At his Harley Street clinic, Dr Roberto Viel is explaining how a typical enlargement works. First, surgeons sever the organ’s suspensory ligament, causing it to hang an inch or two lower, giving the impression of extra length. They then extract fat from the patient’s stomach and inject it into the penis shaft, increasing girth by around two inches. Erect, it’s worth noting, it remains roughly the same size, suggesting the motives for many men are not necessarily to enhance either their – or a partner’s – sexual experience.
Penis length surgery involves cutting the ligament with which the penis is attached to the pubic bone and grafting added skin to the base to increase length. This will increase the size of the flaccid penis by up to 2cm, but it doesn’t affect the size of the erect penis. The cut ligament may also not provide the support it originally did, which means that you might find your erections less satisfactory as a result. There is also a risk that this type of surgery may cause the side effect of pain during sex.

Admittedly, most everything Big Al teaches can be found in various pockets of the internet, he just packages them in a program that would be difficult to replicate on your own. Like a trainer at a gym, most of Big Al’s value comes from his knowledge, access and willingness to hold clients accountable. Less valuable is his nonexistent medical expertise. “I have no formal medical training,” he admits. “But I’ve studied many journals.” And Wikipedia pages like this one, which he says includes “sound scientific principles” that informs the majority of meCoach’s enlargement methodology.
"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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However, it’s possible to get pills that can effectively help aid your erection and increase your libido. There has been lots of medical research into the causes and treatment of erectile dysfunction and sexual dysfunction in men. The medical treatments available to you if you are trying to improve your sex life or stamina in bed are, on the whole, effective and can be given by your GP.
Dermal fillers or surgery are a way to increase penis size. “I do a lot of dermal fillers simply because many men, understandably, don’t want to go under the knife. Consistent with other nonsurgical procedures which use dermal fillers, male enhancement works by way of injection. Depending on the patient’s goals, a filler is chosen and then injected into the corpus cavernosa of the penis. The filler is then worked through the penis to achieve a uniform increase in length and girth. Dermal fillers are an excellent option for male enhancement because they require no downtime and patients can return to sexual activity the same day. Filler are less of a risk than surgery and, because they are temporary, carry no long-term undesired effects," says Dr. Mirza.
The physiological goal of Big Al’s program is to expand the spongy bodies of the penis — known as the corpora cavernosa and the corpus spongiosum — while simultaneously stretching the tunica that holds those spongy bodies and spreading the suspensory ligaments that anchor the penis to the pubis. Cell walls grow and expand with each exercise session, Big Al tells me, and the compound effect over time is increased length. “One-third to one-half of the entire length of the penile body is hidden behind the pubis,” he notes. “Lengthening exercises like the Side-to-Side Stretch permanently expand these ligaments, allowing more of the inner penis to be exposed, and thereby, lengthening the measurable portion of the penis.”
Not all operations leave happy customers – infections and scarring are both potential side-effects (“This is the same as an operation of any kind,” Viel says). Some men report a decline in angle after the suspensory ligament is cut, but according to David Ralph, a professor of urology at UCL, “By and large, patients don’t complain about that. The operation doesn’t change the erect length at all – this is only for men who have anxiety about how they look in the changing rooms. The average increase in size is 1.3cm, less than the diameter of a 1p coin. In my clinics, I show patients one of these and ask if they still think it is worth it. Less than 5% decide to, and of those who do, the satisfaction rate is just 20%.”

Unfortunately, men today continue to feel pressure to have a larger penis, which can lead to shame, embarrassment, and stress. It often causes men who have a normal sized penis to believe that they require penis enlargement. With countless TV commercials, internet ads, and magazine advertisements advertising different ways to make your penis bigger, it’s easy to start feeling insecure about your size.


