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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%.”
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.
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Panic is the anti-answer, so let’s end that now. Like any situation, this one demands some straight up facts, so let’s begin there. The first and most important fact is to forget what you’ve seen in photographs, in movies, or on the web. Based on a sample of 1,661 guys, the average self-reported erect penis length is 5.6 inches. Technically, according to the Mayo Clinic, a penis is not even considered small unless it measures less than three inches when erect.
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.
So, does a bigger penis mean better sex? The simple answer is, no, after all, ‘it’s what you do with it that counts’. Regardless of how many times that cliché is used, many men firmly believe that their penis is too small and that if they had a bigger penis, they would have more confidence in relationships and be better lovers. This kind of belief probably expresses much of how you feel about yourself and your body and how you think others perceive you. Often, doubts and feelings of shame and inadequacy about penis shape and size stem from comments bandied about in school changing rooms, during puberty. Furthermore, messages we receive from the media and society can all too often link masculinity, power and virility to penis size, thus re-enforcing this self-doubt and poor body image. If you have wavering self-confidence and poor body image, these kinds of comments can deepen those feelings and lead to the belief that, ‘your penis is inadequate. Therefore, you are inadequate’. Sadly, this kind of misbelief can lead men to avoid dating, relationships and any kind of sexual intimacy, for fear of rejection or humiliation.
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.
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.
According to Danoff, most of the “thousands of [products] on the market today rely on the placebo effect.” The well-known placebo effect simply means that “about 40 percent of people,” in Danoff’s words, will report a positive result when given a useless product and told it will work. “When it comes to things sexual, the power of suggestion is overwhelmingly more than what goes on between your legs,” said Danoff, explaining how once you’ve paid your $39.99 for a pill or a device, you’ll be inclined to believe it really works.
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 .
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.”
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One of the questions that gets asked a lot is about finding something that will permanently extend the size of your penis. Nothing, other than painful and not always successful surgery, can permanently extend the size of your penis. The American Urological Association  does not promote penis augmentation surgery as effective or beneficial. Sometimes, these surgeries even leave the penis smaller than before .
In terms of what constitutes small, big and average, a 2007 study from British urologists Kevan Wylie and Ian Eardley revealed that the average erect penis is 5.5 inches in length and 4.7 inches in girth. According to Wylie and Eardley, most men who suffer from small penis syndrome (i.e., the anxiety of thinking their penis is too small even though it isn’t) have nowhere close to what scientists define as a micropenis. Not to mention, according to one of the studies cited, 85 percent of women surveyed said they were satisfied with their partner’s genitals, whereas only 55 percent of men were happy with what nature had given them. In other words, almost half of the men surveyed would like to have a bigger dick.
However, these vacuum pumps are incredibly simple misuse. If used too vigorously, the pressure created round the penis might cause vascular damage. It is also simple for the penis for being sucked in or drawn in on the cylinder causing injury. Plus the worst thing about while using majority of vacuum pumps? Numerous studies have actually shown which it causes no significant change in penile length.
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Results from a study of over 4,000 men from the Archives of Sexual Behaviour, found that one of the keys to a happy sex life could be something as simple as self-acceptance. They used the ‘Index of Male Genital Image’ (IMGI) to study the men’s perceptions of their genital size, and perhaps unsurprisingly the men who were dissatisfied with their genital size were less likely to report being sexually active.