Some surgical methods have the most evidence of effectiveness, whereas others have fairly frequent complications, sometimes severe, including scarring that lead, ultimately, to penis shrinkage or erectile dysfunction.[1][2] Noninvasive methods have received little scientific study, and most lack scientific evidence of effectiveness, although scientific evidence supports some elongation by prolonged traction.[3] Some quack products may improve penis erection, mistaken by consumers for penis enlargement.
Apart from the risks, penoplasty (surgical penile lengthening and girth enhancement) is the most expensive way for penile enhancement. According to About Health it ranges from $4000 up to $17000. If you are interested in surgical enhancement, we recommend reading the in-depth article on Medscape about possible surgical techniques and results. There is a less risky new method, the FDA-cleared Penuma implant developed by Dr. Elist (James Elist, MD) for flacid size enlargement, but the erect size lengthening is minimal and the cost is in the low five digits, too.
I bought my first pump in 1990. My issue was, while I was just over six inches in length erect, I was skinny. I used to do a half an hour session prior to my then lover arriving for sex. She was 18 (I was 24) and she thought I had the biggest dick ever. The reason: my veins were flush with blood and I was artificially inflated. But, over time, with regular pumping, the capillaries expanded for good, the muscles in my penis became bigger and stronger, and I gained noticeably in girth.
The vacuum pump. This is a cylinder that sucks out air. You stick your penis in and the resulting vacuum draws extra blood into it, making it erect and a little bigger. You then clamp off the penis with a tight ring -- like a tourniquet -- to keep the blood from leaking back into your body. What are the drawbacks? The effect only lasts as long as you have the ring on. Using it for more than 20 to 30 minutes can cause tissue damage. This is sometimes used as a treatment for erectile dysfunction, but has not been proven to actually increase the size of the penis.
It's advised to take 1000-1500 mg of the amino acid L-Arginine daily. It increases the amount of seminal fluid during ejaculation and also causes strong erection. It is taken as 100mg, 2 hours before intercourse. Taking large amounts of this material should be avoided within 24 hours. If any side effects appear, it is advised to stop treatment and consult your doctor before continuing.
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.
• Forget surgery. The full monty, lengthening and girth enhancement, is expensive (around $15,000) and problematic. Lengthening surgery cuts the ligament that makes an erection stand up. This adds an inch, but erections no longer salute. They just hang between your legs and must be manually directed into erotic openings. Girth enhancement takes fat from the buttocks and injects it under the penis skin. Sounds good, but quite often, the result is a lumpy, deformed-looking penis.

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