Speaker 1: Let's talk about it.
Speaker 2: Let's talk about the Man.
Speaker 3: Hero.
Speaker 2: Let's talk about it. Let's talk about the Man Hero.
Speaker 3: Welcome to the Man, Welcome back to the mail room
Speaker 3: with doctor Jesse Mills. I am Doctor Jesse Mills, and
Speaker 3: I am staring in the handsome brown eyes of Jordan
Speaker 3: run Top, my man on the street, my man in
Speaker 3: the studio. I gotta be honest, I'm a little nervous
Speaker 3: about this episode today, Jordan. I just think, you know,
Speaker 3: I don't get nervous very often, as you know, but
Speaker 3: I don't know if this episode is going to measure up.
Speaker 2: To what we normally do there it is.
Speaker 3: Yeah, I'm afraid that we are going to talk about
Speaker 3: something that I think is nearer and dear, potentially tragic
Speaker 3: to a lot of guys. And so obviously we're going
Speaker 3: to do it in our normal way of demystifying what
Speaker 3: out there, trying to make guys feel pretty good about
Speaker 3: what's going on in their lives. And what we're talking
Speaker 3: about is is penis size Today? Yeah, we're going to
Speaker 3: do a whole episode on what's up with the penis?
Speaker 3: And you know, I don't know this triggered because when
Speaker 3: we had our guest on a little bit ago, Jordan
Speaker 3: Ritter Khan one of the one of the guys in
Speaker 3: that book American Men, which please guys go out. You know,
Speaker 3: it's a secondary plug, but it is. It truly is
Speaker 3: a phenomenal book. But a guy named Gideon, who was
Speaker 3: the West Point graduate, really it, you know, resonated with
Speaker 3: a lot of guys, I'm sure, because he was fixated
Speaker 3: on comparing his penis to the other lovers that his
Speaker 3: both wife and again a little bit later in the
Speaker 3: book girlfriend and then future wife had and it just
Speaker 3: you know, he was fixated on it. Yet he had
Speaker 3: a very greater than two standard deviations, larger penis than average,
Speaker 3: and so he had really nothing to worry about, which
Speaker 3: means basically that we all have either something to worry
Speaker 3: about mentally but not physiologically. So that's the long intro
Speaker 3: to what we're doing today, which is it's all about
Speaker 3: the penis.
Speaker 2: Jordan, what's that man?
Speaker 1: Not too much, But I'm glad you mentioned that book
Speaker 1: American Man, because it's incredibly powerful and that whole section
Speaker 1: with Gideon was really what got me thinking about doing
Speaker 1: this episode.
Speaker 3: Yeah, yeah, so the American Well, actually we'll just say,
Speaker 3: the penis in general is, boy, it's it's there's a
Speaker 3: lot of history here we're going to go into. There's
Speaker 3: a lot of perceptions we're going to go into, and
Speaker 3: then there's a lot of my own personal bias in
Speaker 3: terms of what I see in the clinic on a
Speaker 3: daily basis, the history being you know, I mean, think
Speaker 3: about Michelangelo's David, right, this specimen of a man. But
Speaker 3: you know, I think most of us we'll look at
Speaker 3: those pecks and tries and delts on that statue and
Speaker 3: not so much as penis, which is you know, pretty
Speaker 3: flaccid and pretty pretty average looking. And it's really the
Speaker 3: penis has gone through multiple phases really almost a lot
Speaker 3: like obesity and well, I should say body habitus has
Speaker 3: gone through phases like there were times in history when
Speaker 3: smaller penises were associated with better social status, better brains,
Speaker 3: and a large penis was considered you know, animalistic and
Speaker 3: almost disgusting.
Speaker 2: And not desirable.
Speaker 3: And so you know, boy, that is not twenty twenty
Speaker 3: six or even nineteen ninety six, and so so what
Speaker 3: happened with all of that? And we're going to talk
Speaker 3: about that a little bit about my own thoughts, but
Speaker 3: the history of it is truly fascinating, and that that
Speaker 3: guys forever have wanted to measure their penis to everybody
Speaker 3: around them, either in the locker room or on the
Speaker 3: battlefield or anywhere else. And it used to be, as
Speaker 3: I was saying, good good penises were kind of what
Speaker 3: we would consider very average, too small these days, and
Speaker 3: large penises were considered a lot more I don't know,
Speaker 3: be steal and we'll we'll leave it there.
Speaker 1: I'm really fascinated by that because you look through the
Speaker 1: ages and you see the changing beauty standards, and there
Speaker 1: was that time when being pale was considered more beautiful
Speaker 1: than being tan, because it meant you could afford to
Speaker 1: be indoors and not out in the fields working as
Speaker 1: a laborer. So the cultural history of beauty standards is
Speaker 1: really fascinating. But I think back through the years and
Speaker 1: I just remember seeing these ceremonial statues that were very
Speaker 1: ancient and were meant to represent fertility, and they were
Speaker 1: all very large. So I always assumed it was pretty
Speaker 1: consistent through the years that to be blunt, bigger was better.
Speaker 3: Yeah, no, yeah, I mean, you know, big penis small brain.
Speaker 3: I think was for a long time, and we had
Speaker 3: to try to correlate, but it really really doesn't. So
Speaker 3: I don't know where do you think this is all
Speaker 3: coming from. I guess you're sort of surprised that I
Speaker 3: even made that historical nod that, in fact, it wasn't
Speaker 3: always cool to have be packing something below the belt there.
