might think: about the size of one of those handy lens cleaners you get free with your sunglasses. On a circumcised penis, the skin that would have been covered by the foreskin becomes slightly thicker - and some would say, less sensitive. All circumcised men also have a scar around the shaft of the penis, which can vary in location from near the head to far down the shaft.
The skin of the penis itself is also infiltrated with muscle fibers which extend from the muscle of the scrotum (or "scrota" if you have a pair). The strength or activity of this muscle determines in large part whether the scrota hang loosely or are held tighter against the body. In other words, the more active the muscle, the tighter and more crinkly the scrota appear - although of course "shrinkage" can also occur as a result of fear or cold.
So what's wrong with yours? Maybe nothing. Maybe it's all in your head. Or maybe all you need is a little nip and tuck to correct some of these little kinks in your armour. Thankfully, modern cosmetic surgery offers many options.
Penis lengthDoctor, can you fix my...
1. Short penis - Despite what you may believe, the average adult non-erect penis is 3-4 inches long and 5-7 when erect. Several studies suggest that most men complaining of a small sized penis have in fact normal sized genitals. Some are simply misinformed but others suffer from what is known as penile dysmorphophobia, where the patient is excessively preoccupied with an imaginary or minor defect in a body part - in this case, the peeper. A true "micro-penis" is less than 3 2/3 inches when erect (and just so you know, even men with micro-penises are capable of having sex and fathering children). In any case, it is possible to increase the perceived length of the penis.
Penile lengthening generally involves the release of the fundiform ligament and the suspensory ligament that attach the 2 erectile bodies to the pubic bone. The suspensory ligament makes the penis arch under the pubic bone. Release of this ligament allows the penis to protrude on a straighter path, further outward to give more functional length. However, after surgery, erections tend to point straight down (which means you'll have to find someplace else to hang your hat).
2. Narrow penis - Since 1991, surgeons have performed liposuction and then fat injection to plump up the Ball Parks, but it often results in penile irregularity and the augmentation always decreases with time. In addition, during an erection the injected fat will be softer than engorged tissue that hardens the penis. Men with low body fat such as bodybuilders, weight lifters, models, actors, and dancers are particularly poor candidates for this technique and require several injections over time add more fat. More and more physicians are switching to treated natural tissue grafts www.drwhitehead.com which do not require a donor, or incisions at the donor site (taken from another spot on your body). While a 40 to 50% gain in girth (flaccid state) may be achieved, most men get an increase of about 30%. An approximate 10 to 15% gain in girth is obtained in the erect state. So that means, if the before penis measures 3 1/2 inches around when erect, the after penis could be 1/4 inch thicker.
3. Turkey Neck (penoscrotal webbing) - If the scrotum extends too far along the underside of the penis it may make the penis appear short on the underside, like a "turkey neck." This can be corrected by various tissue tuck techniques under local anesthesia, or at the same time as other enhancements or corrections.
Bent Nail4. Bent Nail Syndrome (Peyronie's disease) - Peyronie's disease is a connective tissue disorder involving the growth of fibrous plaques in the soft tissue of the penis and affects 1-4% of the population. There are a number of surgical options for correction. Tissue can be removed on the opposite side of the bend, but this will result in penile shortening. To compensate, some men choose to have penile lengthening done at the same time (see above). If the patient also suffers from erectile impairment, a penile prosthesis can be inserted when the plaque tissue is removed. Sometimes placement of the implant alone corrects the curving.
5. Flaccid penile curve - Some men have penile curvature in the flaccid state only. While this may not affect erections, it looks...well...funny. A flaccid curve can be corrected without surgery on the erectile chambers by insertion of tissue grafts at the same time as penile widening.
6. Pubic fat overhang - If the pubic area has excess fat due to increased pubic or suprapubic fat the penile shaft may be partially or completely hidden. Quicker and more targeted than losing weight, surgical lipectomy will remove the excess fat and better expose the jewels.
7. Retractile Penis - The erect penis might function normally, but snap back almost all the way back into the body when flaccid (sort of like a retractable tape measure). The retractile penis can be treated by releasing the suspensory ligament along with release of constricting bands of abdominal tissue called "Scarpa's Fascia."
