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As you rise to the occasion, your penis contains spongy erectile tissue that fills with blood, thus determining the size of your erection. Unfortunately, the tissue isn’t easily changed, according to Walsh. "These fibrous cylinders are fixed to the pelvic bone, and by virtue of being fixed to the pelvic bone, they are not easily manipulated,” he says. “They are fixed in place, and for most men, the length of the penis that they achieve through puberty becomes their maximum length.”
Penile girth surgery can involve a range of controversial techniques, such as injecting fat taken from other parts of the body. Whilst some studies claim an increase in girth of between 1.4 and 4cm, patients frequently report scarring, disfigurement, lumpiness, even infection. The body usually reabsorbs the injected fat, so the penis soon returns to its original size.
I found that passionate professionalism a bit unnerving to be honest, but then again, I’ve never had weekly strategy sessions about my dick with a stranger. Like, how do you respond to a statement like this before lunch: “Be very careful not to grip the glans during your exercises, Brian. If you need to use some talcum powder to enhance your grip, that would be fine. Remember to update your log.”
Women who prefer deep vaginal stimulation want larger than average penises . Deep vaginal stimulation is the path to the desirable vaginal orgasm which differs from the clitoral orgasm she can get by herself any time she wants. One study showed that a “considerable percentage” of the women participants felt size of an erection was important  for her sexual satisfaction.
“I’ve seen a lot of shifts over the years,” Big Al says after explaining a reverse kegel called the DLD Blaster. “When I first started, most guys were just looking for raw size — length and girth.” As time has passed, though, he’s given much more attention to things like erection quality, sexual confidence and addiction to porn. In fact, these days, four out of five of Big Al’s clients are self-diagnosed porn addicts.
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.