Speaker 3: But I think it's pornography. I really do. I mean,
Speaker 3: I think when you see a guy an adult in
Speaker 3: obviously he's an athlete of sorts, he's an actor, and
Speaker 3: he often is incredibly well endowed, greater than the standard deviations,
Speaker 3: which we'll get into, and I think if that's our
Speaker 3: benchmark for the average guy, especially for kids, and i'd
Speaker 3: say kids that really start their introduction to porn on
Speaker 3: our phones is you know, nine years old, ten years old,
Speaker 3: sometimes earlier, and so then you think, okay, well that's
Speaker 3: what I'm going to grow into someday. And I think
Speaker 3: we have to figure out how to stop that dialogue.
Speaker 3: And I don't know, we don't do this in professional athletics, right,
Speaker 3: I mean, when you look at a professional football game,
Speaker 3: you're not thinking, man, I got to go out and
Speaker 3: throw darts like Tom Brady or some of the greats
Speaker 3: and basketball.
Speaker 2: Same thing.
Speaker 3: I mean, it's you can really appreciate the athleticism and
Speaker 3: the fact that that person is a gifted athlete. So
Speaker 3: maybe if we apply that in mentality to what we're
Speaker 3: watching in adult entertainment, it is great.
Speaker 2: But also would I would take the athletic.
Speaker 3: Thing a little bit further this metaphor if you will,
Speaker 3: And I promise I'm not going where you might think
Speaker 3: I'm going with this next comparison, But let's talk about
Speaker 3: three of the all time NBA greats, Steph Curry, Lebron,
Speaker 3: James Shaquille O'Neil. Steph Curry is about six', two, Right
Speaker 3: lebron is six' nine, six' ten and chack is over.
Speaker 3: Seven feet tall they're. All time greats they have, completely,
Speaker 3: different sizes right they're, one's you, know my height and
Speaker 3: one is and one is a FOOT taller. Than i
Speaker 3: am and yet they're all professional athletes and they're all.
Speaker 3: Fantastic at it so before you Think of, what I'm
Speaker 3: thinking what i'm actually trying to say.
Speaker 2: Is that that all of these guys.
Speaker 3: Are amazing performers which means that penises of all sizes can. Also, be,
Speaker 3: amazing performers right they all get the job done with
Speaker 3: the body they've been given and they know how. To,
Speaker 3: work it, so you know let's talk about penises in.
Speaker 3: THAT same context i have.
Speaker 1: A, question for you what year did you, begin PRACTICING
Speaker 1: urology because i imagine that would correlate to roughly when
Speaker 1: pornography became extremely widely Available. On THE internet and i
Speaker 1: was curious if you notice a change in men's preoccupation
Speaker 1: with size from the beginning of your practice.
Speaker 3: Until, more recently, yeah you know we're going to talk
Speaker 3: about another thing in pornography that that drives me crazy
Speaker 3: as a as a physician that specializes in this in terms,
Speaker 3: of unreasonable standards and that is. An EJACULATORY endurance, and
Speaker 3: i know the, PENIS size thing i think has been
Speaker 3: has always been around in terms of people, thinking that,
Speaker 3: they you know they need, to be bigger and, THE surveys,
Speaker 3: go i mean the, answers your question, by the way
Speaker 3: is about two thousand and ONE is when i, Got
Speaker 3: into urology, AND you're right i mean that's sort of
Speaker 3: when internet porn started to. Really take off so maybe
Speaker 3: maybe it's just A fact that i've grown up professionally
Speaker 3: in a time when when access to visuals of large penises.
Speaker 3: Has BEEN prevalent but i think that the real issue
Speaker 3: is that these standards have been there really not that
Speaker 3: long that people have have had this this, what is
Speaker 3: it almost fixation, with penis size and yet they really
Speaker 3: don't know what. They're dealing with and so if you
Speaker 3: look at a lot of surveys and what we've what
Speaker 3: we've found is that, the you know the average penis,
Speaker 3: size fully erect is. About FIVE inches and i think
Speaker 3: if you, ask most, men in fact people have done
Speaker 3: this and they think average penis size should be about six,
Speaker 3: to seven inches and then large it would be. Greater than,
Speaker 3: eight and so, first of all then we already have
Speaker 3: an unfair standard of where we know scientifically that a
Speaker 3: fully erect penis is really not as big as most
Speaker 3: people think. It should be and the other crazy thing
Speaker 3: is that eighty percent of guys are not satisfied with
Speaker 3: the size of their penis according. To some studies some
Speaker 3: studies say it's not, quite that high but there are
Speaker 3: a lot of guys out, there, that like, MAN you
Speaker 3: know I wish that i had this, had more girth
Speaker 3: more linked and we'll talk about you know some of
Speaker 3: the ways that guys can get in trouble chasing that,
Speaker 3: ideal body metric and also some of the ways that,
Speaker 3: guys you know might be able.
Speaker 2: To do, it but.
Speaker 3: Truly there's only a pathology when a guy's penis is
Speaker 3: well under that five inch standard of what we look,
Speaker 3: at as scientifically we say that a guy that has
Speaker 3: a small penis has two and a half standard deviations below,
Speaker 3: that five inches which kind of means that anybody with
Speaker 3: an erect penis less than three inches definitely has. Potentially,
Speaker 3: a problem now why do we need, To, Label, that jordan,
Speaker 3: WELL you know i think it's only because if a
Speaker 3: guy does have what is sometimes referred to as a
Speaker 3: micro penis or, a small penis that there actually are
Speaker 3: things we can do. For THOSE men and i definitely
Speaker 3: don't want that to for guys to suffer in silence
Speaker 3: if in fact there may be, something to do and.
Speaker 2: So we'll talk about.
Speaker 3: That as, well in fact actually i'll just get into
Speaker 3: IT now because i was just.
Speaker 2: Thinking about this not. THAT long ago i had a
Speaker 2: guy in my.
