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Dr. Judson Brandeis MD, urologist and sexual medicine expert, tells Mind Jump Monthly how men can improve their sexual health and wellness and the P-Long® procedure to enhance the size, appearance, and shape of their manhood.

Dr. Judson Brandeis is a board-certified urologist, surgeon, medical researcher, and physician educator. Over his 25-year career, he has performed thousands of surgeries and pioneered surgical robotics. His colleagues voted him a Top Urologist in the San Francisco Bay Area from 2014 to 2023, and he was Chief of Urology at John Muir Hospital and Hill Physicians for the past ten years.

Dr. Brandeis attended Brown University, earned his MD at Vanderbilt, received a Howard Hughes Award for his research at Harvard Medical School, and completed his six-year surgery/urology residency at UCLA (the University of California, Los Angeles). Dr. Brandeis has dedicated the second half of his career to “Optimizing Manhood.” Helping men Feel Great, Look Good and Have Better Physical Intimacy so they can Leave a Legacy. Brandeis MD engages in clinical research to improve men’s quality of life and to provide his patients and men everywhere with the tools to live their best life.

To provide the most up-to-date and latest treatments for his patients, Dr. Brandeis attends sexual medicine and urology conferences. As the Director of Sexual Medicine at The Aesthetic Show and author of sexual medicine chapters for textbooks, he educates other physicians.

“I will guide you on your journey to restore health and physical intimacy as a part of your life. I enjoy getting to know my patients and giving them the time and attention they deserve,” Dr Brandeis says.

Is it normal to be worried about your penis length and size?
As a urologist specializing in men’s sexual health, I can say that it is normal for men to be concerned about the size and length of their penis. Studies have shown that a significant percentage of men report feeling dissatisfied with the size of their penis, which can harm their self-esteem and sexual confidence.

It’s important to note that there is no “normal” size when it comes to the penis and satisfied with their sexual health and function, and seeking out professional help can be an essential step in achieving that goal.

At what stage of development would boys and teenagers first start noticing that something may not be quite right with their penis?
Puberty, typically between the ages of 10 and 14, is a time of significant physical and hormonal changes, including penis growth.

Penis size can vary widely among men, and what is considered “small” or “large” is subjective and can vary depending on cultural and societal norms. However, suppose a man’s concern about his penis size affects his quality of life or causing significant distress. In that case, it may be worth exploring treatment options such as P-Long®, the clinically-proven protocol that I have developed to increase the length and girth of the penis naturally. It is vital for men to feel confident at goal.

It is common for boys to compare themselves to their peers regarding genital size. If a boy or teenager notices that their penis size is significantly smaller than that of their peers, or if they experience any symptoms such as pain or discomfort, they need to speak with a healthcare provider.

Sometimes, smaller penis size may be due to a hormonal imbalance or an anatomical abnormality, and these issues can often be treated with medical intervention. Boys and teenagers need to understand that penis size can vary widely and that there is no “normal” or “ideal” size.

Focusing on overall sexual health and function, rather than penis size alone, is the most critical aspect of sexual wellbeing.

What is the average length and width of a penis?
I can tell you that the average length of an erect penis is approximately 5.16 inches (13.12
centimetres), and the average girth (or circumference) is about 4.59 inches (11.66 centimetres). However, there is significant variability in penis size among individuals. Some men may have a penis that is smaller or larger than the average, and this is considered normal. Other factors such as age, race, and overall health can also affect penis size. While many men may feel self-conscious about the size of their penis, physical size alone is not a reliable indicator of sexual pleasure or satisfaction.

What percentage of the male population would have a penis that could genuinely be considered too small?
Studies suggest that approximately 5% of adult men may have a penis that is smaller than 2.5 standard deviations from the average length when erect, which may be considered too small. However, even a penis that is smaller than average can still provide sexual pleasure and function normally.

Can you explain your P-Long® procedure to our readers? What is involved, how long the procedure takes, the recovery time, and how long before they can enjoy sex again with a new, longer penis?
I created a great webinar that addresses this in detail and highlights how other penile enlargement options work, drawbacks, etc. Readers can watch the replay on YouTube here. Copy and paste this link:
Because P-Long® doesn’t include surgery, there is no downtime after treatment. P-Long® is the first and only clinically proven protocol to naturally increase the size of your manhood without surgery, cosmetic fillers, or the risk of harmful side effects.
The P-Long® Protocol utilizes:

  • Platelet Rich Plasma Injections
  • AFFIRM Nitric Oxide Booster
  • RestoreX Traction Device
  • Dr Joel Kaplan Vacuum Device

Based on the six-month results of the P-Long Study, healthy men gained almost a full inch of erect penile length (on average) and almost half an inch in girth. The protocol itself takes six months.

