In this episode, Dr. Geo welcomes Dr. Amy Pearlman, a renowned board-certified urologist and fellowship-trained specialist in men's sexual health, genital aesthetics, and male rejuvenation. As the Director of Men’s Health at Prime Institute in Coral Gables, Miami, Dr. Pearlman is at the forefront of cutting-edge treatments for penile length, girth, and function. Together, they dive into the facts and myths surrounding penile size concerns, evidence-based enhancement strategies, and solutions for men seeking improvements, especially after prostate cancer treatment.

Key Takeaways:

Penile Size Perception & Reality

• The average erect penile length is less than six inches, with most men underestimating their size.
• Body image concerns are common but often influenced by pornography and misinformation.
• Weight loss and pubic hair grooming can enhance the perception of length.

Medical Perspective on Small Penis Concerns

• The condition of micropenis is extremely rare.
• Many concerns stem from buried penis syndrome, often due to excess pubic fat.
• Stretched penile length (SPL) is a key indicator of actual erect length.

The Impact of Prostate Cancer Treatment on Penile Length

• Surgery and radiation can reduce penile length and girth.
• Erectile dysfunction over time leads to further shrinkage due to collagen buildup.
• Early intervention, including vacuum pumps and traction therapy, can help maintain size.

Options for Penile Length & Girth Enhancement

• Traction Therapy: RestoreX device has clinical evidence supporting penile length restoration.
• Injectable Fillers: Hyaluronic acid is a safer, non-permanent option for girth enhancement.
• Surgical Options: Cutting the suspensory ligament is controversial and not widely recommended.

The Psychological & Relationship Impact of Penile Size

• Concerns over size affect confidence and relationships.
• Many men lack proper education about normal anatomy.
• Open discussions and seeking expert advice can reduce anxiety and improve satisfaction.

Emerging Technologies & Solutions

• A new vacuum-based device, Phalback, is being explored for non-surgical enhancement.
• Ongoing advancements in urology and men’s health are expanding treatment options.

💡 Final Thoughts:
Dr. Amy emphasizes the importance of safe, evidence-based approaches for penile enhancement and encourages men to consult qualified professionals for guidance.

📌 Resources & Links:

• Dr. Amy Pearlman’s Clinic: Prime Institute (Coral Gables, Miami)

• RestoreX Traction Device: restorex.com

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