Let's talk straight

For users who want to delve deeper into the subject:

In this article:

1. why the direct wording?

2. what do we think about ChatBot (AI) responses and social media in medicine?

3. fake reviews and misleading advertising

Re 1: Why the direct wording?

Our direct language may seem strange to some patients who are interested in an operation online. Especially in times of soft-spoken, always friendly chatbot answers. But we were around long before social media, long before chatbots, even long before the first iPhone.

The reason why we write so definitively here and elsewhere about the importance of experience and skill and how dangerous unskilled surgery or unauthorized materials are, is threefold:

Firstly, the reputation of this operation (and therefore the health of patients) is at risk.

Secondly, patients – often influenced by social media – don’t realize what niche surgery is and that it is not taught in any medical training or specialty from a university or otherwise.

Thirdly, in their belief that no matter where they have an operation, it cannot go wrong because it would be controlled by some state authority, patients overlook the fact that precisely this state control does not exist in self-payer medicine.

Our doctors have been fighting for the good reputation of this intimate surgery for decades. That was anything but easy. The reputation, and the fact that university clinics refer their patients to us, does not come about by itself.
Since the corona pandemic, “penis enlargement experts” have sprouted from the ground, some of whom have been boasting on the Internet about how many penis enlargement operations they have allegedly performed and how many reviews they have. First of all, we will go into the reviews below: Click on the reviews and look for the one that relates to penis enlargement, if there is one at all.

Patients do not realize that there is no state training for penis enlargement surgery. It is NOT taught in specialist training and medical school. There is also no textbook on the subject of penis enlargement, but only very few training centers. As far as we know, ours (by Prof. Littara) is the only one in Europe. Which is possibly why he is the only doctor named as a reference for penis enlargement in the guidelines of the European Association of Urology (EAU).

The questions that would occur to us about one or the other penis enlargement expert who advertises his services extensively on the Internet or social media would therefore be:

Where was he/she trained in this very complex operation? Because it definitely wasn’t at the Academy Prof. Littara.

WHERE in particular during the corona pandemic, when there were significant lockdowns?

WHERE exactly is the scientific study or even approval that proves the effect of the advertised method or even allows it in the first place?

We use direct wording to point these things out. Because we know that patients often don’t think about this. In the over-regulated country of Germany, they assume that “everything” is already correct. Unfortunately, this is a very big misconception when it comes to penis enlargement. It costs some patients a lot of money and sometimes their health.

And because such a patient is then rightly annoyed and does not realize that it was the doctor he chose and not the operation itself, the operation is increasingly discredited.

And we will not allow any colleague who tries to compensate for the loss of sales during Corona with unprofessionally performed penis enlargement and misleading advertising to ruin the reputation of an operation that we have painstakingly built up over decades.

And also, quite pragmatically, because we have no desire to carry out more and more corrective operations. Because what we see there – and this is not coming from abroad but from within Germany – is sometimes hair-raising. Some patients have only paid for the operation without it being carried out. They were just cut open and stitched up again. Compared to others, however, such a patient can be happy because at least nothing additional has been done wrong…..

Re 2.

2.1. AI answers

At the beginning, we were upset about the fact that these AI systems give highly incorrect answers, “hallucinating” as they say. And they also repeat advertising lies on doctors’ websites, thereby reinforcing them, especially to consumers who blindly trust them.

Until we talked to the programmers and experts responsible for these systems and realized that these systems have nothing to do with artificial intelligence in the sense that citizens understand it. They are closed systems that are neither capable of research nor of real deliberation.
This may still work in the case of general knowledge, but it doesn’t work for specialized medical topics.
What continues to annoy us is that ChatGPT, for example, pretends to be able to do it all. It gives grandiose answers with reference to guidelines and well-known publications. As a consumer, you don’t realize that the answers are incorrect and that’s why you don’t ask the follow-up question to ChatGPT: because if you formulate directly that this system should stop lying to you by claiming that it can refer to guidelines or publications, then ChatGPT admits this. But it is surprised because virtually no user is interested in the fact that it can’t do that. And we find that alarming.

Please do not rely on the response of an AI system under any circumstances, especially in the case of serious health problems.

2.2. SocialMedia

Social media is a hotbed of misinformation and self-proclaimed experts, so we can only have one reaction: we stay out of it completely because we don’t want to stoop to that level. We mean this in relation to medicine as a whole, but above all to penis enlargement.
It’s a playground full of misleading, false advertising, fake stories of allegedly failed operations because some company wants to sell penis enlargement pills and advertising for something disguised as a patient story.
As above, we can only advise against relying on anything you find on social media for essential health information.

Especially with regard to health influencers: a serious doctor must invest twelve years of intensive study and learning even in the standard training, which does not include any penis enlargement, to become a specialist. So does anyone really believe that a 22-year-old health influencer (example) has even the slightest expertise to evaluate what they are reporting on?

Why do we criticize this so strongly? Because it endangers patient welfare, because it makes patients feel insecure and because it steals our time. Nowadays, there are questions from patients that they ask on social media because of some nonsense that would never have existed in the past, because they are actually far removed from common sense and moral considerations.

Fake reviews and misleading advertising

Many patients mistakenly believe that both do not occur in medicine, believing that self-pay medicine is also monitored. And precisely this belief is highly incorrect.

Of course, these things are all illegal, but no government agency cares. Only competition law is relevant here, but this is not enforced and applied by the state.

One example: we recently had 1,900 fake reviews removed from a doctor from the Rhine-Main area who advertises penis enlargement in cooperation with the review portals and lawyers. You read that right: 1,900 fake reviews, spread across several review portals….. We don’t think we need to say any more on this point, do we ?!.

They believe that free invention of education, stays abroad, activities, operation figures, results, evaluations, etc. is forbidden. Unfortunately, it is not. Not in the way you imagine. If a doctor who has performed 5 penis enlargement operations in his life, all of which have gone wrong, writes on the Internet that there have been 5,000 and that all 5,000 have gone well, NOTHING happens to this doctor. Nothing at all. Unless another doctor gives him a warning. But NOTHING happens on the part of the medical association or the regional councils or the health authorities.

It becomes particularly annoying when such a doctor claims to have been trained by us or to be cooperating with us. Often using our videos, our texts, our graphics or our material.

So with all these things, try to use your common sense.

Why and this is disturbing: Because patients are not only deceived with such fictitious information but are also put through operations that can be highly risky. And in the end, they may stand in front of us and ask us to correct them. And then we have to tell them that we can do a lot but not magic. And then these patients are quite astonished. We feel sorry for these patients. A lot. And unfortunately there are more of them.

We wish every patient all the very best.

And above all, don’t forget one thing: The stinginess mentality can be great if you’re looking for a pair of shoes or a new cell phone, but it’s usually very dangerous when it comes to your health.