Each month, patients will visit their local P-Long® provider to receive a PRP injection. During the protocol process, men will be required to utilize a specific traction device and vacuum pump for a designated amount of time in the morning and in the evening, while taking AFFIRM nitric oxide supplements throughout the process. This protocol is not an overnight solution. It does take effort from the patient. But the results and safety make it well worth it. On average, patients can expect to increase their length by a full inch and their girth by almost a full half inch.

Is there any loss of sensation?
No! Based on the P-Long Study, participants experienced an increase in overall functionality! So not only does P-Long® increase the size of the penis, but it improves overall functionality.

Can you teach patients how to improve the strength and quality and duration of their erections?
Yes! Methods and treatments available that can help achieve this range from lifestyle changes to medical interventions.
One effective tool for keeping the penis in shape is the Dr Joel Kaplan Vacuum Pump, which can help maintain penile health and improve blood flow to the penis. Additionally, supplements like AFFIRM and PreLong, both developed by AFFIRM Science, can help boost nitric oxide levels and combat premature ejaculation, respectively. Testosterone replacement therapy can be a viable option for patients with low testosterone levels to improve libido and sexual function.

Additionally, shockwave therapy has shown promising results in restoring blood flow to the penis, resulting in stronger erections, improved sensation, and intensified orgasms. I have created a YouTube video series that provides comprehensive information on everything men can do to improve their overall sexual health. I encourage readers to tune in to this series to learn more.

Is there evidence that Covid-19 may have affected or has caused erectile dysfunction?
What a great question. In a word, the answer is Yes!

A recent study in the Journal of Endocrinological Investigation explored that exact question. Professor Emmanuele A Jannini, MD, of the University of Rome Tor Vergata and his colleagues found a definite connection between erectile dysfunction (ED) and Covid-19. How does it work? According to Jannini, there are several likely culprits:

Overall health issues. ED is often a symptom of an underlying health problem. And since Covid-19 can aggravate (or cause) many health concerns, it’s no wonder there’s a connection to ED.
Psychological issues. In addition to the damage Covid-19 can do to one’s physical health, there are also numerous mental health issues, including depression and anxiety, both of which can cause ED. Men’s Health Network (MHN, and the Patient-Centred Outcomes Research Institute (PCORI, recently organized a conference entitled Behavioral Health Aspects of Depression and Anxiety in the American Male, which discussed this topic in detail. You can read more about the conference and the webinar series on either website.

Cardio issues. Many people with Covid have developed cardiovascular problems, including dangerous levels of inflammation in the heart and circulatory system. And any problems with blood circulation may result in ED.

What is the most commonly requested procedure in your clinic?
At Brandeis MD, we focus on helping me feel better, look better and have better physical intimacy. To help men feel better, we offer testosterone replacement when appropriate. To help men look better, we offer Emsculpt to build muscle rapidly. And to improve physical intimacy, we offer low-intensity shockwave therapy, P-shots, Emsella and penile Botox injections.

Your clinic offers in-office circumcision, a procedure more closely associated with when a male baby is born. Can adult circumcision improve sexual function and penis health?
At Brandeis MD, I offer in-office circumcision for adult men interested in the procedure for various reasons, including cultural, religious, medical, or personal preference. However, it is essential to note that circumcision is a personal decision that should be made after careful consideration and consultation with a qualified medical professional.

Brandeis MD offers no-scalpel vasectomies? How does that work? How long does it take, and is there any pain or discomfort?
Vasectomy is a 15-minute procedure done under local anaesthesia in the office. There is minimal pain and men can go back to a desk job the following day, and the gym in 3-4 days. Usually, within 6 to 8 weeks, men are totally sterile.

Your clinic is in San Ramon, just east of San Francisco. Do you accept patients from across the world? How should they contact you for a consultation?
Would you do an initial remote consultation?
I do telehealth consultations for men around the world, usually for second/third opinions on complex medical situations. We book these consultations through our website,

Tell us a little about your family life? Do you have a partner? Children?
I am married with four teenage children. I understand the demands of balancing work life and family life and how difficult it is to excel in both worlds.

What is the most rewarding patient reaction you see in your clinic?

I enjoy transforming the lives of my patients. Because of our work at Brandeis MD, men have been able to start families, get engaged/married, reconnect with their spouses, lose weight, gain muscle and uncover dangerous health issues overlooked by other medical practitioners. It is very fulfilling to be the catalyst for change.

Have you got any exciting plans for 2023 you’d like to share?

Any career and life goals that you have in your sights for the future?
Currently, I am promoting P-Long®, the only medical protocol that naturally increases the length, girth and function of a healthy man’s penis.

I am writing up the results of this study for publication. I am also writing up the results of the IA Strong Study on the effectiveness of Emsculpt for building arm muscles in Industrial Athletes and the Mensella 2 Study on the benefits of the Emsella Chair on ejaculation, erectile function and urination in men. We have also just completed a focused shockwave study.

Hopefully, I will have plenty of media opportunities to educate men about their physical and sexual health.

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