The SMSNA’s Position on Cosmetic Penile Enhancement Procedures: How the P-Long Protocol Offers a Safer Alternative

In a recent announcement, the Sexual Medicine Society of North America (SMSNA) has taken a firm stance on cosmetic penile enhancement procedures, emphasizing the potential risks and complications associated with various methods such as penile implants, fillers, and surgeries. According to the SMSNA, these procedures often come with significant downsides, including infection, scarring, and dissatisfaction with results. As men seek solutions to enhance their penile size and function, it’s crucial to explore safer and more effective alternatives.

The SMSNA’s Position on Traditional Penile Enhancement Procedures

The SMSNA’s position highlights several key concerns with traditional penile enhancement methods:

    Penile Implants: These devices are surgically placed inside the penis to provide rigidity. While they can be effective for erectile dysfunction, using them solely for cosmetic enhancement can lead to serious complications. Risks include infection, mechanical failure, and erosion through the skin. Recovery can be prolonged, and the results may not always meet the patient’s expectations. View more studies revealing the complications of penile implants.

    Dermal Fillers: Similar to cosmetic fillers used in facial enhancements, penile dermal fillers are injected into the penis to increase girth. However, these fillers can cause lumps, asymmetry, and an unnatural appearance. Over time, they may migrate or cause inflammatory reactions, requiring further medical intervention to correct these issues.

    Penile Lengthening Surgery: This surgical procedure involves cutting the suspensory ligament of the penis and sometimes grafting additional tissue. While it can result in a lengthened appearance, the risks are substantial. Complications can include loss of erectile function, scarring, and downward angling of the penis. Moreover, the actual increase in length when erect is often minimal, leading to patient dissatisfaction.

    Fat Transfer: Fat from another part of the body is injected into the penis to enhance girth. This procedure carries risks such as fat reabsorption, where the body gradually absorbs the injected fat, leading to loss of the desired effect. There is also the risk of uneven distribution of fat, resulting in a lumpy or misshapen penis. View this study focusing on Penile Girth Augmentation By Injectable Fillers: Inflammatory Complications. 

    Silicone Injections: Silicone can be injected into the penis to increase size. However, this practice is particularly dangerous as it can lead to severe complications such as granulomas, chronic inflammation, and even necrosis (tissue death). Removing silicone is challenging and often requires extensive reconstructive surgery. View this study about the complications associated with injecting the penis with silicone

    Given these significant issues, there is a growing need for a safe and effective penile enhancement solution. Enter the P-Long Protocol.

    The P-Long Protocol: A Revolutionary Approach

    Unlike the conventional methods criticized by the SMSNA, the P-Long Protocol offers a groundbreaking alternative that addresses the core concerns of safety and efficacy. Here’s why the P-Long Protocol stands out:

        1. Surgery-Free: The P-Long Protocol avoids invasive surgery and the use of fillers, which minimizes the risk of infections, scarring, and other complications.

        1. Sustainable Results: Backed by scientific research, the P-Long Protocol is designed to provide lasting improvements without the need for repeated interventions.

        1. Scientifically Supported: The P-Long Protocol is supported by the P-Long Study, which was presented by Dr. Judson Brandeis at the Society of Sexual Medicine in 2022. This study provides robust evidence of the protocol’s effectiveness and safety, setting it apart from other enhancement methods.

      Below is the P-Long Study Abstract, which was presented by Clinical Researcher and Board-Certified Urologist Dr. Judson Brandeis at the SMSNA Joint Scientific Meeting in 2022.

      P-Long Study presented at SMSNA 2022 by Dr. Judson Brandeis

      The P-Long Study: Evidence of Excellence

      The P-Long Study, conducted by Dr. Judson Brandeis, provides a comprehensive evaluation of the P-Long Protocol’s outcomes. The study’s findings underscore several key benefits:

      • Increased Penile Length and Girth: Participants experienced significant improvements in both length and girth. All participants in the study gained an average of one full inch in length and half an inch in girth.
      • Enhanced Erectile Function: The protocol not only improves size but also contributes to better erectile function, addressing a common concern among men seeking enhancement procedures.
      • No Adverse Effects: Importantly, the study reported no significant adverse effects, highlighting the protocol’s safety.

      Why Choose the P-Long Protocol?

      For men considering penile enhancement, the P-Long Protocol offers a superior choice that aligns with the SMSNA’s emphasis on safety and efficacy. Here are the compelling reasons to choose P-Long:

      • Holistic Improvement: Unlike temporary fixes, the P-Long Protocol provides comprehensive and lasting improvements in penile size and function.
      • Scientifically Validated: The protocol’s effectiveness is backed by rigorous scientific research, including peer-reviewed research papers, which can be found here. 
      • Very Safe: By avoiding surgeries and fillers, the P-Long Protocol minimizes the risk of complications, making it a safer option for penile enhancement.

      As the SMSNA cautions against the risks of traditional penile enhancement procedures, the P-Long Protocol emerges as a safe, effective, and scientifically supported alternative. With the backing of the P-Long Study and the expertise of Dr. Judson Brandeis, men can confidently choose the P-Long Protocol for their enhancement needs. Say goodbye to the risks and complications of old methods and embrace a new era of penile enhancement with P-Long.

      To speak with a certified P-Long Provider in your community, visit


      • Sexual Medicine Society of North America (SMSNA). (2024). The SMSNA’s Position on Cosmetic Penile Enhancement Procedures. Read more.


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