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%.”
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.
Interest has been sparked by animal studies, the description of innovative techniques for lengthening and girth enhancement techniques, reconstructive phalloplasty and penile implant surgery. Data suggest that better objective surgical outcomes are possible, though in many cases long-term data and patient-rated satisfaction details are lacking. Most importantly, studies show the importance of having a multidisciplinary team in charge of patient selection.
Even technology is offering some help, let’s call it digital male enhancement, although some people may qualify it as cheating: An android app called “RetouchMe” is offering retouching services for your face and body and explicitly includes an option to virtually get a bigger dick. Sample photos only include dressed men with a big bulge in their pants. Use at your own risk and always remember, making promises you can’t keep on Tinder, Instagram or your favourite dating site may result in disappointed women and that’s not what real enlargement is about.
Dr. Dudley Seth Danoff, author of The Ultimate Guide to Male Sexual Health: How To Stay Vital at Any Age, has seen more than 100,000 patients (no exaggeration) over his 30 years as a practicing urologist. According to this graduate of both Princeton and Yale, enhancement is not a common request, but a fair number of patients have asked him, "What can I do to make my penis larger?" Still, as Danoff told Medical Daily, “There isn’t a man alive who wouldn’t like a larger penis.”
One Stockport-based surgeon, Ravi Kant Agarwal, was struck off (though later allowed to practise again) after botching two procedures. One of his patients, the General Medical Council heard, was left with a penis “bent like a boomerang”. Agarwal was criticised for failing to explain potential complications and misleading patients about the possible outcome, as well as for not having anaesthetic backup during the operations.
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.”
The case had been made partly on the back of Warshak's private e-mails, even though he had taken numerous precautions to secure these. Somehow the feds got their hands on those messages even before they obtained a search warrant. How had it happened? The answer to that question made the Enzyte case a pivotal piece of Internet law — and revealed how investigators had learned to lean on another key pressure point in the Internet ecosystem: third-party servers.
The next day I got the shipping update and I nervously began pacing around my parents house plotting how to get the big brown box from the mail box to my room unnoticed so no one would ask “whats in the box” and leave me red faced and stammering while coming up with something to say. Few days go by and the mail comes, I bolt out the door to the mailbox, grabbed the box, dropped about 3 envelopes on the ground and bolt back inside. The mail on the ground was a casualty of war and I left it behind.
Streching devices and penis pumps are increasingly popular, often selling for hundreds of dollars. We recommend staying away from these devices, because using them can lead to permanent damage of the cavernous body and blood vessels of your penis. In worst case, the usage of penis extenders can result in erectile dysfunction, the inability to get and maintain an erection. Although many surgeons keep warning about them, these warnings are unheard and ignored by many men. Reconstructive surgery for a penis damaged by excessive and wrong use of streching devices is very expensive and rarely results in full recovery. Some of the world’s top penis enlargement surgeons from the well-known German Urology Center (Ph.D. Christoph Jethon et al.) even say that they are not interested in patients suffering from these kinds of injuries, because fixing these damages is extremely difficult. So, quickly forget about all this “Stud Quick Extender Mark III Pro Power Solution Super Size” crap! Don’t let the companies offering them fool you with claims like certifications as a medical device, doctor approvals, paid testimonials, photoshopped before and after pictures or similar.
Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs.
These products usually contain vitamins, minerals, herbs or hormones that claim to enlarge the penis. Despite their impressive claims, there's absolutely no clinical evidence that these products work and some may even be harmful. The University of Maryland in the US carried out an analysis on some of these and found traces of lead, pesticides, E. coli bacteria and animal faeces.
Because of great risk and uncertainty, medical professionals are generally skeptical of penile enlargement and avoid attempting it. Medical doctors do treat micropenis as a medical condition, however, usually by surgery, which can be warranted to improve urinary or sexual function. 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.
Increasing penis circumference is most often performed by transferring fat from other areas of the body by liposuction, and placing it through a syringe into the penile shaft. A newer procedure that some surgeons are using is the transfer of platelet-rich plasma (PRP) from your own blood supply. Both of these approaches involve no foreign bodies, and therefore there are no problems of tissue rejection. Another method is to increase the overall width of the penis with a dermal wrap of an allograft material placed under the skin.
In a last brief conversation with Alistair, he asks if I would ever consider going under the knife. I tell him I’ve seen such a bewildering array of shapes and sizes over the past few weeks, I don’t even know what normal is any more. If it does the job nature intended, I say, that should be enough. For many men wanting an enlargement, it’s probably not so much about what’s in their pants as what, somewhere along the way, has got into their minds – and that can’t be fixed by a fat injection and a severed ligament.