Speaker 3: Clinic who is in, HIS mid twenties i think it was,
Speaker 3: about twenty five and he came to me because he
Speaker 3: actually had problems with his testicle, not fully descending which
Speaker 3: is also you know what. We just had we Just
Speaker 3: Had on brad snyder who talked about his battle with
Speaker 3: his pediatrician on. His undescended testicle this guy had had
Speaker 3: some issues with smaller than average testicle and then also
Speaker 3: actually never really fully. Developed in puberty and he came
Speaker 3: to my office really mostly from a testicular concern and
Speaker 3: that's why his doctor sent, him to me but also
Speaker 3: on his physical examine obviously in, talking to him he
Speaker 3: truly had. A micro penis his penis was very much
Speaker 3: the size of, a neonatal size and he was twenty,
Speaker 3: five years old and he was. Also super tall and
Speaker 3: so if somebody out listening, fits that description you really
Speaker 3: need to find a urologist and probably an endocrinoledge to
Speaker 3: help take. Care of that because this guy. Had delayed
Speaker 3: puberty he never actually fully, went through puberty and it
Speaker 3: was because he lacked the precursor hormones in the brain
Speaker 3: in the pituitary gland to actually stimulate him to.
Speaker 2: Go through puberty so can you.
Speaker 3: Imagine at twenty five walking around at six 't two a,
Speaker 3: full grown man, no facial hair high voice still and
Speaker 3: then below the belt no, adult secondary characteristics and so
Speaker 3: those are. Not at, uncommon but somehow even in this,
Speaker 3: day and age he made it all the way to
Speaker 3: twenty five without somebody really. Working this up, and you
Speaker 3: know it came from a farming Community, in central california
Speaker 3: really not great, access to care and it probably had at,
Speaker 3: sometimes some, poor you, know documentation status and, so you
Speaker 3: know he was ACTUALLY working when, i saw him had
Speaker 3: a job and was getting at least state, covered health
Speaker 3: insurance and so he'd kind of done all the right
Speaker 3: things from a governmental standpoint to finally come in.
Speaker 2: And see me the.
Speaker 3: Cool thing about it is that that that guy actually
Speaker 3: just through some pretty, EASY blood work i figured out
Speaker 3: the problem and was able to cause him to go
Speaker 3: through puberty even as a twenty five or twenty six
Speaker 3: year old, at that point and then he grew to
Speaker 3: a normal penis size and he started developing. Secondary sexual
Speaker 3: characteristics and that's not like a crazy. Medical miracle story
Speaker 3: those guys are out there and there's a few reasons
Speaker 3: for why we have. That delayed puberty so that was.
Speaker 3: Kind of cool and so that is why if you
Speaker 3: truly have. A micro penis you really need, to, get
Speaker 3: help right because there are things. We can do it's
Speaker 3: very rare that we can't find something to stimulate some
Speaker 3: kind of pubertial growth or. Pen out growth and the,
Speaker 3: younger you are the more. Successful it is.
Speaker 1: That's incredibly fascinating i've never heard a.
Speaker 2: Case.
Speaker 3: Like, that wow yeah That's something, called calman syndrome which
Speaker 3: we talk about all the time, in pediatric endochronology and
Speaker 3: it's just basically where your pituitary gland doesn't really develop
Speaker 3: the hormones or the anatomy to actually start all. Signaling
Speaker 3: the testicles all we have to do is put that
Speaker 3: guy in replacement hormones to start stimulating testicular and. Pen
Speaker 3: out growth so that's kind. Of a win but again.
Speaker 3: That's micro penis so those are the guys that truly
Speaker 3: have very. Very, small penises now how important do you
Speaker 3: think penis size is?
Speaker 2: The, SEXUAL function well i was just going.
Speaker 1: To ask you that at what point is it more
Speaker 1: for the guy's self esteem rather than any kind of
Speaker 1: sexual function or pleasure for the person in.
Speaker 3: The receiving end the, answer is, yes OF course because i.
Speaker 3: Set you up, but the yeah but really both in
Speaker 3: same sex as well. As heterosexual, relationships you know we can,
Speaker 3: do so much and we'll start on the heterosexual, side of,
Speaker 3: things but really the majority of women do not climax.
Speaker 2: Through penetrative intercourse usually it's.
Speaker 3: Through clteral stimulations so only about twenty percent of women
Speaker 3: actually have vaginal derived. Or penetrative orgasms and, so you
Speaker 3: know it's really not not what you do, with your
Speaker 3: penis but it's what you do. With everything else and
Speaker 3: it's kind of the entire inclusive aspect.
Speaker 2: Of what a.
Speaker 3: Sexual experience is and even in same sex couples there
Speaker 3: is a little bit, of that too where depending on
Speaker 3: how men engage with sex with other men will depend
Speaker 3: on whether penis size. Is that important and the truth
Speaker 3: is is that most, of the time even, in those,
Speaker 3: relationships you know they figure out. Ways around, it and
Speaker 3: again it's so rare that that guys truly have incredibly
Speaker 3: small penises that it makes a. Lick, of DIFFERENCE anyway
Speaker 3: maybe i shouldn't say, Look a, difference so anyway we'll
Speaker 3: just let. That one drop so the answer is, that
Speaker 3: it's okay.
Speaker 2: You can laugh. It's, on radio, there you go.
Speaker 3: Don't, mute yourself no, BUT seriously, THOUGH i mean i
Speaker 3: think that we do have to kind of get rid.
Speaker 3: Of this thought and again going back to our Previous,
Speaker 3: guest and gideon, AND they thought i mean, this, is
Speaker 3: real right that this. Is penal dysmorphism just, like YOU
Speaker 3: know if i only did a few, more bench presses
Speaker 3: my chest, Would BE bigger if i only did a,
Speaker 3: few more curls my biceps.
Speaker 2: Would get BIGGER what can i do to?
