Peyronie's disease

• Posts advise that stretching a semi-erect penis could add up to an inch in length and girth by exploiting the body’s repair mechanisms.
• Jelqing is just the latest in a long line of dubious penis enlargement techniques stretching (sorry) back millennia.
• The ancient Greek method of lengthening the foreskin with a kynodesme (dog leash) seems positively mild compared with ancient Indian methods.
• Penis pumps are also used for erectile dysfunction, but unlike some online claims, they don’t lengthen the penis.

Surgical interventions

• Fillers are increasing in popularity, particularly hyaluronic acid (HA) injections.
• HA is popular because it is doesn’t generate an immune response.
• Surgery to cut the suspensory ligament anchoring the penis is the most widely accepted surgical elongation method.
• A recent review concluded that evidence for supporting surgical procedures for penis enlargement is weak and the complications are under-reported.

Not needed, in most cases

• A micropenis, usually diagnosed at birth, is where the penis is 2.5 standard deviations less than the average stretched penis length (2.3 to 2.5cm depending on ethnicity).
• It is typically caused by a deficiency or imbalance of hormones such as testosterone or human chorionic gonadotropin (hCG), or genetics.
• The female vagina is on average 2.5 to 3.8 inches deep, but lengthens during sexual arousal to accommodate a penis longer than this.
• The female genitalia have multiple erogenous structures that can result in orgasm, so penile length isn’t the key characteristic.

A closer look at jelqing

• The top two consist of numerous spaces that are surrounded by smooth muscle, which keeps most blood out of the spaces.
• During an erection, the muscles relax allowing blood to flow in, filling these spaces, and enlarging penile volume.
• While the theory sounds good, smooth muscle cells in the penis don’t respond in the same way skeletal muscle does.
• If jelqing, or any other trend, was really that effective, we would have seen evidence of it in medical journals, and the sale of extra-large underwear would be making the headlines.

Adam Taylor does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

• LOS ANGELES, Jan. 8, 2024 /PRNewswire-PRWeb/ -- Dr. Justin Houman, a highly esteemed board-certified urologist and renowned men's health specialist, has received the Top Patient Rated Doctor award from Find Local Doctors.
• Find Local Doctors is a trusted online directory that allows patients to locate and connect with the best physicians in their area.
• Dr. Houman's practice offers a comprehensive approach to men's health, specializing in the diagnosis and treatment of various urological conditions.
• Dr. Justin Houman's clinic is located at 8635 W 3rd St, Suite 1W in Los Angeles, CA.

• The PD Pool Hall videos feature four real patients, both treated and untreated, in a pool hall discussing their experiences with PD, including the impact on their lives and their treatment journeys.
• The conversations are unscripted and present the patients' actual views and stories.
• "The men in the videos know firsthand the confusion, embarrassment and even fear that men may face along the PD journey," Mattice continued.
• The videos are viewable on Endo's newly redesigned consumer website for XIAFLEX, found at XIAFLEX.com .

• DUBLIN, Nov. 16, 2023 /PRNewswire/ -- Endo International plc (OTC: ENDPQ) announced today that five new presentations related to Peyronie's disease, or PD, and XIAFLEX® (collagenase clostridium histolyticum, or CCH, injection 0.9 mg) will be shared during the Sexual Medicine Society of North America (SMSNA) annual meeting, taking place November 16-19 in San Diego.
• "The relatively common condition of Peyronie's disease—estimated to affect 1 in 10 men in the U.S.—remains under-studied and is often misunderstood," said Dr. Jesse Mills, urologist and presenter of the data analysis poster.
• "Efforts like the post hoc analysis of XIAFLEX® Phase 3 data and the new landmark registry aim to advance medical knowledge of PD and support patient outcomes."
• The five new Endo-sponsored and Endo-supported presentations are below:
  Peyronie's Disease Patients with Penile Pain at Baseline Treated with Collagenase Clostridium Histolyticum: A Post Hoc Analysis
  Outcomes of Collagenase Clostridium Histolyticum in Men with Ventral Curvatures: An Updated Series
  Efficacy of a Novel Collagenase Clostridium Histolyticum Protocol for Peyronie's Disease Among Prior Non-responders: A Randomized, Controlled, Single-Blinded Study
  Comparison of Collagenase Clostridium Histolyticum to Surgery for the Management of Peyronie's Disease: A Randomized Trial – 1 Year Outcomes