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Amr Raheem is an andrology specialist (meaning his focus is on medicine relating to men) at University College London Hospitals, as well as a surgeon at International Andrology, a private clinic in the capital. Over the past 15 years, he has carried out more than 250 enlargements. “There is no typical patient,” Raheem says. “All professions, all ethnicities, married, single, gay, straight, rich, poor. It’s across the board. And all ages. I’ve worked on men in their 60s – I don’t know if they go out and use it afterwards. Early 20s, I won’t do. These are still boys. They must get to know it before they change it.”
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.
Instead of furtively turning to untested methods, men with persistent concerns should consider opening up about them with their doctors. That's because performance problems sometimes act as an early warning signal for serious health problems. Your doctor might be able to prescribe something that can really help, or least provide a valuable dose of perspective about what constitutes "normal" sexual performance.
All consultations with Big Al are done remotely via Skype, which he conducts from his home office in Central Florida (out of earshot of his wife and young kids). His wife is aware of what he does and is totally cool with it, so long as he’s helping people. Which he appears to be doing from the looks of dozens of seemingly legit testimonials on PEGym, a sexual improvement site for men. Dear Ambellina, for example, says he made some “good and easy newbie gains” before hitting a wall, but Big Al kept him motivated to reach his desired length of 7.5 inches. “A huge part of penis enlargement is mental discipline,” Ambellina explains. “A coaching service like Big Al’s is invaluable because you’re much more likely to follow through when a passionate professional is monitoring your progress and pushing you to achieve.”
Penis size can be a sensitive issue for many men. Surgery, pills, traction devices, and injections are all methods that have been used to try to enlarge penis size, but these methods are generally only useful for men who have had penile trauma or a medical disorder affecting the function of the penis. A man's penis has important functions and a complex anatomy, which means that enlargement is tricky—and risky.
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.