196: Penis Enlargement, Girth Goals & Urology Innovation with Dr. Amy Pearlman

In this refreshingly honest episode, Melissa chats with the inspiring and trailblazing Dr. Amy Pearlman—a US-based female urologist, twin, and co-founder of the Prime Institute in Florida. Known for her progressive and patient-first approach, Amy opens up about her journey into men’s health, the procedures she performs (including penile girth enhancement), and the power of confidence in sexual wellbeing. 

This episode dives deep into: 

• Why Amy chose a career in urology 

• How penile enhancement treatments like hyaluronic acid fillers are helping men regain confidence 

• The rise of penile retraction as a commonly ignored concern—and what can be done about it 

• Using tools like Restorex and vacuum erection devices for rehabilitation and enhancement 

• Why Botox for the penis (Bocox) might be the next frontier in treating ED and penile retraction 

• The role of filler sleeves in preserving shape post-injection 

• Her concierge model of care and how it allows for more personalised, holistic men’s health treatment. 

Dr. Pearlman also busts myths and shares real-world insight from her clinical experience. Melissa shares a fascinating case of six men from Papua New Guinea searching for penis enlargement in Perth! 

Key Topics Covered: 

• Penile girth enhancement with hyaluronic acid filler 

• Filler safety, reversibility, and realistic expectations 

• Why sexual confidence matters in treating premature ejaculation 

• Treating penile retraction and post-surgical shrinkage 

• Erectile dysfunction therapies: PDE5 inhibitors, daily tadalafil vs. on-demand Spontan spray 

• How Dr. Pearlman learned procedures after formal training—and why that matters 

• The difference between snake oil and real innovation in men’s health 

• Cosmetic urology vs. functional outcomes: bridging the gap 

 

About Dr. Amy Pearlman: 
Amy is a board-certified urologist, medical educator, and co-founder of the Prime Institute. Her career spans academic medicine, transgender surgery, male sexual health, hormone therapy, and now cosmetic urology with a focus on confidence, body image, and function. Known for her progressive mindset, Amy trains other professionals and speaks globally on men’s health and innovation in urological care. 

• Prime Institute: www.theprimeinstitute.com 

• Follow Amy on Instagram: @amypearlmanmd 

Resources & Links: 

• Book a telehealth consult with our sexual health nurse practitioners at Restorative Health Clinic 

• For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com.au  

Listen & Subscribe 

• If you found this episode helpful, don’t forget to subscribe, rate, and review the podcast! Your feedback helps us continue bringing important conversations to light. Search for The Penis Project Podcast on Spotify, Apple Podcasts, or your favourite podcast app. 

Connect With Us 

We love hearing from real people navigating penile health—just like Amy If you’d like to share your journey or ask a question, get in touch. 

Email: admin@melissahadleybarrett.com 
Website: www.rshealth.com.au 

Websites: 

https://rshealth.com.au/   

https://makehardeasy.com.au  

https://melissahadleybarrett.com  

http://prost.com.au/ 

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https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ 

https://www.facebook.com/profile.php?id=100085146627814 

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https://www.instagram.com/restorativehealth.clinic/ 

TikTok: @melissahadleybarrett 

YouTube: Melissa Hadley Barrett 

Linkedin: 

https://www.linkedin.com/in/melissa-hadley-barrett/ 

 TEDX 

https://www.youtube.com/watch?v=IjHj1YTmLoA