About Penuma^®Penuma

Each patient’s circumstances will determine the cost of the male size enhancement implant. The average cost of the procedure ranges from $16,000 to $18,000 based on the clinic; additional costs may include circumcision for uncircumcised patients, lipectomy for overweight patients, travel for remote patients, etc.

If paying for the procedure is an issue, many of our clinics offer financing plans, including zero-interest options for a period of time. You can also learn more about the costs of getting a Penuma® implant here.

To get a Penuma® implant, you have to be over 21 and circumcised. If you are not circumcised, the Penuma® physicians can provide a circumcision procedure in advance of a Penuma® procedure.

There are other criteria that your patient consultant will discuss with you. If we decline a candidate, it’s most often because they’ve had a previous male penis size enhancement procedure.

It is critical that you refrain from all forms of sexual activity (including oral, vaginal, anal, and masturbation) after the procedure until given clearance by the Penuma® surgeon and staff.

This clearance typically takes place six (6) to eight (8) weeks after the procedure, but individual circumstances may vary. After clearance for sexual activity, please use a condom and wash with antibacterial soap and water after engaging in sexual activity for the first six (6) to eight (8) weeks of sexual activity.

Observe the penis for the first few months and report any unusual findings (redness, soreness, swelling, inflammation, etc.) to your Penuma® surgeon and staff immediately. Do not engage in any risky or strenuous sexual activity.

Do not engage in any heavy lifting or strenuous activity until you receive clearance from your Penuma® surgeon or the medical staff (typically 6 to 8 weeks after the procedure).

Light upper body exercises can resume upon clearance by the Penuma® surgeon and staff. This typically takes place four (4) weeks after the procedure, but individual circumstances may vary.

Light lower body exercises can resume upon clearance by the Penuma® surgeon and staff. This typically takes place four (4) to six (6) weeks after the procedure, but individual circumstances may vary.

Regular exercise routines can resume upon clearance by the Penuma® surgeon and staff. This typically takes place six (6) to eight (8) weeks after the procedure, but individual circumstances may vary. We recommend that you continue to wear the UroWrap during any strenuous activity and for up to 6 months.

The implant has been in use since 2004. The male size enhancement implant is made of soft, medical-grade silicone. It does not contain a gel core or any form of liquid. The implant may need to be removed (e.g., if complications arise).

The procedure is designed to maintain the natural state of the penis during the insertion process. Your surgeon will take all necessary measures to ensure that the integrity of the penis remains intact so that the implant can be removed if need be. Based on a study that was conducted in 2021, removal of the implant for adverse events and personal preference (i.e., dissatisfaction) occurred in less than 10% of cases.

It’s important to know that there is a rehabilitation process required to ensure optimal healing after the removal of the implant. There can be an initial retraction of the penis after removal of the Penuma®, and this rehabilitation process is critical to help regain any possible lost length. To learn more about the removal procedure, please see this article from the International Journal of Impotence Research.

Based on a clinical review of 400 patients over 5 years, there were no cases of changes to penile function, ability to get or sustain an erection, or ejaculation during sex. There may be a change in sensation. Some patients have reported both increased and decreased sensitivity. This is generally temporary and typically resolves over time as the skin expands. Individual results may vary.

The Penuma® procedure can only be performed by Penuma®-trained providers within our nationwide network. See the Penuma® Clinics page for a full directory of available locations and doctors.

As of August 2022, the procedure is offered in:

• Tucsan, AZ
• Philadelphia, PA
• Beverly Hills, CA
• San Francisco Bay Area, CA
• New York City, NY
• Washington, DC
• Miami, FL
• Chicago, IL
• Austin, TX
• Phoenix, AZ
• Shreveport, LA
• Atlanta, GA

If traveling, please bear in mind that you will need to stay in the area for three days after the procedure for post-operative follow-up visits.

It’s unlikely that you can safely receive the Penuma® implant, as it is common to have scar tissue or other adhesions to the area after the treatments of Peyronie’s. This, in turn, makes placement of the implant difficult, increasing the likelihood of complications.

Final consultation will be determined by photo evaluation by our medical team, and, if necessary, consultation with your Penuma® provider. Since patient safety is our number one priority, if your Penuma® provider does not feel that the procedure is safe for you, they will not clear you for the procedure.

There may be a change in the size of the penis after the insertion. The penis may look shorter after the procedure due to the fact the girth has increased, and the perception of the length has changed. However, in some cases, there may be a slight retraction due to the limitation of the skin at the time of the surgery and during the capsule formation process. This generally resolves once the tissue softens and skin stretches. Full recovery may take up to a year.

The Penuma® implant is designed not to interfere with the erectile body of the penis. Generally, any time there is a surgical operation in the genital area, ED is a risk. However, a 5-year, 400-patient clinical review of Penuma® did not show evidence of erectile dysfunction due to the Penuma® implant in the past.

Increased size as a result of the implant can cause phimosis, a condition wherein the foreskin is unable to properly retract over the glans (head) of the penis.

Uncircumcised men may also face a higher likelihood of complications due to the increased difficulty of keeping the area clean after the procedure.

Due to these safety concerns, uncircumcised men must undergo circumcision prior to the Penuma® procedure. The Penuma® surgery can be performed usually 10-12 weeks after the circumcision, or upon complete healing of the skin.

We highly recommend that you get the circumcision completed with your Penuma® surgeon. If not possible, you can have it done with your local physician.

After insertion of any medical implant, forming a "capsule" or tissue is a typical body response during the healing process. The body tends to react to the presence of any foreign object it detects within it and attempts to isolate the foreign object by creating a barrier of tissue around it. In the case of the Penuma® implant, this is usually a very good thing.

The capsule can add additional girth that provides a protective layer over the sutures, which can help with the durability of the implant and help create a more natural feel to the touch.

This process generally takes 4-8 months to materialize fully. It is important to note that the size of the capsule is different for every individual. Wearing the compression sleeve, UroWrap, can help this process. The formation of the capsule can help the aesthetic result of the procedure.

Consumption of alcohol is generally not recommended during the recovery period following a medical procedure. Most importantly, alcohol can decrease the efficacy of the medications prescribed to achieve optimal recovery and may cause further complications.

We ask you to be cautious of your diet during the recovery period and try to achieve a healthy and nutritious diet for the best results.