“There are at least six major complications with penile jelqing and stretching that have been documented in the medical literature,” explains urologist James Elist, inventor of the only FDA-approved penis enlargement implant on the market. Unsurprisingly then, he’s not a fan of the techniques Big Al et al employ. “It may stretch the penis for awhile, but as soon as you let it go, it’s going to go back. So in the long-term, I don’t think it has any effect, but it does have major major side effects.” For example, he says, stretching penile skin continuously forms thick scar tissue around the penis like a condom under the skin, limiting how much it can expand. You can also permanently damage nerves, he adds, creating small tears in the penis that cause numbness and internal bleeding.
This doesn’t mean penis surgery isn’t a viable solution for various medical indications like e.g. a penile prosthesis in case of complete impotence (erectile dysfunction), circumcision in case of serious foreskin constriction (phimosis) but for enlagement only, there are less risky ways with good rewards as well. Responsible plastic surgeons only offer surgical penis enlargement for patients suffering from a very small penis or micro penis. In addition, there are only very few surgeons who have the skills and knowledge to safely perform this very special type of medical intervention.
Having had my Wife leave me for a Guy with 9.5 inch Penis compared to my 5.5 inch Penis made me wonder !!! Now that I am in my 60's ; I am no longer worried about the size of my penis !!! Plus she passed away sometime in 2012 !!! Me ?? I could care less now if I ever have sex !!! Pleasing a Woman without Intercourse is easy !!! I still hear Women in the work place complaining about their Partners having a small penis !!! Go figure !!!
If these scientific facts do not change your feelings, consider the fact that maybe, like a woman bombarded by photoshopped images of "vixens" who have been surgically enhanced, you may also be comparing yourself to some unreality and suffering needlessly as a result. In fact, one 2005 study appearing in the journal Urology found exactly this to be the case. Of 92 patients who complained of a short penis, almost all of them had “overestimated the normal penile size,” noted the authors. More importantly, not one of these men actually had short penises.

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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."
Finally, there are a few uncommon medical conditions of the penis that a man should talk about with his doctor (especially a urologist). The first is an extremely small penis, a condition called micropenis in which the penis does not develop to a normal size. Occasionally a boy will also have a penis that does not develop normally even before birth; usually these conditions are recognized shortly after the baby boy is born and given the necessary medical attention. Another medical condition occurring most commonly in middle-aged men is Peyronie’s Disease. In this problem the penis develops scar tissue that may cause it to be smaller or curve abnormally – but this is not a cause of concern about a small or short penis in young men.
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4. Penis pumps work on the expansion principle. Every penis pump has a cylinder that accommodates the shaft of the penis to create a vacuum within the cylinder. This vacuum causes the penis tissue to expand. This expansion not only fills the penis with nutrient-rich blood, but also expands the smooth muscle and tunica tissue in the penis, causing the micro-tears and new cellular growth. Some men who suffer from erectile dysfunction use both penis pumps and cock rings to help maintain an erection.
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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.

Because of great risk and uncertainty, medical professionals are generally skeptical of penile enlargement and avoid attempting it.[2][4] Medical doctors do treat micropenis as a medical condition, however, usually by surgery, which can be warranted to improve urinary or sexual function.[5] Most men seeking penis enlargement have normal-size penises, and many may experience penile dysmorphophobia by underestimating their own penis size while overestimating the average size.[5]
It's important to remember that male enhancement is a big industry which reinforces men's insecurities about the size of their penis. Penis enlargement pills do not work, and neither do creams, lotions, supplements or other male enhancement products. If there was an approved and effective treatment it would be available from pharmacies rather than illegitimate online pharmacies only.
That “job” is founder and head trainer at meCoach (“Male Enhancement Coach”), a first-of-its kind personal training service providing one-on-one tutorials on “how to get the penis you want.” The program is made up of 30 different exercises with names like “The Slow Crank,” “The Leg Tuck Pull” and “Viking’s Kegel Squeeze,” all of which are designed to stretch and elongate your penis. Big Al has helped thousands of men like me increase hardness, improve stamina, reduce penis curvature, kick porn addiction and add length and girth to their penis — averaging an inch and an inch-and-a-half, respectively. The meCOACH basic plan costs $37.77 for a month, but I opt for a three-month premium plan for $257.77, which includes weekly progress reports and 1-on-1 coaching.
It's ironic that the male preoccupation with enhancement seems to be independent of the needs of women, the supposed benefactors of improved sexual performance. A recent study found that 85% of women are pleased with their partner's penis proportions, but 45% of men say they want a larger penis. Given that the vast majority of men fall within a certain penis size -- about 5.5 to 6.2 inches long when erect -- most men fall within the normal range.
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