The side effects of lengthening surgeries are numerous and include infections, nerve damage, reduced sensitivity, and difficulty getting an erection. Perhaps most disturbing, scarring can leave you with a penis that's shorter than what you started with. Widening the penis is even more controversial. Side effects can be unsightly -- a lumpy, bumpy, uneven penis.
While there are many anecdotal reports online that jelquing is an effective way to increase penis size, no scientific studies have ever concluded that the technique works. Proponents of jelquing claim that regularly stretching and pulling the penis will make the tissue fill with blood, causing it to permanently swell. However, basic penis anatomy contradicts this idea, since the penis is an organ and not a muscle that you can alter or strengthen with penis enlargement exercise. There’s also the risk of penile damage with jelquing, since this technique may lead to irritation, blood vessel tears, scar formation, bruising, pain, and desensitization of the penis [6].
Lengthening the penis. The most common procedure is to cut the ligament that connects the penis to the pelvic bone. This allows a little more of the shaft -- on average less than an inch -- to become visible outside the body. It's not really lengthening the penis so much as revealing more of what's usually hidden. To prevent the ligament from reattaching, a guy would need weights or stretching devices daily for about six months.
Surgery offers the only permanent solution for enlargement of the penis. Through surgery, the penis can be visually enlarged, usually by just over an inch. The surgeon will cut the ligaments that hold the penis in its usual position, allowing the penis to descend. Weights, or stretching devices, are then used for a few months to affect a permanent increase in size. The procedure may result in scar tissue, the erection will point down, and the base of the penis will be hairy.
Before engaging in pumping, you should take some precautions. Warming up should be done before pumping. Otherwise, you might find yourself heading to a doctor instead of achieving your desired results. Also, you have to manscape down there to make pumping more effective. Pubic hair can hinder a good seal, which is very important when you create a vacuum.

"Some men are confused (or rather not as educated on the matter) and they believe that the outside skin get’s longer and thicker. That’s false. However, some men have false expectations; they think using a penis pump once will cause them to have a bigger penis permanently, and that’s false. As in the gym example before, you have to keep at it, and you have to practice to see results. Yes, early on you will see results like any newbie in the gym, but if you don’t keep at it you will see those results diminish,” says Dubois.

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