Penile Girth Enhancement in Modern Medicine

Why UroFill Represents the Safe, Evidence-Based Future of Male Aesthetics

A. Lloyd Osbourne, MD

Board-Certified Urologist

Harvard Medical School

Massachusetts General Hospital – Harvard Urology Residency

Tufts St. Elizabeth’s Fellowship, Robotic Urologic Oncology

Founder, Aevum Performance & Urology (Brentwood, Los Angeles)

INTRODUCTION: A New Era in Men’s Sexual Health and Aesthetics

For decades, male sexual aesthetics have lived in the shadows — judged, mocked, or treated as taboo. Women’s aesthetics, meanwhile, blossomed into a mainstream, multibillion-dollar industry. Today, procedures such as breast augmentation, lip fillers, body contouring, and vaginal rejuvenation are widely normalized, celebrated, and often considered a form of empowerment.

Men, however, were told to “accept what they were given,” even when dissatisfaction with penile size affected their confidence, relationships, and mental health.

Worse still, shame pushed men into the hands of unregulated providers, non-medical practitioners, and outright charlatans offering unsafe and irreversible procedures — from silicone injections to dangerous grafting techniques — often resulting in:

• severe infections

• permanent deformities

• nodules and migration

• nerve damage

• sexual dysfunction

• disfigurement requiring reconstructive surgery

Urologists like myself ultimately inherit these complications — consequences of procedures done outside legitimate medical practice.

But today, as men’s health, sexual wellness, and aesthetics evolve, we finally have safe, reversible, medically guided options. And leading that evolution is UroFill®, the most well-studied, physician-driven approach to penile girth enhancement.

WHY PENILE ENHANCEMENT IS NO LONGER TABOO — AND WHY SAFETY MUST COME FIRST

We live in a time where men are seeking:

• improved confidence

• enhanced sexual satisfaction

• stronger intimacy

• better self-image

• body harmony

• increased mental wellness

These motivations mirror those that have driven women’s aesthetics for decades. Yet men have historically faced judgment, silence, or ridicule for seeking the same autonomy over their bodies.

Today’s modern man understands that sexual wellness is physical, emotional, and psychological. When performed correctly, penile girth enhancement can meaningfully improve:

• confidence

• self-esteem

• sexual pleasure

• relationship harmony

• overall mental health

It is no surprise that the demand for safe, physician-directed penile aesthetics is accelerating at the same pace women’s aesthetics exploded 15–20 years ago.

What men refuse to accept, however, is botched, dangerous, or irreversible procedures. And UroFill represents the antithesis of that.

UROFILL®: THE EVIDENCE-BASED SOLUTION FOR PENILE GIRTH ENHANCEMENT

UroFill® is the first and most widely adopted technique specifically developed for safe, reversible, anatomically appropriate penile girth enhancement using refined hyaluronic acid (HA) filler.

Key Advantages of UroFill:

1. Uses a stable, body-friendly hyaluronic acid gel

• Hyaluronic acid is naturally occurring in human tissue.

• It is biocompatible, non-permanent, and highly reversible.

• HA fillers have decades of safety data in facial and body aesthetics.

2. Long-lasting, but not permanent

Clinical experience and published data support a durability of 12 to 24 months, depending on metabolism, sexual activity, and lifestyle factors.Men appreciate that UroFill:

can be refreshed periodically ages naturally with the body avoids the risks of permanent materials allows progressive, controlled enhancement

This stands in contrast to permanent fillers like silicone or PMMA, which have caused catastrophic deformities requiring surgical removal.

3. Shaping, sculpting, and refinement over time

UroFill allows the physician to:

• mold

• shape

• contour

• add volume

• reduce or adjust asymmetry

As needed — giving men complete control over their aesthetic result.