Speaker 3: Enhance PENAL size and i think that's that's really going
Speaker 3: to be what is we think and to change how
Speaker 3: we engage with the medical community as well as these
Speaker 3: sort of quasi or, ersatz medical community because there have
Speaker 3: been pills out for generations that that purport to, improve
Speaker 3: penole size and there.
Speaker 2: Have been techniques have you everard? Something called jolking does
Speaker 2: that sound familiar in any? Of your?
Speaker 3: Feeds, sounds dangerous yeah as a joking j. E lqi
Speaker 3: ng it's probably. A scrabble word.
Speaker 2: I don't know you have to.
Speaker 3: Look it up it'd be. A good one, IF it
Speaker 3: isn't i don't. Have a u It is a arabic term.
Speaker 3: And it does it dates back probably five, hundred plus
Speaker 3: years and it's essentially a systematic way that guys can
Speaker 3: manually stretch their penis with quite a, bit of force
Speaker 3: and it's something they do almost like physical therapy, for
Speaker 3: the penis where they start. At the base there's a lot,
Speaker 3: of different Ways and actual i'm not going to teach
Speaker 3: people how, to do it because THE last thing i
Speaker 3: want you to take, from this Podcast kind and fairy
Speaker 3: listener Is to say mills taught me. How TO jolke
Speaker 3: because i am not going to teach you. HOW to
Speaker 3: joke i don't even want you to look it up
Speaker 3: other than to know, that it's interesting an interesting practice
Speaker 3: in certain communities that has widespread availability with the advent,
Speaker 3: of the internet and it actually can be. KIND of,
Speaker 3: dangerous i mean there are guys that try to increase
Speaker 3: their penis eyes, just by stretching and just, like you know,
Speaker 3: there are. ATHLETES professional athletes i remember meeting a couple
Speaker 3: of professional wide receivers, in my career, and those guys even,
Speaker 3: when they're teenagers will start pulling on their fingers like really,
Speaker 3: hard every day thinking they're going to kind of stretch
Speaker 3: the growth plates and grow bigger fingers so they can catch.
Speaker 2: The FOOTBALL better and.
Speaker 3: I don't know i Mean the guys i've met In the,
Speaker 3: hands I've shook and i've got, pretty big hands those
Speaker 3: guys can envelop my entire. Hand with theirs and so
Speaker 3: maybe there's something to this idea of longitudinal traction can
Speaker 3: improve the growth of certain.
Speaker 2: Organs and fingers.
Speaker 3: And so there are all these devices that are either
Speaker 3: vacuum erection devices traction devices that can maybe stretch. That
Speaker 3: flaccid length the real problem with joking or penile traction
Speaker 3: not only can they be dangerous of. Not used, APPROPRIATELY
Speaker 3: in fact i just had a guy the other day
Speaker 3: in the emergence.
Speaker 2: Room who joked himself into.
Speaker 3: A penile fracture and remember all the five p's, of
Speaker 3: the pinocalypse that was, one of them a penile fracture
Speaker 3: where he actually tore the membrane that keeps his erections
Speaker 3: intact and needed surgery in order to fix that injury
Speaker 3: that he caused himself through aggressive stretching. Of his Penis
Speaker 3: pen attraction i've just been, around FOR decades actually i
Speaker 3: should say. A thousand, years i mean there are weights
Speaker 3: that people would hang on their penis way back in
Speaker 3: the day to help improve the. For the length, in
Speaker 3: those cultures that thought that penile length and was as associated,
Speaker 3: with THE virbility which, i already, said you know was kind,
Speaker 3: of culturally dependent and so attraction is just a more modern.
Speaker 3: Version of that and we use traction to treat a
Speaker 3: Medical condition, called perrone's disease which is that curvature of
Speaker 3: the penis to help kind of. Splint it straight and
Speaker 3: if you do it in a medically indicated way for
Speaker 3: a finite, amount of time usually no more, than thirty
Speaker 3: minutes then it can be a safe adjunct to some
Speaker 3: of the things we do to help. Improve penal curvature
Speaker 3: but if you go rogue with it and leave that traction,
Speaker 3: device on, overnight for example it can, cause nerve, injuries
Speaker 3: stretch injuries and so again.
Speaker 2: Not really recommended it also never really.
Speaker 3: Been studied on label or studied with a good a
Speaker 3: good randomized trial that it does do anything to really.
Speaker 3: Improve penut length and THE other problem i have with
Speaker 3: is it just kind of a simple geometric problem is
Speaker 3: that you have a flaccid cylinder that if you increase
Speaker 3: the length, of the cylinder then you're going to not,
Speaker 3: Change the volume you're going to. Decrease the circumference and
Speaker 3: so certainly we see that with traction devices that you're
Speaker 3: not if you're going to get, a longer penis then
Speaker 3: you're going to get a. Less girthy penis and if
Speaker 3: you ask most, recipients of, penises if anything it's the
Speaker 3: girth that makes more of a difference in terms of
Speaker 3: filling the orifice that one is penetrated in the length
Speaker 3: and especially in penis. And vagina, intercourse you know the
Speaker 3: average vaginal canal is between three and five, inches at
Speaker 3: most and so if you're trying to stuff eight inches
Speaker 3: of stretch penis into a, four inch canal there's a
Speaker 3: lot that's going to be left on the table or
Speaker 3: at least. In the SHEETS and so i think, from that,
Speaker 3: perspective you know girth might be a bigger deal which
Speaker 3: is going to go us right. Into okay miles so
Speaker 3: you're saying that there's no good way to link them
Speaker 3: a penis, short of surgery and even surgery will get
Speaker 3: into the. Problem with, that but again what we're talking
Speaker 3: about is not how do you increase. The erect penis
Speaker 3: there is actually no way to increase. Erect penile size
Speaker 3: there's only a way to increase flacid penl size OR
Speaker 3: give what i call a, locker room penis meaning that
Speaker 3: you can look pretty good walking around, the locker room
Speaker 3: if that's what you're, trying to impress but really not,
Speaker 3: a sexual partner because, nothing we do either penile fillers which,
Speaker 3: we'll talk about or even implants that can, expand the
Speaker 3: girth really do anything to. Increase penl length so let
Speaker 3: that sit. For a second so there's nothing you can
Speaker 3: do to increase. Erect penile length that's. A fixed structure
Speaker 3: and why? Is that so anatomically the penis is made
Speaker 3: up of really three structures, too symmetric structures and that's called.
