Surgical methods Such advertisements are common in South Africa. There are several surgical penis enlargement treatments, most of which carry a risk of significant complications. Penile augmentation involves injecting fat cells into the penis or grafting fat cells onto the penis. Injecting fat cells into the penis can cause swelling and deformity; in some instances, removal of the penis may be necessary. Grafting fat cells onto the penis can be effective; however, the increase in size may disappear over time. Suspensory ligament release increases flaccid penis length, but does not increase the length of an erect penis  and can create problems with sexual function.
Penis Enlargement: What Works and Why
Although pills, injections, traction devices, and surgery are regularly marketed to men in search of larger penises, some are more effective than others. Moreover, the risk of certain procedures, particularly surgery, can significantly outweigh any presumed benefits. Generally speaking, penis enlargement procedures are indicated for men who have experienced penile trauma or have a medical disorder that affects the function of the penis. In cases where penis size is affecting fertility or the man's quality of life, penis enlargement may be considered ideally under the care of a urologist. These include surgical procedures known as penile augmentation or augmentation phalloplasty. Various structures within the penis allow it to perform urination, erection, and ejaculation: The urethra is a thin tube running through the penis that carries urine out of the bladder. The urethra is part of the corpus spongiosum which leads to the glans head of the penis.
Penis Enlargement Surgery: How Much Does It Cost and Is It Worth the Risk?
Summary Marketers claim that extenders, vacuum devices, pills, and lotions can increase penis size. But do penis enlargement methods work? Penis size is a common source of anxiety. This has fueled a multimillion-dollar penis enlargement, or male enhancement, industry.
Penile dysmorphophobia The majority of men seeking penile elongation treatment have a normal penile size, which is functionally adequate for sexual activity and micturition 14 , Men complaining of small penis, despite adequate length, typically suffer from either penile dysmorphophobia disorder PDD or small penis anxiety SPA. In both of these disorders, men consistently underestimate the size of their own penis and overestimate the mean size for other men Men are so preoccupied with their penis size and length, they may develop depressive episodes associated with social, occupational, and sexual dysfunction. There is a high prevalence of psychogenic erectile dysfunction and lack of sexual satisfaction in men with BDD, despite their normal libido