By Dr. Clay Williams, Urologist at Elite Enhancement of East Texas

In performing penile girth enhancement, I’ve found that some of the most impactful improvements come from focusing on the areas that often go overlooked. One of these is the ventral aspect of the penis—the underside—particularly in the 5, 6, and 7 o’clock positions. These zones are sometimes referred to as the “neourethra,” a term popularized by Dr. Paul Perito, who, like myself, has published extensively on this topic. This region often experiences natural atrophy with age and diminishing testosterone levels or following the placement of an inflatable penile prosthesis (IPP). Addressing this area not only enhances overall girth but restores a youthful contour to the shaft.

In addition to the neourethra, another area I pay special attention to is the circumcision ring or scar. I use what I refer to as “microneedling”—a precise technique where I redistribute very small amounts of hyaluronic acid (HA) filler from the shaft toward the glans (head of the penis). This creates a natural-looking taper, allowing for a smooth, aesthetically pleasing transition. It’s the fine details that make a dramatic difference in the final result.

Education is a cornerstone of Elite Enhancement of East Texas. My wife, Michelle, a registered nurse and co-owner, who consults with all of our patients via phone, text, and email, is incredibly passionate about making sure clients understand what sets UroFill® apart. UroFill® is the only patented penile dermal filler technique developed by a board-certified urologist, Dr. Paul Perito—both he and his associate, Dr. Alfie Suarez-Sarmiento, are the sole educators and trainers for all future UroFill® providers. This distinction matters.

Equally important is understanding what not to do. My wife often advises potential clients: “If you’re not choosing UroFill®, at the very least, ensure the provider is using only hyaluronic acid (HA).” 

Products marketed as “permanent solutions” that claim to stimulate collagen often contain materials like silicone or PMMA (acrylic beads)—which can lead to irreversible complications. These substances may sound appealing, but the long-term consequences can be devastating.

In as much pleasure and satisfaction that I receive in offering such a wonderful service to well-deserving men and hearing countless stories of how it enhanced their lives (and partner’s), 

I personally find that the most unique and enjoyable aspect of providing UroFill® girth enhancement is being able to work alongside my wife each day. 

I am often asked by friends, family, colleagues, and clients how it feels to work with my wife. I am elated and overrun with joy! Clients benefit from this “magical duo” also. Because we work so closely and effortlessly, she can probably answer every question you have and complete more than 90% of the consultations by phone — there are no “middlemen.” We work side by side during each injection session with her assisting me, so clients get a “female perspective” and opinion each time. 

Because of this, any follow up text or phone call you have with her, she can easily address any concern you may have (and relay to me if necessary) because she was present in the room. We have yet to find a client who hasn’t voluntarily admitted that this one-of-a-kind relationship played a major role in their overall experience. 

It’s important to remember that no man needs girth enhancement—just like no one needs a luxury car or upgraded sound system. Your body works just fine as it is. But the desire to enhance, to feel more confident and satisfied, is something many of us share. Penile enhancement, when done safely and artfully, is no different from a breast augmentation, facelift, or any other aesthetic procedure. It’s about aligning your outer appearance with your inner sense of self.

At Elite Enhancement of East Texas, our mission is to provide men with safe, medically sound, and artistically refined options for enhancement. Because when done correctly, it’s not just about size—it’s about feeling your best—restoring confidence and youthfulness.