Penile pump and girth increase

“Hey there Dr. Paduch, 

I recently read a quote from you in GQ about the use of pumps and the ability to increase the size of a man’s penis. I was curious if you’ve ever found pumps to add permanent enlargement? Or are there any studies on this available? I’m looking for girth specifically and I would like to do anything I can to avoid surgery.

I truly appreciate your time.

Thank you.” 

Dr. Paduch’s answer: There aren’t many studies published on “penile pump use for girth expansion,” but from my experience, girth depends on levels of two hormones. These two hormones are testosterone, and a growth hormone derivative called IGF-1 during the adolescence period. Interestingly girth can continue to increase slightly with age. My advice is to use a pump without a cock ring and only 10-15 min a day. Best to pump it up for a minute then release the pressure, then pump again for a minute and repeat the cycle 10-15x. Don’t over pump the device, and if you feel pain, stop. The increase in girth is mostly temporary but with persistent use for 3 months, we can see a 1/2 inch-full inch increase in some men.


Chronic genital pain in younger men

Most of the cases of pain in scrotum, penis, and pelvis are simple: kick to the groin, sexually transmitted diseases, acute and chronic prostatitis, urinary tract infection, and penile trauma. Reasons for chronic pain may be more difficult to diagnose especially in younger men: voiding dysfunction and Peyronie’s disease can also be seen in younger men. The most difficult reason to uncover for genital pain is physical, emotional, and sexual abuse experienced by the patient as a child or young man. Unfortunately by some estimates 8% of the general population of men in USA report history of sexual abuse. Among college students with drinking history,  1/3 to 1/2 of male students report a history of sexual abuse or coercion over last 5 years, however because of social stigma men are less likely to report the history of sexual and physical abuse.  In these men, the pain in the genital area may be a sign of psychological trauma they experienced at the vulnerable age of psychosexual stage of development. In my practice 1/3 of my young men (18-29) who suffer from difficult to define genital pain or sexual dysfunction eventually report a history of emotional, physical or sexual abuse as children and young adults.

These are difficult patients to help but they are very appreciative patients when they start to rebuild their sense of trust in other human beings and sense of self-worth.  With the help of psychologists and psychotherapy focused on rebuilding the patient’s trust and sense of self-worth, along with the medical therapy we offer, we can impact the lives of our young patients to a huge extent. Yes, we have to first exclude medical reasons for genital pain but as physicians, we have to consider non-organic reasons for somatic symptoms.

Students and trainees

Training new doctors and researchers is an important part of my professional life.  Over the past decades I have trained brightest of the students, among them:

  1. Ryan Flannigan, MD

LAMP and wordpress

Finally after many trials and learning linux I installed my own server and website.

Aim to share exciting work in my lab and practice.