“I had a patient last week who was using a vacuum to masturbate and half of his penis turned black after iron absorbed into the skin. Unfortunately you can’t do anything but replace the skin.” As for the legions of men who’ve reported significant gains via stretching and jelqing, Elist rolls his eyes. “It’s just temporary. As soon as they stop, in a matter of few months, it will go back. There’s no doubt about that.”
There are also traction devices which have been observed to cause small increases in length (1-2 cm overall) in some men. However, these devices are highly impractical, as they need to be worn for several hours every day in order to have an effect. You should consult a doctor before experimenting with any device to enlarge your penis, as there is a risk of side effects and injury if you don’t use it correctly. Evidence that using a traction device works is still limited.
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“There are at least six major complications with penile jelqing and stretching that have been documented in the medical literature,” explains urologist James Elist, inventor of the only FDA-approved penis enlargement implant on the market. Unsurprisingly then, he’s not a fan of the techniques Big Al et al employ. “It may stretch the penis for awhile, but as soon as you let it go, it’s going to go back. So in the long-term, I don’t think it has any effect, but it does have major major side effects.” For example, he says, stretching penile skin continuously forms thick scar tissue around the penis like a condom under the skin, limiting how much it can expand. You can also permanently damage nerves, he adds, creating small tears in the penis that cause numbness and internal bleeding.
So how can we be sure it really exists? “Because the number of men seeking surgery, or the growth of this strange industry selling pills and other so-called enlargement remedies, these numbers do not map up with the numbers of men who actually have a significantly smaller penis than average,” Veale says. “So, these men are worrying about – and seeking solutions for – a problem they do not have.”

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