Speaker 3: The corporate cavernoso those, the erectile bodies and then the
Speaker 3: third structure is called, the corpus spongiosum and that's what
Speaker 3: the urethrae or our p. Tube goes through and so
Speaker 3: most of the surgery is most of, the the fillers
Speaker 3: most of the. Things we do you can only really
Speaker 3: adjust the length of the corporate cavernosa or the appearance
Speaker 3: of length and girth of. The corporate cavernosa but that urethral.
Speaker 3: LENGTH is, fixed i mean we haven't figured out a
Speaker 3: way to expand the errethral size so you're always going
Speaker 3: to be. Limited BY that and i think THAT'S the
Speaker 3: key takeo message is that, whatever you're doing if you're
Speaker 3: unsatisfied with the size of your penis that whatever you,
Speaker 3: do to it EITHER if, it's fda approved which there
Speaker 3: are some things out, there that are and it's done
Speaker 3: by A board, certified eurologic surgeon you're still going to.
Speaker 2: Just increase girth so.
Speaker 1: Those pitches about, pumps and creams that's. ALL snake, oil i.
Speaker 3: Mean pumps will increase the penis while is in a
Speaker 3: pump because you're drawing.
Speaker 2: Blood into it so you're taking a flaccid penis and.
Speaker 3: Making it engorged, and so right any permanent length gained
Speaker 3: from that is in fact full of hot air. Or, hot,
Speaker 3: Blood yeah exactly so myth not.
Speaker 4: Going, To work.
Speaker 3: Okay so let's talk about some of the things. We,
Speaker 3: talked about joking what? About the fillers what do you know?
Speaker 3: About penal fillers is that A Thing?
Speaker 2: IN new york i have not heard of this actually
Speaker 2: outside of. Discussions.
Speaker 3: With, YOU yeah, yeah i mean so there are ways
Speaker 3: that we can improve the girth, of the penis and
Speaker 3: it's the same material that we inject into our faces
Speaker 3: to improve the fat distribution. As we age so what
Speaker 3: we put, in our cheeks what we put. In our
Speaker 3: lips it's some kind of hyaluronic acid or collagen based
Speaker 3: injection that can. Increase the girth and there's a few different,
Speaker 3: Brands out there and The only thing i'll say about
Speaker 3: that is that it does increase the girth of your. Penis,
Speaker 3: pretty dramatically mean you can see before, and after pictures
Speaker 3: and if a guy's worried about how skinny, this penis
Speaker 3: is then you can get hop. Full of filler and
Speaker 3: if you're doing it with A board certified eurologic surgeon
Speaker 3: that really understands the anatomy and understands, the SURGICAL complications
Speaker 3: then i got. Nothing against, IT you know i know colleagues,
Speaker 3: that do it and for, the right candidate they seem
Speaker 3: to have a. Very good practice so you're not gonna
Speaker 3: hear me, crap on that because. Actually it works fillers.
Speaker 3: Work very, expensive you know it's thousands and thousands of
Speaker 3: dollars in, like any filler whether it's, in the, face
Speaker 3: the lips, or the butt it does, dissolve over time
Speaker 3: and so the dissolution rate depends on what kind they
Speaker 3: use as well as. How it's applied but you know
Speaker 3: you're in for it if you're, trying to, say for
Speaker 3: example keep up appearances and you're single and you meet
Speaker 3: the love of your life and your chruck, full of
Speaker 3: filler and you don't want to tell that person that your.
Speaker 3: Truck full offiller they're gonna have to keep up with
Speaker 3: that for the rest. Of your life and so just something,
Speaker 3: to think about on the order of thousands of dollars
Speaker 3: annually to. Keep it going, but it, works you know
Speaker 3: it's truly you can get a much. Fuller girthier penis
Speaker 3: so on the scale OF things that i would say
Speaker 3: are not myth, and that work penile filler. Is up
Speaker 3: there it's become almost. Standard of care certainly at our
Speaker 3: national meetings there have been pretty good level when abstracts
Speaker 3: put out. That it works SO that's, all i SAY
Speaker 3: and as i don't, in my practice, don't do IT
Speaker 3: but again i don't discourage people from going. Somewhere THAT
Speaker 3: does and i think that that may give somebody at
Speaker 3: least a little bit more of that self confidence they
Speaker 3: can kind, of you know pack their speedo a. Little
Speaker 3: bit more but again it doesn't do anything to improve,
Speaker 3: your rectile length, so you. Know buyer beware there's an
Speaker 3: implant have you ever. Heard of there it used to.
Speaker 3: Be called panuma now it's. Called the hymnplant but there
Speaker 3: is also a surgical implant that can be placed through
Speaker 3: a small incision at the base of the penis and
Speaker 3: then inserted kind of on top of, the corporate cavernoso
Speaker 3: so it doesn't go within, the erectile body so again
Speaker 3: it doesn't do anything to, change the erection but it's
Speaker 3: more of. A permanent filler and if you can imagine
Speaker 3: an inverted, hard taco shell that's kind of what, it
Speaker 3: looks like because what you're trying to do is encase
Speaker 3: the penis in just a symmetric appearing cylindrical object that
Speaker 3: actually then this is where you can increase the penile length.
