Not all operations leave happy customers – infections and scarring are both potential side-effects (“This is the same as an operation of any kind,” Viel says). Some men report a decline in angle after the suspensory ligament is cut, but according to David Ralph, a professor of urology at UCL, “By and large, patients don’t complain about that. The operation doesn’t change the erect length at all – this is only for men who have anxiety about how they look in the changing rooms. The average increase in size is 1.3cm, less than the diameter of a 1p coin. In my clinics, I show patients one of these and ask if they still think it is worth it. Less than 5% decide to, and of those who do, the satisfaction rate is just 20%.”
Enzyte was once such a staple of late-night TV advertising in the United States that its unspeaking spokesman Smilin' Bob became not only the "envy of his neighborhood" but a cultural icon. The reason for Bob's unsettling grin wasn't spelled out directly in the ad, but the admiring housewives of his neighborhood clearly sensed that something extraordinary had taken place inside Bob's pants.
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Whatever the intellectual oddities of this position, seizing e-mail from Internet servers quickly became a practical boon for investigators. "Even just five years ago, if the government wanted to get access to potentially incriminating evidence from the home computers of ten different suspects, investigators had to convince a judge that they had probable cause in order to obtain a search warrant for each person," wrote security researcher Chris Soghoian in a 2009 paper. "The investigating agency would then send agents to raid the homes of the individuals, remove the computers, and later perform labor-intensive forensic analysis in order to get the files."
For men with performance issues who are physically healthy, Boyle often prescribes counseling, such as marriage counseling for men with relationship issues or psychiatric help for men who are preoccupied with a problem in penile appearance. For young men with sexual performance problems and no signs of physical problems, Boyle may prescribe counseling and a low dose of Viagra as they work out issues of insecurity. "They need reassurance from a physician that everything is OK," she says.
Alternatively, your surgeon may recommend surgery. For the lengthening procedure, a small incision is made in the pubic area. To widen the penis, small amounts of processed fatty tissue from your body are injected through tiny incision sites around the circumference of the penis. If the allograft technique is selected, the AlloDerm sheets will be inserted through the same incision as for the lengthening procedure.
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.