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The extenders we’re discussing here are not like the devices mentioned above that are used for penis extension. Instead, these tools, usually made from realistic materials, are worn on the penis during sex and make you feel bigger to your partner without changing the size of your penis. They can add a bit of girth and length if they’re the style that are closed at the end (some are shorter than a penis and remain open).
“I have personally recommended this to men and I have received lots of great feedback regarding its long(er) term use. It’s a hydropump, so it works by using water when you’re in the shower or bathtub. To fully understand this, it’s important to know that the penis has three soft chambers, the corpora cavernosa (two large one’s on the top of the penis) and the Carpus Spongiosum (a smaller one on the bottom of the two). When these two fill with blood, you get an erection. What Bathmate or a penis pump can do is expand these chambers, thereby allowing more blood to fill in."
Professor Ralph at UCL believes that some clinics are feeding patients’ unrealistic expectations. “Initially, they don’t see doctors, they see sales people. It’s a hard sell: ‘We can get you an extra inch or two.’ I’ve been practising in the NHS for 30 years: if it was that easy to increase the length of a normal penis, I’d be in the Mediterranean on my cruise liner now.”

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.

There are several surgical treatments, most of which carry a risk of significant complications.[6] Procedures by unlicensed surgeons can lead to serious complications.[7] Risky surgical treatments include subcutaneous fat injection, division of the suspensory ligament, and the injection of dermal fillers, silicone gel, or PMMA.[8][9] 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."[10] Dermal fillers are also not approved by the US Food and Drug Administration (FDA) for use in the penis.[11]
Another surgical technique known as a dermal implant can increase girth and length. This procedure transplants fat cells from other parts of the body to the penis. As the size of the head of the penis cannot be increased, the results can lead to a penis with an unusual shape. And sometimes the distribution of the grafted cells results in clumping and gives far from smooth results. Many urologists will not perform this type of surgery unless there are good therapeutic reasons.
This is not some fanciful idea, or is it theoretical hogwash. Evidence from one study of 367 military personnel, all men, and no one older than 40, found those who felt most satisfied in terms of male genital self-image had lower levels of sexual anxiety and better sexual functioning. And what about the self-doubting ones, those who disliked the appearance of their member? The researchers found the opposite to be true in some (though not all) cases. Dissatisfaction led to anxiety, which led to sexual difficulties — a vicious cycle.
While many men worry their penis is too small, research shows that most men's penises are normal and they needn't be concerned. Professor Kevan Wylie, a sexual medicine consultant, says men with concerns about their penis size should consider talking to a health professional before experimenting with treatments, which are mostly ineffective, expensive and potentially harmful.
Richard, the mechanic from New York, got results faster than Bob, but still wore the device under his clothes for about eight hours a day. Richard's wife has also been supportive. "I see a more confident man in front of me from using this product," she says. She also says the lengthening has enhanced their sex life, though she had no complaints before.
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.
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