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The P-shot or the Priapus shot was named after the Greek god of fertility. The shot was pioneered by Dr Charles Runels, an American MD who specialises in sexuality issues. The patient's blood is withdrawn, processed through a centrifuge to create platelet-rich plasma which contains growth factors. The process is used in sport medicine to rejuvenate torn ligaments. Dr Runels uses it to increase penis size by ten to 20 per cent and improve blood flow for a stronger, harder erection. Runels, the inventor of the Vampire Facelift says, "When I first started doing cosmetic procedures to sculpt the face, it occurred to me that it would be wonderful to do the same thing to the penis."
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.
A past article we wrote on this blog was about how to have sex if his manhood is too big. In that article, we stressed that size isn’t all that important (when a guy’s penis is big, it’s the positions that matter, not the penis size). However, what we are doing today is presenting clear information about some of the most commonly talked-about size enhancing techniques out there, starting with the penis pump.
As the name implies, the traction method involves the phallus being placed in an extender and then stretched daily. One team of researchers quoted in the study reported average growth of 0.7 inches (flaccid) in participants who used the method for four to six hours each day over four months. Another team reported an average increase of nearly an inch (0.9 inches, flaccid) plus some slight improvement in girth after similar treatments lasting a course of six months.
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.

“There’s no legitimate way to do it,” Danoff said, explaining that, unlike the breasts or the nose, the penis is not a static organ, it needs to move, and “there’s not a grafting material that’s suitable for that.” While there is one procedure that involves cutting the suspensory ligament, this only gives “an illusion of length,” he said. It doesn't actually extend it.

Even those penile extenders and stretchers that claim to work over time would actually just be stretching your flaccid length, and that has absolutely no correlation to how big you get when hard, says Fisch. So don’t waste your money on a product or service that swears it can give you five more inches. “There’s no actual scientific study that they rely on."


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.
If you notice a change in the angle of your erections, see a urologist who specializes in sexual medicine. Your doctor can prescribe an intervention, such as a penile traction device or vacuum device, which can essentially stretch contracted scar tissue back to its normal length, says Walsh. They won’t do much for healthy penis tissue, which is probably as elastic as it can be already, he says.
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. 

How To Get Penis Enlargement

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