Speaker 3: With this implant and why is that because part of
Speaker 3: this is that it's often combined with what's called the.
Speaker 3: Suspensary ligament release and the penis has three ligaments that
Speaker 3: control it's scaffolding to the body so that it becomes
Speaker 3: a much more functional organ during erection. And penetrative intercourse
Speaker 3: and there's two suspensary ligaments and then a weaker one
Speaker 3: in the center called the fund, to form ligament and
Speaker 3: it attaches, the penis too mostly the pubic bone and
Speaker 3: some of the fascia above that what we call the.
Speaker 3: Periostumi the pubis and if you want to put in
Speaker 3: one of, these permanent implants you got to, cut those
Speaker 3: ligaments which then drops down the penis and it pulls
Speaker 3: it out. Of the pelvis and if we go back
Speaker 3: to our, penile anatomy episodes we know that the penis
Speaker 3: is maybe thirty to forty percent of it is actually,
Speaker 3: a pelvic organ and it goes all the way. The
Speaker 3: erectile bodies the penile architecture goes all the way back
Speaker 3: to the bones THAT you and i are both sitting.
Speaker 3: On right now and so whatever the distance, between your
Speaker 3: pubis which is that front pubic bone and your issual
Speaker 3: tuberosities was what, we're sitting on that is the. Internal
Speaker 3: penile length and if you, cut those ligaments you're going
Speaker 3: to pull out a little bit of that internal penou
Speaker 3: length and make a really nice looking. Locker room, penis
Speaker 3: but again it's a. Locker room penis and a Lot
Speaker 3: of guys i've come to with complications other than the
Speaker 3: things that you would really the dreaded complications, of nerve
Speaker 3: injury loss, of, erectile function. Infection overwhelming infection i've, seen
Speaker 3: them all but the majority OF guys that i don't
Speaker 3: see probably have had reasonable outcomes and they got what,
Speaker 3: they paid for which, is a, longer girthier penis but
Speaker 3: again has no, bearing on function and a lot of
Speaker 3: guys if they don't understand that going, into the surgery
Speaker 3: are going to be disappointed, when in, fact if anything
Speaker 3: they have a less functional penis because it's not as
Speaker 3: stable as it was before they had. Those ligaments released
Speaker 3: so you gotta figure out what's more important to you
Speaker 3: to have a better functioning penis or a.
Speaker 2: Better Looking penis and i'm not. Here to judge, as
Speaker 2: you know this is a.
Speaker 3: Judgment free zone there, are no rainy sad days, in
Speaker 3: the mailroom but there are only days of providing a
Speaker 3: little bit of intellectual background to what's out there.
Speaker 2: In THE zeitgeist.
Speaker 1: Now i have a, question FOR you and i know
Speaker 1: we touched on this a long time ago in one
Speaker 1: of our earliest episodes with The Sex therapist Doctor Natalie,
Speaker 1: Find GOOD goldberg but i want to ask you about
Speaker 1: the overlap between penis sized anxiety and a, rectile LESS
Speaker 1: function because i imagine one.
Speaker 3: Feeds, THE other yeah i mean IT all, DOES i
Speaker 3: mean i think you, know an, AVERSION you, know i
Speaker 3: mean there's the big problem is is if a man
Speaker 3: who is subconscious about his penis size.
Speaker 2: And often, it.
Speaker 3: You know we talk about pornography and blaming that, because
Speaker 3: you know if you see some guy with the giant
Speaker 3: penis when you're, ten years old it imprints on you
Speaker 3: probably in a pretty. Pretty dramatic, way and actually the
Speaker 3: more concerning thing for me is is the is not,
Speaker 3: only the concept but the reality. Of Penis shaming and
Speaker 3: i've seen a number of guys that have been self conscious,
Speaker 3: about their penis and again they come to me for
Speaker 3: other Things because again i'm not a. Penal enhancement surgeon
Speaker 3: I'm a functional, IN other words i do all kinds
Speaker 3: of surgeries to help improve the functional, outcomes of penis
Speaker 3: from curvature, to penal implants all kinds of stuff that
Speaker 3: can make a. Guy work better but these guys have,
Speaker 3: been penis shamed and they've had partners either, male or
Speaker 3: female that have compared them, to former, lovers and boy
Speaker 3: that doesn't take much to deflate your ego if the
Speaker 3: person you're with is very fixated, on penal size and
Speaker 3: that can be really damaging to our. Egos as guys, if, we,
Speaker 3: think oh well now she's with me or, he's with
Speaker 3: me and before they had some Giant and now i'm
Speaker 3: me who's perfectly well within standard deviations like the majority.
Speaker 3: Of men, are then yeah that can mess. With your
Speaker 3: brain and then that also can have a serious effect
Speaker 3: on a rectile function because if you have any, degree
Speaker 3: of anxiety as we've talked about in a, few different
Speaker 3: episodes anxiety and shame can drive guys to not be
Speaker 3: able to have good blood float of the penis when.
Speaker 3: They're sexually aroused and instead of, having a beautiful, well
Speaker 3: parasympathetic event which is what, an erection is where your
Speaker 3: sympathetic nervous system has, gone to sleep, parasympathetic blood flows,
Speaker 3: blood vessels.
Speaker 2: Dilate you get.
Speaker 3: This great erection and if, you're, ANXIOUS that man i
Speaker 3: remember the last time that, we had sex my, partner,
Speaker 3: was like eh you know and all that that that.