4. High patient satisfaction

According to early data from clinics performing thousands of UroFill procedures:

• 90–95% of patients report high satisfaction

• Complication rates are low when performed by trained urologists

• Most men report enhanced sexual confidence and improved body image

• Many report improved sensation due to increased penile rigidity and tissue support

5. Designed by and for urologists

Unlike off-label or makeshift penile injections, UroFill was created with a deep understanding of:

• tunica albuginea anatomy

• neurovascular structures

• penile biomechanics

• tissue compliance

• long-term functional outcomes

THE PIONEER: DR. PAUL PERITO, MD

Any honest discussion of modern penile girth enhancement must acknowledge Dr. Paul Perito, MD, the originator, cofounder, and global educator for the UroFill technique.

Dr. Perito — one of the world’s leading penile implant surgeons — recognized early that men deserved:

• a safe alternative to dangerous procedures

• a reversible material

• an anatomically correct method

• an evidence-driven protocol

• a standardized, replicable technique

Dr. Perito’s contributions include:

• developing the original UroFill protocol

• training hundreds of urologists

• publishing early clinical experience

• establishing safety parameters

• helping build the professional community in penile aesthetics

Thanks to his pioneering work, UroFill has become the gold standard for girth enhancement worldwide.

UroFill® Penile Girth Enhancement Technique

A CRITICAL COMPARISON: WOMEN’S AESTHETICS VS. MEN’S AESTHETICS

Women embraced aesthetic empowerment decades ago:

• breast augmentation

• lip fillers

• body contouring

• facial rejuvenation

• vaginal aesthetic procedures

These are now mainstream, safe, and physician-directed.

Men are simply following the same path.

But men face unique anatomic, functional, and psychological concerns, making it essential that penile aesthetics be:

overseen by urologists anatomically informed evidence-based conservative and safe tailored to the individual

The male equivalent of "lip filler" should never be black-market silicone injections.

THE DANGERS OF NON-PHYSICIAN “PENIS ENHANCEMENT” PROVIDERS

Men are frequently targeted by:

• non-medical spas

• “specialty clinics” with no urologists

• unregulated injectors

• overseas centers using permanent materials

• online sellers of unapproved fillers

Complications often include:

• granulomas

• severe infections

• vascular compromise

• lymphedema

• loss of penile contour

• erectile dysfunction

• irreversible deformity

And ultimately, urologists are the ones who must repair these injuries, often with limited reconstructive options.

The message is clear:Penile enhancement should only be performed by experienced urologists with advanced training in penile anatomy and sexual function.

WHY I OFFER UROFILL AT AEVUM PERFORMANCE & UROLOGY

As a Harvard-trained urologist with over 15 years of experience in:

• men’s health

• sexual performance

• hormone optimization

• urologic oncology

• penile functional surgery

I founded Aevum Performance & Urology in Brentwood, Los Angeles, to give men access to the same level of individualized, luxury-grade care that women have enjoyed for years in the aesthetics space.

UroFill aligns perfectly with our mission:

1. Safety Above All

We only use FDA-regulated, medical-grade hyaluronic acid.

2. Tailored Aesthetic Results

Every patient has unique proportions, goals, and functional needs.We sculpt accordingly.

3. Whole-Man Health Approach

At Aevum, penile aesthetics are integrated with:

• hormonal optimization

• sexual performance

• mental health

• metabolic health

• cardiovascular wellness

• longevity medicine

4. Concierge-Level Attention

Our appointments are never rushed.Our plans are meticulous, personalized, and evidence-based.We guide men with honesty, discretion, and clinical rigor.

Men deserve a safe, physician-led alternative to the underground enhancement market — and UroFill provides exactly that.

CONCLUSION: PENILE ENHANCEMENT HAS EVOLVED — AND MEN FINALLY HAVE A SAFE OPTION

Penile girth enhancement is no longer taboo. It is a legitimate, patient-centered, mental-health-supportive aesthetic treatment — when performed properly.

UroFill represents:

• safety

• reversibility

• controlled outcomes

• high satisfaction

• urologist-driven leadership

• anatomical precision

• the future of male sexual aesthetics

Just as women’s aesthetics evolved from taboo to mainstream, men are now entering an era of empowerment, confidence, and self-directed sexual wellness.

And as urologists, it is our responsibility to lead this evolution with ethics, science, discretion, and patient safety at the forefront.

