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Penile enhancement procedures have been performed for some years, but only by a few physicians owing to professional prejudice and lack of public knowledge about such operations. Recently, new developments in penile enlargement surgery have generated interest.

Associated with advances in penile length and girth surgery are other procedures to improve the appearance of the penis and scrotum, such as suprapubic lipectomy and liposuction, and elimination of penoscrotal junction webbing.

Mainstream medical literature rarely describes results from penile lengthening and girth enlargement. Moreover, misinformation has been disseminated that makes it difficult for patients and physicians to obtain accurate data or to evaluate outcome. Standardized techniques or measurements are not available, and results are frequently exaggerated. These procedures are evolving, and significant questions remain concerning their methodology and effectiveness.