Want More Girth? Here’s How It’s Done in the Office

Penile Girth-Enhancement Consultation and Procedure

Dr. Amy Pearlman, a board-certified urologist, explains what patients may expect during an in-office penile girth-enhancement consultation and procedure.

Consultation and Preparation

The discussion may be brief or cover broader topics, including testosterone, urinary and prostate health, and sexual function. Patients change privately before the examination.

Progress Tracking and Baseline Measurements

The clinician takes a secure photo while the patient is standing and may compare it with later photos.

With the patient lying down, she measures stretched penile length and girth about an inch from the base, recording measurements in centimeters and inches. She notes whether the penis is flaccid or erect, since blood flow, temperature, and nerves can affect measurements.

Numbing and Filler

Small injections of lidocaine numb the sides of the penis. Additional lidocaine is injected to create space between tissue layers for the filler and help control discomfort.

Filler is generally added in stages. The amount depends on the patient and treatment plan. Pearlman commonly starts with about five units per session; she describes roughly 20 units as a typical total for patients seeking about an inch of girth increase. She may adjust the number of sessions based on how the first treatment looks and how much the filler moves.

Aftercare and Timing

At the end of the procedure, she fits a sleeve for the patient to wear home and explains how to put it on and take it off.

The first session may take longer because it includes explanations. Later sessions generally take about 30–45 minutes. Pearlman emphasizes that these concerns can be discussed as a normal part of men’s health care.

Presenter

Dr. Amy Pearlman, board-certified urologist.