I use a product called the bathmate x30 and intermitant jelqing, used it for about 6 months straight, I have gained girth .25 of an inch. Gained about half an inch in length. If you keep on your bathmate regimen you will see an increase in flacid size, if you stop it goes back to the slightly improved permanent size. It’s a little bit of an annoyance to draw baths on the regular but if you are commited it’s no issue and you will get gains.
Shaking your penis. This is another simple and effective method, and perhaps the quickest of them all. Instead of tugging or stretching, just give your penis several gentle shakes. Think of it as "waking your penis up". Just like any other body part that becomes stiff or remains stagnant for long periods of time, we like to shake these parts, wake them up, and in turn they go from stiff to stretched out and elongated. Same thing works for your penis. Shake him out some and not ony does the tissue become stretched, but blood flow will increase some which also creates larger size.
People get fillers and injections for all sorts of cosmetic reasons, but you can also get injections in your penis. "I have so many patients who come in stressing about the size of their penis when, in reality, the relationship between size and sexual satisfaction is a myth. The average vagina length is 5 inches, which is less than average penis size in America, which is 5.5 inches. What most men don’t realize is that when it comes to sexual satisfaction, girth is more important than length. There are things men can do to enhance their girth but it won’t come in the form of pill, and although penis pumps can improve an erection, they don’t help with overall size. Also, penis exercises are not totally validated to increase size. Sorry guys! But, there are solutions,” says Dr. Muhammad Mirza, sexual men's health expert and founder of ErectileDoctor.com.
Professor Ralph at UCL believes that some clinics are feeding patients’ unrealistic expectations. “Initially, they don’t see doctors, they see sales people. It’s a hard sell: ‘We can get you an extra inch or two.’ I’ve been practising in the NHS for 30 years: if it was that easy to increase the length of a normal penis, I’d be in the Mediterranean on my cruise liner now.”
No herbal remedy can restore erections like Viagra and its prescription counterparts, says Steven Lamm, MD, an assistant professor of medicine at New York University and author of The Hardness Factor. But Lamm says these remedies may be appropriate for men who have experienced a decline in sexual performance but do not suffer from a diagnosable sexual problem. Lamm has endorsed an herbal remedy, marketed under the Roaring Tiger label, that combines horny goat weed and other herbal extracts with the amino acid L-arginine. (The supplements are made by the same company that makes the FastSize Extender.)

Pubic hair grooming in men has increased, with recent surveys finding that 50.5% of men surveyed reported regular pubic hair grooming [20]. While men groom their pubic hair for many different reasons, from regular hygiene to making oral sex easier, improved appearance and making the penis look longer were found to be fairly common reasons for male grooming. Trimming pubic hair, particularly around the base of the penis, may give you the appearance of a larger penis.


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.”
I’ve been using a pump for a year. My before measurement was 8-3/4″ erect x 6.2″ girth. After a year my erect length is now 9.5″ x 6.6″ girth. I’m very very happy with the results but ive had a few woman not able to handle certain positions. Some have loved it though so it depends I guess on what is preferred. I love the look on their face when we first start as I’m a athletic build but only 5′-10″ tall so having a 9.5″ penis starts a good conversation.
Brandon Bartling, store manager of The Pleasure Chest, an erotic store located in New York City's West Village, understands this as well. His store carries any number of products that cater to this manly desire, everything from dietary supplements to a “penis extender, which is a sleeve that you literally wear over your penis to increase length and girth. Kind of like a thick, firm condom in a phallus shape,” he told Medical Daily in an email. He added his customers tell him that “the Blue Wolf pills work the best to help boost one’s ability to obtain firmer, longer lasting erections, while others swear by the Bathmates line of Hydromax and Hercules pumps.”
Penile enlargement pills and patches are devices that you see advertised on-line lots. They promise to become very convenient and discreet solutions if you need to make your penis bigger. However, you have to be conscious of research about the efficacy of those pills and patches are consistent in showing that these pills are ineffective and they are purely offered for profit. Every current brand of pill I know of may also be not FDA approved, so anybody’s researching their claims of safety and efficacy.

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.
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