This is a survey of the most common methods used to make the penis larger. Most of these involve stretching of the penile tissues daily for a long period by hands or tools.
A fairly common wish by man is to get a larger penis, especially in the erect state, but sometimes also when flaccid. The objective for this can be a penis of less than normal size, causing physiological problems. The common length of an erect penis is from 12.9 to 15.0 cm (5.1 to 5.9 inches), which is shorter that commonly believed. Other times a man thinks he simply will feel more well with a bigger penis, which might be right or wrong. In either case there are many methods used to achieve the wanted result, but none of the methods are well investigated scientifically, so that the judgment of the methods must be based on personal reports from men having tried them.
A group of methods are based on a daily stretching of the penis in a long period. The mechanical forces thus exerted will stimulate the tissue to get thicker and more robust, which is a basic response from tissues in all body part when subjected to daily mechanical forces. By stretching with a right degree of force, microscopic cavities will also form in the tissues. These will be filled with new cells so that the tissue expands. When stretching the penis to expand it, one must balance the forces so that they are effective, but still not make symptomatic injuries.
One traditional penis stretch method is sitting with a weight hanging down from the penis in a cord for up to half an hour each day. Usually one uses an elastic ring or lock around the penis just under the penile head to fasten the cord. One can also find arrangements that pull the penis upward with a cord and some elastic mechanism fasted in a belt around the neck or the waist. Using a too heavy weight or pull, using a too tight ring around the penis, or stretching too long each time by these methods can however cause tissue injury or scars. Also the groin area will be stretched, and this can cause unwanted expansion of the tissue also there.
Also manual manipulations of the penis so that it gets stretched and the blood flow is stimulated has a long tradition. One popular method, called Jelqing or milking, is to massage the penis from the root to the tip with a certain well calculated force. By massaging with one hand and holding back with the other at the groin around the penile root, one avoids an unwanted stretch at the groin tissue. You can easily find manuals with specific instructions for penis massage with the purpose of making the penis larger and more effective. Based on personal reports, one must do these exercises consistently at least 20 minutes each day for several months to get visible enlargement results.
A too narrow foreskin can be treated by sidewise stretching at the foreskin tip some minutes daily during a period. One must use a certain force, but not so great that it injures the foreskin. The method works best when the foreskin tip is elastic and soft without indurations or scar tissue. The foreskin stretch can be a very effectively treatment of narrow foreskin, especially in younger boys and men.
A method to expand the penis in length and girth is the use of a penis pump up to half an hour each day in a period. This device is a vacuum pump connected to a cylinder that one places over the penis and with the opening of the cylinder tight against the groin. One makes a partial vacuum in the cylinder which will make the penis expand so that it is stretched to all sides. These devices are also used to gradually correct problems with penile shape such as twisting and curvatures. There is a danger for tissue injury and bleeding inside the penis if one uses a too high vacuum or uses the pump too long.
Use of penis pumps during 6 months to enlarge the penis in men with a penile length less than 10 CM has been investigated by one scientific study, which concluded that the method was not effective (by Kazem, Hosseini and Alizadeh). In spite of this 30% of the men in the study was satisfied with the results.The use of penis pumps to correct anatomical misconfiguration caused by Peyronie's disease was also investigated in a scientific study, which concluded that the method was effective for this purpose (by the Department of Urology at St Peter's Hospital). This study could also report a lengthening of the penis, even that this was not the objective of the treatment.
Another enhancement option that uses the stretching principle is the application of a so-called Penis Traction device. These are small and light mechanical devices to be mounted on the male organ and worn some hours each day in a period until the man gets satisfied with the result. The device grips under the penile head and it is also based on the groin around the penile root. The device exerts a gentle traction along the penile shaft with a spring mechanism. These devices are constructed so that they can be bent down or up and shielded under the clothes. By this method one can also straighten a penis that is twisted or bent, for example due to Peyronie's disease.
The forces used by this method is better controlled than by the use of weights or pumps, so there is little risk of damage caused by restricted blood circulation when used as recommended, and there is no danger of an unwanted stretching in the groin tissue.
By penis enhancement surgery, the ligament holding the penile base fixed to the groin area is cut, so that a part of the penis usually hidden under the scrotum gets free. This way the visible penis gets longer, but no penile tissue is actually added or expanded. One often also fills crushed fat tissue under the penile skin, which makes the penis thicker. After the surgery the penis appears to be moved to a place further down and it will get less stable. The fat stuffing can get irregular and it will reduce sensibility by shielding out mechanical stimulation.
For some men the problem with their penile size is actually a problem with inefficient erections so that the penis does not get well enough filled. In that case drugs to make the penis fill itself more completely during erections may help for the problem. For that purpose one can find pills, transdermal patches and ointments based on herbal ingredients to stimulate erections, or one can try pharmacological products to normalize the erectile potency.There was for some time a belief that penis pills also could get the penile tissue grow larger. Most, if not all, manufacturers have ceased to claim this as an effect.
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