Speaker 3: Just wrecks us and THAT'S something that i think rather
Speaker 3: than seeking out as your first as your first call seeking,
Speaker 3: out penal enhancement you really Want to seek god, our
Speaker 3: sexual therapist because they have fantastic ways of able to deal,
Speaker 3: with that rejection. Which IS real and i cannot emphasize
Speaker 3: That enough that i've had been in my, office in,
Speaker 3: tears you know because of the size, of their penis
Speaker 3: because it's it's been shamed and as We Know through
Speaker 3: american men, again another plug read that book because if
Speaker 3: you see the story arc of what somebody with, a
Speaker 3: perfectly normal in fact somewhat larger penis went through to
Speaker 3: the end where he's able to make light of the Old,
Speaker 3: self of hey YOU know, what I am, who I
Speaker 3: am and i got a Great penis and i'm ready.
Speaker 3: To use it that's what a therapist can do before
Speaker 3: you go under the knife or under the syringe and
Speaker 3: get your penis all. Chalk full, fulfillers so yeah they're, Very. Tied,
Speaker 3: together jordan.
Speaker 1: Now, for this show we. Have two slogans one is let's, talk,
Speaker 1: about it yeah and the other is that it's a
Speaker 1: show for men and people who.
Speaker 2: Love those men.
Speaker 1: This question kind of brings those.
Speaker 2: Two slogans together.
Speaker 1: What's the most compassionate way a. Partner can respond if
Speaker 1: a man opens up, About, this, sinsecurity.
Speaker 3: Yeah boy that that is a question better. For A
Speaker 3: therapist but i do think it's really the idea of.
Speaker 3: Any sexual encounter if we're talking about the penis as,
Speaker 3: a SEXUAL organ then i think it all comes. Back
Speaker 3: to communication and even if, somebody says it says shares,
Speaker 3: With their partner i'm insecure about the size. Of My
Speaker 3: penis maybe i've been with somebody before. That shame me
Speaker 3: then having that communication about what we're going to do
Speaker 3: with my penis and the sexual organs of the person
Speaker 3: that we're going to have in, a, relationship, with, meaning
Speaker 3: hey look YOU know what i actually, maybe You know
Speaker 3: if i'm having penis, and vagina sex that person may
Speaker 3: have may be averse to, A large penis it may be.
Speaker 3: Painful for them we haven't even talked about dis peruni or.
Speaker 3: A painful intercourse we're in that saying, you, KNOW what
Speaker 3: look i actually don't have orgasms through. Penal penetration, anyway
Speaker 3: then boy that's a great way to. Have A communication
Speaker 3: so i think it is a, way of saying you know,
Speaker 3: what this is this is not even something we have
Speaker 3: to work through this is just part of, who we
Speaker 3: are and we're going to have great sex and we're
Speaker 3: going to get on. With OUR lives and i think
Speaker 3: that would be the best outcome if, a person, though
Speaker 3: you know and we have to respect everybody, on THIS
Speaker 3: show and i think if, a, person says look is
Speaker 3: this is really important to me to be with somebody
Speaker 3: that has a large penis and, that's not, you then
Speaker 3: yeah you got you gotta. Cut and run you know
Speaker 3: that that's just not going, to work out and that
Speaker 3: always is going to have. That SHAME factor but, i think, that,
Speaker 3: you know again based on a lot of surveys and,
Speaker 3: pretty good data not, just anecdotes online that doesn't.
Speaker 2: Happen that often it.
Speaker 3: Just really doesn't but if it does happened to that
Speaker 3: person and they, can't overcome, THAT then yeah i think
Speaker 3: it is time to find another relationship where it'll be more.
Speaker 2: Welcome and, opening but.
Speaker 3: YEAH you know i mean that brings us into the
Speaker 3: other thing we always talk about is you're probably going,
Speaker 3: To BE okay and i think the take home from
Speaker 3: this whole episode is that the majority guys are probably
Speaker 3: going to be okay and that they just need to
Speaker 3: find partner or partners that are welcome and accommodating and
Speaker 3: figuring out ways to have great intercourse and not be
Speaker 3: so fixated. On, penal size now the other person that
Speaker 3: still could be okay is somebody that has a micro
Speaker 3: penis where there may be treatments and usually they're hormonal,
Speaker 3: and not surgical that can develop a perfectly normal penis
Speaker 3: that just may not have. Been explored YET and so
Speaker 3: i think the bottom line for any of this is
Speaker 3: there are providers out there. That can help there are
Speaker 3: a sex therapists that can talk about the shame factor
Speaker 3: of penile size and penal dysmorphism where they're not happy
Speaker 3: with either the shape or the size. Of their penis
Speaker 3: there are urologists that can help with penl enhancement that
Speaker 3: in fact is the right. Thing for you then find
Speaker 3: somebody that. Specializes IN that and i can't. Emphasize that
Speaker 3: enough is there are a lot of med spas and
Speaker 3: there's a lot of people out there that are doing
Speaker 3: pen al filler that can really get. Guys In trouble
Speaker 3: and i've seen absolute nightmares in my emergency room and
Speaker 3: guys that, went other places, sometimes other countries sometimes, in
Speaker 3: this country but never to a board certified fellowship train
Speaker 3: neurologists THAT specializes. In pnl surgery i've yet to see
Speaker 3: those complications, because you know we're going to take care
Speaker 3: of our own complications and they're going, TO you know
Speaker 3: i hope my colleagues out there are doing these surgeries.
Speaker 2: And these procedures they're going to.
Speaker 3: Be very upfront and give people a really good idea
Speaker 3: of what penl fillers can. And can't do and so
Speaker 3: the last, KIND of people i think are going to
Speaker 3: be dealing with the endocrinology of this too and making
Speaker 3: sure the hormones are optimized and that we can in
Speaker 3: fact help men that may have a true pathologically small penis.
Speaker 3: Or micro, penis so yeah there's help out there for.
