Richard, a mechanic from upstate New York, is a muscular, athletic guy. He has a loving wife who has always enjoyed their sex life. But ever since he was a young boy, Richard couldn't get over the feeling that his penis was too small. In public bathrooms, he'd use the handicapped stall. He felt embarrassed in gym locker rooms and when standing naked before his wife. "I didn't feel manly enough," he tells WebMD.

How Does it Work? There are a few different types of penis enlargement surgery based on different principles and on the desired outcome. One method is to transplant fatty tissues from elsewhere in the body into the shaft of the penis – this can be successful but is described as being “visually odd”, and the results often disappear within a year as the fat is metabolized. Another technique is to disconnect some supporting ligaments. Reports suggest that this can offer a few fractions of an inch in length, but leave the erection pointing down and not up.
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“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.”
Panic is the anti-answer, so let’s end that now. Like any situation, this one demands some straight up facts, so let’s begin there. The first and most important fact is to forget what you’ve seen in photographs, in movies, or on the web. Based on a sample of 1,661 guys, the average self-reported erect penis length is 5.6 inches. Technically, according to the Mayo Clinic, a penis is not even considered small unless it measures less than three inches when erect.
In July 2017, the 55-year-old decorator, from London, became one of a growing number of British men to have a surgical penis enlargement. Talk of enhancement was once the preserve of promotional spam mail for bizarre-looking pills and pumps; now, it is serious clinical business. British clinics, which have taken consultancy rooms in Harley Street and in UK cities including Manchester, Sheffield, Birmingham and Leeds, report record numbers of patients calling on their services. One practice, the London Centre for Aesthetic Surgery, has gone from performing a handful of penis procedures annually when it opened in 1990 to more than 250 in 2017. Between 2013 and 2017, members of the International Society of Aesthetic Plastic Surgery carried out 45,604 penis enhancements worldwide. Previous numbers are unknown; the procedure was considered such a minority concern that it wasn’t included in surveys. This increase in demand seemingly caters to a growing anxiety about penis size, but it is by no means a risk-free procedure. For Alistair, dreams of a larger penis were overtaken by infections, lumps and an erection that no longer rises above a 45-degree angle. And he is not alone. In recent years, the General Medical Council has recorded stories of “wonky penises” and erectile dysfunction following surgery. In Stockholm, last summer, a 30-year-old man died after suffering a cardiac arrest following an operation to enlarge his penis.
William O’Connor, a 38-year-old mechanic from Northampton, is one of his satisfied customers – and it’s easy to understand why. Think of a large can of aerosol deodorant and you have, roughly enough, his new dimensions. “There was one woman who took one look at it and just went, ‘That thing is coming nowhere near me,’” he says. “But mostly it goes down very well. I’ve seen a lot of eyes light up.”
According to Danoff, most of the “thousands of [products] on the market today rely on the placebo effect.” The well-known placebo effect simply means that “about 40 percent of people,” in Danoff’s words, will report a positive result when given a useless product and told it will work. “When it comes to things sexual, the power of suggestion is overwhelmingly more than what goes on between your legs,” said Danoff, explaining how once you’ve paid your $39.99 for a pill or a device, you’ll be inclined to believe it really works.

“Big Al and I are kind of the kings of the male-enhancements space,” explains Michael Salvini (aka “Double Long Daddy”), the namesake of the aforementioned DLD Blaster reverse kegel and founder of the natural penis enlargement website MattersofSize.com. (The $159.95 “Maximum Gains Package” includes a lifetime membership to MoS forums; “the World’s First and Only Penis Enlargement DVD”; MoS Titan Pills “to intensify your workout by 200%”; and a patented stretching tool “to get the most intense stretch possible out of every workout.”) “We’ve been around since the beginning, and there’s really nobody else out there who survived.”
Penis pumps. These plastic tubes create a partial vacuum around the penis. The vacuum draws blood into the organ, resulting in temporary size enhancement. Models differ, but all include a plastic tube and a pump operated by a hand bulb. You squeeze the bulb, which evacuates air from the tube, drawing a little extra blood into the penis. Just remember, the effect is modest and temporary.

Another injection option to consider if you want to make your penis bigger is hyaluronic acid injections, which involves injecting stabilized, hyaluronic acid-based non-animal gel into the penis. One study assessed patients who underwent either hyaluronic acid shots or lipofilling, looking at the charts of 83 patients who underwent one of these treatments for penis enlargement. Studies showed that all patients saw an increase in penis length of between 1.8-3.6 centimeters and the patients treated with hyaluronic acid had no complications [14]. While this study showed good results, more studies are necessary.
Is it effective? Yes and no. With a penis pump, your penis really does grow – noticeably so. However as soon as you release the vacuum, your penis goes right back to original size. There’s no evidence of long-term benefits, but they do have one advantage for sufferers of erectile dysfunction: since the vacuum draws blood into the penis, you can quickly roll on a gently constricting cockring after removing the pump, thereby ‘trapping’ the penis in an erect state. While some people who have tried this technique report positive findings, we suggest consulting a doctor first.
SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine. Laurence A. Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago. Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor. Richard, New York. Bob, New Jersey. WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned."
Stretching exercises not only make your penis longer in erect state but the length of flaccid penis will also increase. Stretching exercises are completely safe if you do warm exercise before them and use common sense. For stretching exercises you don’t need to apply lubricant on your penis. If you gain erection while performing these exercises you have to stop and let erection subside, then continue with exercise.
He married, had children and learned to live with his unease. Then, four years ago, after separating from his wife, he asked a new partner how he measured up to her ex-husband. “It was a stupid question,” Alistair admits. “It’s pathetic that I cared at my age – but I did. To start with she told me it was fine, but I kept pushing and, eventually, she just told me: his was bigger.”
All consultations with Big Al are done remotely via Skype, which he conducts from his home office in Central Florida (out of earshot of his wife and young kids). His wife is aware of what he does and is totally cool with it, so long as he’s helping people. Which he appears to be doing from the looks of dozens of seemingly legit testimonials on PEGym, a sexual improvement site for men. Dear Ambellina, for example, says he made some “good and easy newbie gains” before hitting a wall, but Big Al kept him motivated to reach his desired length of 7.5 inches. “A huge part of penis enlargement is mental discipline,” Ambellina explains. “A coaching service like Big Al’s is invaluable because you’re much more likely to follow through when a passionate professional is monitoring your progress and pushing you to achieve.”
“Hi Vacu-tech: I just wanted to take time to say THANK YOU. First for sending my order out to me so quickly. ( I couldn’t believe how fast you got my order to me.) And secondly to tell you how much I love these new Ellipitical Restriction rings of yours. They are very comfortable and damn fun to wear. I send you high praises at Vacu-tech and being a serious pumper wanted again to say thank you. By the way, Vacu-lube is now the only lube I use. “
Another testimonial comes from Gregory Lancaster. Contrary to medical views, Gregory surprisingly had a bigger size, quite permanently after months of pumping. The head and shaft have been fatter and heavier. Immediately after a month of pumping, he noticed his stamina also increased, along with longer orgasms about 10-15 seconds longer compared to previously 5 seconds of orgasm and delayed ejaculation.
SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine. Laurence A. Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago. Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor. Richard, New York. Bob, New Jersey. WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned."

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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