The New Yorkerのインスタグラム(newyorkermag) - 6月28日 00時35分

The options for a man seeking a larger penis have expanded in recent years. The fringe penoplasty fads of the 1990s—primitive fat injections, cadaver-skin grafts—have been surpassed by injectable fillers and penis implants. James Elist, a urologist who has been described on TMZ as “the Thomas Edison of penis surgery,” invented a device that he called the Penuma, an acronym for Penis New Man. Made of silicone and shaped like a hot-dog bun, it can be inserted just under the skin of the penis to increase its girth and flaccid length for less than $20,000. The procedure was touted as reversible and the device is cleared by the F.D.A. But some men have experienced grave complications, Ava Kofman reports: a loss of sensation, stabbing pains during sex, a buildup of excess fluid, protrusions that form holes and fester. Getting the implant removed can bring about a whole new set of issues, too. “Once this goes in, these men are never going to be the same again, because their penis is never the same again,” a plastic surgeon who repairs Penuma complications said. (Some patients reported being thrilled with their results. One pleased Elist client counselled others, “You have to treat your penis like a Rolex.”)

Critics of male enhancement contend that doctors seem too eager to pitch a risky surgical procedure for what is a cultural, and, in some instances, psychiatric, phenomenon; surgeons continually emphasized that most of the men they were seeing had been at least of average size before going under the knife. At the link in our bio, Kofman explores the battles—scientific, economic, cultural, and personal—over penis enlargement. Photograph by Maurizio Cattelan and Pierpaolo Ferrari for The New Yorker. Published in partnership with @ProPublica.

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