--- title: "Review of the literature on the effectiveness of non-invasive and surgical methods of penile lengthening - PhalloBoards - Phalloboards" description: "onlinelibrary.wiley.com/doi/10.1111/j.14...0X.2010.09647.x/full Quote:Penile size is a matter of great interest among men who are affected by 'short penis..." url: "https://j4.phalloboards.info/general-forum/general-phalloplasty-discussion-archive/8879487-review-of-the-literature-on-the-effectiveness-of-non-invasive-and-surgical-methods-of-penile-lengthening.html" date: "2026-08-06T18:14:40+00:00" language: "en-GB" --- PhalloBoards - An Online Community to Discuss Penile Girth Enhancement General Forum Doctors Forum Username Password Remember me - [ Forgot your password? ](https://j4.phalloboards.info/component/users/reset.html?Itemid=101) - [ Forgot your username? ](https://j4.phalloboards.info/component/users/remind.html?Itemid=101) - [ Create an account ](https://j4.phalloboards.info/register.html) # TOPIC: Review of the literature on the effectiveness of non-invasive and surgical methods of penile lengthening ## Review of the literature on the effectiveness of non-invasive and surgical methods of penile lengthening 9 years 5 days ago [\#1297282834](#1297282834) - **Dr Oates** - ![Dr Oates's Avatar](https://j4.phalloboards.info/media/kunena/core/svg/person.svg) Topic Author - Pending Email Verification - ![Pending Email Verification](https://j4.phalloboards.info/media/kunena/ranks/rank2.gif) - Thanks: 0 - [ ](https://j4.phalloboards.info/pms.html?task=new&recip=4515674) [ onlinelibrary.wiley.com/doi/10.1111/j.14...0X.2010.09647.x/full](http://onlinelibrary.wiley.com/doi/10.1111/j.1464-410X.2010.09647.x/full) > 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. Highlights: -Penis extenders were the only non-invasive method with some scientific backing. > In conclusion, level 4 evidence (according to the Oxford Centre for Evidence-based Medicine) suggests that penile extenders are effective minimally invasive methods of penile lengthening, Read what "level 4 evidence" means here: [ www.cebm.net/oxford-centre-evidence-base...evidence-march-2009/](http://www.cebm.net/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/) -There is no evidence that cutting the ligament helps to gain length. -No evidence of girth increase from extenders. -Extenders are safe when used properly. -Some evidence extenders can "elongate the penis" by an average of 1.5-2.5 cm. -Some evidence extenders can reduce curvature from Peyronie's disease. > Among these conservative methods of penile lengthening, penile traction devices are the technique for which the efficacy is supported by some scientific evidence. This is mainly generated by pilot studies with a prospective non-comparative design and further studies are needed. While the penis can effectively be elongated by an average of 1.5'2.5 cm based on the underlying condition, there is no evidence that the girth can be increased by applying traction forces. Taking into account that surgical methods are not supported by a better scientific background nor have they shown better results, penile traction devices should be proposed as a first-line treatment option for patients seeking a penile lengthening procedure. The same consideration may apply to Peyronie's disease where surgical correction of curvature carries a high risk of patient dissatisfaction because of additional penile shortening. The current evidence suggests that selected cases may benefit from a conservative approach with penile traction devices. Will probably buy one myself, have my eyes on the x4 labs extender. Please don't quote the whole OP if you are posting a response. Please [Log in](https://j4.phalloboards.info/login.html?return=aHR0cHM6Ly9qNC5waGFsbG9ib2FyZHMuaW5mby9nZW5lcmFsLWZvcnVtL2dlbmVyYWwtcGhhbGxvcGxhc3R5LWRpc2N1c3Npb24tYXJjaGl2ZS84ODc5NDg3LXJldmlldy1vZi10aGUtbGl0ZXJhdHVyZS1vbi10aGUtZWZmZWN0aXZlbmVzcy1vZi1ub24taW52YXNpdmUtYW5kLXN1cmdpY2FsLW1ldGhvZHMtb2YtcGVuaWxlLWxlbmd0aGVuaW5nLmh0bWw/bWFya2Rvd249MQ==) or [Create an account](https://j4.phalloboards.info/register.html) to join the conversation. ## Re: Review of the literature on the effectiveness of non-invasive and surgical methods of penile lengthening 9 years 5 days ago [\#1297284138](#1297284138) - **[93East](https://j4.phalloboards.info/general-forum/user/4968620-93east.html "View 93East's Profile")** - [![93East's Avatar](https://j4.phalloboards.info/media/kunena/core/svg/person.svg)](https://j4.phalloboards.info/general-forum/user/4968620-93east.html "View 93East's Profile") - [ Offline](https://j4.phalloboards.info/general-forum/user/4968620-93east.html) - General - ![General](https://j4.phalloboards.info/media/kunena/ranks/rank1.gif) - Posts: 21 - Thanks: 0 - [ ](https://j4.phalloboards.info/pms.html?task=new&recip=4968620) Interesting results. Really regret not extending before PMMA I'm a little under 6" BPEL and I'm not sure what they aesthetic results would be if I started now after this round settles. Would also be interesting to see a study done on Hanging. Also > BOTULINUM TOXINA recent study by Shaeer et al. [21] proposed injection of botulinum toxin as an alternative to surgery and penile extenders for alleviating penile retraction in patients suffering from short penis as a result of hyperactive retraction reflex. This preliminary report showed that botulinum toxin may have a potential effect in temporarily decreasing penile retractions, as well as improving Flaccid length. Seems promising for post-PMMA. I've been seeing around that Dr. C may have offered botox to prevent retraction but I was never offered anything like that? I would def be willing to pay a little extra for month-free retraction. Please [Log in](https://j4.phalloboards.info/login.html?return=aHR0cHM6Ly9qNC5waGFsbG9ib2FyZHMuaW5mby9nZW5lcmFsLWZvcnVtL2dlbmVyYWwtcGhhbGxvcGxhc3R5LWRpc2N1c3Npb24tYXJjaGl2ZS84ODc5NDg3LXJldmlldy1vZi10aGUtbGl0ZXJhdHVyZS1vbi10aGUtZWZmZWN0aXZlbmVzcy1vZi1ub24taW52YXNpdmUtYW5kLXN1cmdpY2FsLW1ldGhvZHMtb2YtcGVuaWxlLWxlbmd0aGVuaW5nLmh0bWw/bWFya2Rvd249MQ==) or [Create an account](https://j4.phalloboards.info/register.html) to join the conversation. ## Re: Review of the literature on the effectiveness of non-invasive and surgical methods of penile lengthening 9 years 5 days ago [\#1297875348](#1297875348) - **[Friend\_face](https://j4.phalloboards.info/general-forum/user/2103238-friend-face.html "View Friend_face's Profile")** - [![Friend_face's Avatar](https://j4.phalloboards.info/media/kunena/core/svg/person.svg)](https://j4.phalloboards.info/general-forum/user/2103238-friend-face.html "View Friend_face's Profile") - [ Offline](https://j4.phalloboards.info/general-forum/user/2103238-friend-face.html) - General - ![General](https://j4.phalloboards.info/media/kunena/ranks/rank1.gif) - Posts: 148 - Thanks: 3 - [ ](https://j4.phalloboards.info/pms.html?task=new&recip=2103238) > 93East wrote: Interesting results. Really regret not extending before PMMA I'm a little under 6" BPEL and I'm not sure what they aesthetic results would be if I started now after this round settles. Would also be interesting to see a study done on Hanging. > > > Also > > > > Seems promising for post-PMMA. I've been seeing around that Dr. C may have offered botox to prevent retraction but I was never offered anything like that? I would def be willing to pay a little extra for month-free retraction. You can still use a extender after your PMMA has set,realistically a 1cm to 2cm gain isnt going to affect your PMMA much at all Please [Log in](https://j4.phalloboards.info/login.html?return=aHR0cHM6Ly9qNC5waGFsbG9ib2FyZHMuaW5mby9nZW5lcmFsLWZvcnVtL2dlbmVyYWwtcGhhbGxvcGxhc3R5LWRpc2N1c3Npb24tYXJjaGl2ZS84ODc5NDg3LXJldmlldy1vZi10aGUtbGl0ZXJhdHVyZS1vbi10aGUtZWZmZWN0aXZlbmVzcy1vZi1ub24taW52YXNpdmUtYW5kLXN1cmdpY2FsLW1ldGhvZHMtb2YtcGVuaWxlLWxlbmd0aGVuaW5nLmh0bWw/bWFya2Rvd249MQ==) or [Create an account](https://j4.phalloboards.info/register.html) to join the conversation. 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