Speaker 3: All of this but the most important thing is you're going,
Speaker 3: to be okay but don't. Suffer IN silence and i
Speaker 3: think that's the call to action from this entire reason,
Speaker 3: we did this just that it just resonated so, much
Speaker 3: with ME even though i deal with this on a
Speaker 3: daily basis. IN my clinic i think because it is
Speaker 3: something that is often, not brought up that guys will.
Speaker 3: Suffer in silence and there's a lot of guys out
Speaker 3: there LISTENING now that i think need to have that
Speaker 3: degree of assurance that, they're not alone that. They're probably,
Speaker 3: okay in fact they're probably. Better than okay but, if
Speaker 3: they're not then let's let's.
Speaker 2: Talk.
Speaker 1: ABOUT it absolutely i feel like one of the important
Speaker 1: aspects of this episode. Is expectations setting like you said,
Speaker 1: at the beginning we have these unrealistic, expectations from, media
Speaker 1: SPECIFICALLY pornography and i think it's helpful for, men to
Speaker 1: hear as you say so often, on the show, you're, probably.
Speaker 3: Okay YEAH yeah and i will say also THAT the
Speaker 3: concern i have is a, pen ale surgeon is that
Speaker 3: there are men that do get. Rejected BY physicians and
Speaker 3: i can think of dozens of guys over my career
Speaker 3: who have come to, me, THAT said doc i swear
Speaker 3: my penis, is getting smaller and, the docs like doesn't
Speaker 3: happen once, you're you know once you go through beuty
Speaker 3: and your adult your penis, doesn't get smaller so don't.
Speaker 3: Worry about it and two things that can happen to
Speaker 3: a penis, as we age. Well maybe three one is
Speaker 3: we can get fatter and our exposed penole length can
Speaker 3: go down and that's that's. Not just cosmetic but if
Speaker 3: you develop a lot of what we call, pre pubic
Speaker 3: fat where we distribute a lot of fat over, our
Speaker 3: pubic bone then the penis can actually regress a little
Speaker 3: bit and the exposed penole length. Can go down so
Speaker 3: could be weight loss, in your future could be maybe
Speaker 3: even sometimes there are guys that even if they lose,
Speaker 3: all the weight they still carry a lot of fat
Speaker 3: in front of. Their pubic bone and there are plastic
Speaker 3: surgery procedures that are very effective at getting that, fat
Speaker 3: pad down, even potentially liposuction and that will expose the
Speaker 3: more of your.
Speaker 2: Exposed penile length so let's.
Speaker 3: Talk about that second is that if you don't use,
Speaker 3: your penis frequently then it can develop atrophy. Smooth muscle
Speaker 3: atrophy it's called use it. Or lose it it's a muscle.
Speaker 3: Like anything else and if you're not frequently engaging in
Speaker 3: some kind of a rectile, activity of these then you
Speaker 3: can get a little bit of corporal fibrosis corporal regression
Speaker 3: where the stretched penal.
Speaker 2: Length goes down so penol.
Speaker 3: Atrophy not cool, and last AGAIN something that i that
Speaker 3: you know we're going to get into deep, in this
Speaker 3: podcast because this is a big PART of. What i
Speaker 3: do Is something, called perrone's disease where you develop scarring.
Speaker 3: In the penis people Mostly think of perni's as a
Speaker 3: plaque or scar formation that causes a curvature or a
Speaker 3: change in the cylindrical shape, of the penis which is one.
Speaker 3: Hundred Percent true but i've seen guys over the years
Speaker 3: that have just penile length loss as A result of proni's.
Speaker 3: And NO curvature but i can, feel a plaque and
Speaker 3: usually it's guys that have two plaques that, they're actually
Speaker 3: counteropposing one in what we call the septum and one,
Speaker 3: on the dorsum or two basically plaques that that they're
Speaker 3: not getting a curvature because one is going to pull
Speaker 3: one way and one's pulling, the other way and they
Speaker 3: provide this little push pull so that you don't. Get
Speaker 3: a curve but both of those plaques are squishing in
Speaker 3: the normal spongey elastic tissue of the penis. And causing,
Speaker 3: shortening so yeah there's another form of pathology. In penal,
Speaker 3: length so yeah and it goes back to you're probably,
Speaker 3: gonna be okay but get evaluated and don't take no
Speaker 3: for an answer if you are there, and, you say
Speaker 3: look IT'S not ABOUT p. And l shaming nobody's ever
Speaker 3: told me my, penis IS abnormal but i Have noticed that.
Speaker 3: I've lost length tell me, What's, going on doc find
Speaker 3: somebody that actually will, take that seriously, treat you seriously
Speaker 3: and then.
Speaker 2: Talk about it. Figure, it, OUT.
Speaker 1: Well sir i think you delivered on the, mail room.
Speaker 2: Today, MY friends. YEAH i know i, was gonna say
Speaker 2: what do you do to what do you do to be?
Speaker 3: You?
Speaker 2: EVERY day, DOCTOR i said, i.
Speaker 3: Do, THIS man no i think, this was, important you
Speaker 3: know as we started it just it's, so out there
Speaker 3: so much, is out there so many things, you can
Speaker 3: buy so many things, you shouldn't buy so many things
Speaker 3: you can DO that that i think we kind of
Speaker 3: DID everything that i wanted to talk about to just
Speaker 3: get get the message out there that you're gonna, be
Speaker 3: okay man and, if you're not we're going.
Speaker 2: To. Fix it.
Speaker 3: Boom thanks everybody this has been a important and somewhat
Speaker 3: entertaining and somewhat fun discussion on all.
Speaker 2: Things penis size and we'll talk to. You next time let's.
Speaker 1: Talk about it.
Speaker 2: Let's talk About the maro let's.
Speaker 1: Talk about it let's talk.
Speaker 2: About the maro let's. Talk about it let's. Talk about It.
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