Penile implants address various needs, from erectile dysfunction to cosmetic enhancement. While many implants focus on restoring function, Penuma stands as a unique option for aesthetic improvement. This article explores the Penuma implant, its design, how it influences erect length, and other considerations.
Understanding the Penuma Implant
The Penuma implant is a soft, medical-grade silicone device, similar to those used in chin or buttock augmentation. It features a crescent shape and is surgically inserted under the skin of the penis. Its primary purpose is cosmetic enhancement, increasing the penis’s size.
Unlike penile prostheses used to treat erectile dysfunction (ED), the Penuma implant does not restore erectile function or directly impact rigidity. It received 510(k) clearance from the U.S. Food and Drug Administration (FDA) for aesthetic improvement of the flaccid penis. This clearance means it is substantially equivalent to other legally marketed devices.
Mechanism of Length Enhancement
The Penuma implant increases penile dimensions through gentle tissue expansion. It is placed subcutaneously, just beneath the skin, above the corpus cavernosa (erectile tissues). The implant acts as a sleeve, wrapping around the penile structure.
Over time, the implant encourages the surrounding tissues to stretch and adapt to its contours. This gradual stretching accommodates the implant’s volume, leading to an increase in size. The implant does not create new tissue, but utilizes the natural elasticity of the body’s tissues.
Anticipated Length and Girth Changes
The Penuma implant is primarily recognized for its ability to increase girth, though it also impacts perceived and actual length. Patients report an average increase in mid-shaft girth of approximately 1 to 2 inches (3.0 to 3.1 cm), representing a 32% to 56.7% increase. While the implant enhances flaccid length, with increases of 1 to 2.5 inches (2.5 to 3.0 cm), its effect on erect length is less consistent and not guaranteed.
Some individuals may experience an increase in erect length over time, potentially due to the softening of capsular attachments around the implant, but this outcome varies and is not predicted universally. Final results materialize as the body adjusts to the implant, and patient expectations should be realistic, focusing on predictable girth enhancement. The implant is available in various sizes (large, extra-large, extra-extra-large) to accommodate individual anatomies and outcomes.
Surgical Process and Recovery
The Penuma implant procedure is performed as an outpatient surgery, lasting between 45 minutes to an hour. General anesthesia is used to ensure patient comfort. The surgeon makes a single incision, usually on the side of the scrotum, to place the silicone implant under the penile skin, above the erectile tissue. This incision location minimizes visible scarring.
Following surgery, patients can expect some swelling, bruising, and discomfort in the penile shaft, scrotum, and lower abdomen for approximately one to two weeks. A drain may be placed initially, typically removed within a few days after surgery. Patients are advised to wear loose clothing and sleep on their back for six to eight weeks for healing. Strenuous activities and sexual activity are restricted for at least six to eight weeks, with surgeon clearance required before resuming. Post-operative care also includes applying ice packs and a prescribed ointment to promote blood flow and reduce swelling.
Eligibility and Key Considerations
Candidates for the Penuma implant are generally healthy men aged 21 or older with normal erections desiring aesthetic penile improvement. Uncircumcised individuals require circumcision before Penuma implantation. Those who have had previous penis enhancement procedures, like fat transfer or filler injections, may not be suitable candidates.
As with any surgical procedure, there are risks and complications, though generally uncommon. These include seroma (fluid buildup), scar tissue formation, or infection. Other complications include implant shifting or changes in sensation. The cost of the Penuma procedure can range from approximately $16,000 to $24,000, with the implant costing about $5,000. This elective surgery is not typically covered by insurance, emphasizing the importance of a thorough consultation with a qualified surgeon to discuss all aspects, outcomes, and financial considerations.