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.”
“Operations are very safe,” says Viel, who founded the London Centre for Aesthetic Surgery with his twin brother Maurizio. “Perhaps 95% of our patients are very happy. Where they are not, it is often to do with expectations. Some men want 10 inches when nature gave them four or five. I have to say, gently, ‘This is not possible. I am not a miracle worker.’”
According to the website of one such product, the safe application of traction encourages tissue cells to divide and multiply, a process called cytokinesis. Over time and with great effort this will lead to tissue growth. The FDA considers these low-risk devices (Class 1) and so provides only general controls intended to be followed by manufacturers.