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.”
Salvini moonlights as a pastor and views Matters of Size as a Christian brotherhood — it’s tribal, he says. Men call each other “brother,” which makes it feel like a family rather than a business. The most common issue, he says, is men who were mocked about the size of their dick. “That’s 80 percent of it,” he says. “A lot of women are vindictive and know exactly what to shoot for to hurt a man. If you have a six-inch dick, she’s gonna say it’s eight inches and stroke your ego when she falls in love with you. But when the relationship ends and she suddenly hates you, she’ll deduct two inches and go around saying you have a four-inch nubby cock. That’s just the way it is.”
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.
There are several surgical treatments, most of which carry a risk of significant complications. Procedures by unlicensed surgeons can lead to serious complications. Risky surgical treatments include subcutaneous fat injection, division of the suspensory ligament, and the injection of dermal fillers, silicone gel, or PMMA. The American Urological Association (AUA) and the Urology Care Foundation "consider subcutaneous fat injection for increasing penile girth to be a procedure which has not been shown to be safe or efficacious. The AUA also considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious." Dermal fillers are also not approved by the US Food and Drug Administration (FDA) for use in the penis.
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Platelet-rich plasma (PRP) has been used clinically in humans since the 1970s, and the healing properties of PRP have been attributed to the secretory proteins and autologous growth factors that may enhance the healing process at a cellular level. It’s also been found to enhance the differentiation, recruitment, and proliferation of cells that are involved in tissue regeneration . Through the years, researchers have found many different uses for PRP, studying it in the skin healing process  and as a symptom- and disease-modifying treatment for osteoarthritis .
The challenge was how to properly extract the tissue and also how to resolve three related problems. For a number of years some plastic surgeons performed “fat grafts” as a technique for penile enhancement. However, such approaches were known to eventually deteriorate into a clumpy, unhealthy form. Additionally, the body tended to reabsorb the bulk of that implanted tissue causing a loss of increased size. Finally, the technique offered no opportunity to increase penile length – a common patient request with augmentation.
All this might be leading to more than simple image anxiety; some have pointed to a new mental-health issue they term penile dysmorphic disorder. “It is a minority of men – and we don’t know how many – but it certainly exists and it’s as damaging as any other body dysmorphia,” says Professor David Veale, of King’s College London, an authority on health anxieties. “These men might seek out surgery, and for a few months they will be happy with the results. But then the same anxieties reappear. So, they seek out further surgery. It becomes a circle. But you cannot keep making your penis bigger. This requires therapy.”
As previously noted, gaining weight can result in the penis appearing shorter because the base becomes buried in fat. Liposuction may be used to reduce the pubic fat pad to make the penis appear larger . Studies show that suprapubic liposuction is very safe and successful with minor or no complications when it is performed meticulously, and long with improving associated esthetic concerns, it may help improve self-esteem as well .
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.
O’Connor says he had no concerns beforehand (“My main worry was having the anaesthetic – I’m scared of needles”) and no regrets afterwards. The pain was manageable and there were no complications. He views the procedure as akin to working out. “I’m not obsessed by my body – I have too many other things going on in my life,” O’Connor says. “But I’m proud of it and I like that it’s in good shape – every part of it.”
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.
good question, easy answer: While they are similar, there are some important differences in detail. A device applies a hard to adjust and permanent force over prolonged time, often many hours. Instant and fine adjustments are possible. Exercises apply a force you can control with your hands, you get direct feedback from you body/penis and you are only doing them for a few minutes with a few repetitions. If you want to open a door, you can use a crowbar or a key, both open the door, while one destroys the lock, the other one doesn’t do any harm. Yes, a slightly odd comparison, but you get the idea.
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.