8. Tight Foreskin - "Phimosis" is the condition where the foreskin is so tight, in cannot be retracted at all. It may rarely be a congenital defect, but is more commonly the result of repeated attacks of infection that cause scarring and narrowing of the tissue. Circumcision is generally advised in this instance.
9. Glanular Disproportion - More of a photogenic issue than anything else, in this case the glans of the penis is disproportionately large compared to the shaft. Once again, implanted tissue grafts can widen the shaft and improve the appearance, particularly in the flaccid state. Or on the other hand, tissue grafts can be implanted into the glans itself.
10. Hairy Shaft - The shaft of the penis is normally hairless, but erection of a tightly circumcised penis can pull hairy scrotal skin on to the shaft, causing discomfort on intercourse. Apparently, one sufferer is shock-jock Howard Stern who discussed it during his show in May 2006. In any event, with a tight circumcision, the skin cannot be pulled up any further to return the hair-bearing skin to the pubic area. Judging by what I read online and what I've learned from personal observation, most men elect to (gently) shave if they really need to eliminate the hairy shaft. For my two cents, I'd like to avoid the "porcupine quills" at all costs.
Penis EnvyThe Down Side
As with any surgical procedure, "phalloplasty" is not without its risks. Lengthening and widening procedures can leave you with thick keloid scars, bruising, infections around the tissue grafts, contracture of the graft, and swelling - not the kind you want, the kind you don't. Fat injections often result in penile irregularity and the augmentation decreases with time. In addition, during erection, the injected fat is softer than the natural penis tissue. Lengthening can leave you with an erection that points down, or hair or "scrotal" skin on the shaft.
So should you take the risk?
According to Dr. John Dean, a specialist in sexual medicine in the UK, "Almost all men experience anxiety about the size or appearance of their penis at some time. "
But just because you feel that way now and then doesn't mean you should go under the knife.
Dr. Dean says, "While tens of thousands of men have undergone some sort of surgery for penis lengthening or other procedures, no reliable information about results and complications has yet been published in a recognized journal. Given the number of operations performed, this is both astounding and worrying."
Many experts agree. The American Urological Association, the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons have all issued policy statements against cosmetic surgical procedures to enhance the penis.
And unless you have a clinically recognized "micro-penis" or have suffered other genital trauma, your new penis will be coming out of your own pocket (so to speak), Insurance generally does not cover cosmetic enhancement which ranges from $4000 to $6000 and can be as much as $17000.
"Men who are born with a small penis may benefit from surgical treatment, but the results are unpredictable," says Dr. Dean. "Without surgery, many will still be able to enjoy very satisfactory sexual relationships despite the small size of their penis. Using surgery to treat a psychological problem is fraught with risks."
My advice? Ask your sweetie. If she (or he) isn't bothered, you shouldn't be either.

Hilarious
By HahaGirl (not verified) - Thursday, September 27, 2007 - 05:08OMG! That was hilarious. I know the mean wouldn't be laughing but who would have thought that there were so many "penis problems" and solutions to boot! The accompanying pic just made it worse. I couldn't stop laughing. ROFL. More articles like this please!
I didn't know that there was
By Anonymous (not verified) - Thursday, September 27, 2007 - 14:56I didn't know that there was a whole science dedicated to the study of the penis. I'm actually very surprised. Good to know that men are actually not left behind when it comes to the availability of surgical procedures to correct or enhance certain features.
5-7 is the normal erect
By Keana (not verified) - Thursday, September 27, 2007 - 23:055-7 is the normal erect size? Wow I married a giant.
Hell of an informative
By Walter - Friday, October 5, 2007 - 18:53Hell of an informative article. Should let my girlfriend read this so she'll realize how well errrr i am.
What about?
By Eagles (not verified) - Sunday, January 6, 2008 - 20:27remove@sa-art.net
What about?
By Eagles (not verified) - Tuesday, January 8, 2008 - 01:45remove@sa-art.net
What about?
By Eagles (not verified) - Wednesday, January 9, 2008 - 01:18remove@sa-art.net