UroFill vs. Other Penile Enhancement Options

Enhancement Method	Safe?	Reversible?	FDA-Approved Material?	Risk Level
UroFill (HA Filler)	Yes	Yes	Yes (HA)	Low
Silicone Injections	No	No	No	High
PMMA (Permanent Filler)	Moderate	No	No	High
Fat Transfer	Variable	No	N/A	Medium–High
Surgery (Dermal Grafts)	Invasive	No	N/A	High

Schedule a Consultation

To learn more about UroFill, penile girth enhancement, or sexual performance optimization, contact:

Aevum Performance & Urology — Brentwood, Los AngelesExpert care in men’s health, aesthetics, hormone therapy, and performance medicine.

UroFill® Penile Girth Enhancement — FAQ

Aevum Performance & Urology | A. Lloyd Osbourne, MD

Harvard-Trained, Board-Certified Urologist • Brentwood, Los Angeles

What is UroFill®?

UroFill is a minimally invasive penile girth enhancement technique using a highly refined, body-compatible hyaluronic acid (HA) filler. It is performed exclusively by trained physicians — ideally urologists — to safely and naturally add circumference to the penis.

How does UroFill work?

UroFill places soft, sculptable HA filler beneath the penile skin, allowing your physician to reshape and enhance girth with precision. HA integrates seamlessly with tissue and can be molded during and after treatment.

Is UroFill safe?

Yes. UroFill uses hyaluronic acid — the same material used in premium facial and body aesthetic fillers. HA is naturally occurring, non-permanent, reversible, and widely studied for safety.

Unlike silicone or permanent fillers, UroFill does not cause long-term scarring, granulomas, or deformities when performed by a trained urologist.

How long do UroFill results last?

Most men enjoy results for 12–24 months, depending on metabolism and lifestyle. Touch-ups can extend longevity and allow gradual, customized improvement.

Who developed the UroFill technique?

UroFill was pioneered by Dr. Paul Perito, MD, a world leader in penile implant surgery and men’s sexual aesthetics. He developed the standardized technique, training protocols, and safety framework now used internationally.

Is UroFill reversible?

Yes. Hyaluronic acid can be safely dissolved using hyaluronidase, giving you complete control over your aesthetic outcome.

How much girth can I gain?

Results vary, but most men see an immediate increase of 15–30% in circumference, with the option to build additional volume over multiple sessions.

What does UroFill feel like?

After healing, UroFill feels natural. Because HA has a soft, tissue-like consistency, partners often cannot distinguish the filler from natural penile tissue.

Is the procedure painful?

Most patients report minimal discomfort. Local anesthesia ensures a comfortable experience, and most men return to daily activities the same day.

Is there downtime?

Light activity is fine immediately. Sexual activity is typically allowed after 1–2 weeks, depending on your physician’s exam and your individual healing.

Is UroFill permanent?

No — and that’s intentional. Permanent fillers carry long-term risks.UroFill’s non-permanent HA:

• ages naturally with your body

• avoids irreversible complications

• allows custom shaping over time

Who is a good candidate for UroFill?

Men who want:

• increased penile girth

• improved sexual confidence

• natural aesthetics

• a safe, medically supervised alternative to risky fillers

• discreet care in a luxury, physician-led setting

Why should I choose a urologist over a spa or cosmetic injector?

Because urologists are the only specialists fully trained in:

• penile anatomy

• erectile function

• nerve and vascular preservation

• sexual biomechanics

• complication management

Penile enhancement should never be performed by non-physicians.

Does UroFill improve sexual performance?

Many men report:

• increased confidence

• enhanced partner satisfaction

• improved rigidity

• better overall sexual experience

While not a treatment for ED, UroFill often complements erections by adding structural support.

How do I choose a qualified UroFill provider in Los Angeles?

Look for:

• board-certified urologist

• specialized training in UroFill

• experience in sexual medicine

• concierge-level follow-up

• safe, medical-grade HA products

Aevum Performance & Urology offers Harvard-trained, discreet, physician-led care.

How do I schedule a consultation?

Visit AevumPerformanceUro.com or contact our Brentwood office for a private, personalized evaluation.