I ask for his pre-op dimensions. He doesn’t want his exact measurements reported, but they are surprising: while flaccid, he was smaller than most men; erect, his penis grew significantly. Modecai, it seems, experienced two decades of stress despite the fact that, fully extended, he was bigger than the UK average. This apparent contradiction does not surprise Angela Gregory, a psychosexual therapist based at Nottingham University Hospitals NHS Trust. “Penis enlargements can be about a lot of things,” she says. “But the amount of anxiety a man experiences rarely, in my experience, correlates with his actual size.”
• Forget surgery. The full monty, lengthening and girth enhancement, is expensive (around $15,000) and problematic. Lengthening surgery cuts the ligament that makes an erection stand up. This adds an inch, but erections no longer salute. They just hang between your legs and must be manually directed into erotic openings. Girth enhancement takes fat from the buttocks and injects it under the penis skin. Sounds good, but quite often, the result is a lumpy, deformed-looking penis.
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CONTEXT Penis size is a great concern for men in many cultures. Despite the great variety of methods for penile augmentation, none has gained unanimous acceptance among experts in the field. However, in this era of minimally invasive procedure, injection therapy for penile augmentation has become more popular. Here we report a case of methacrylate injection in the penis that evolved with penile deformity and sexual dysfunction. This work also reviews the investigation and management of this pathological condition. CASE REPORT A 36-year-old male sought medical care with a complaint of penile deformity and sexual dysfunction after methacrylate injection. The treatment administered was surgical removal. Satisfactory cosmetic and functional results were reached after two months. CONCLUSIONS There is a need for better structured scientific research to evaluate the outcomes and complication rates from all penile augmentation procedures.
The resistance to refunds reached comic extremes. The dry description of Sixth Circuit Appeals Court Judge Danny Boggs illustrated the lengths to which Berkeley would go to avoid returning cash: "At one point, Enzyte customers seeking a refund were told they needed to obtain a notarized document indicating that they had experienced 'no size increase.' The admittedly ingenious idea behind the policy was that nobody 'would actually go and have anything notarized that said that they had a small penis.'

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.”
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Even those penile extenders and stretchers that claim to work over time would actually just be stretching your flaccid length, and that has absolutely no correlation to how big you get when hard, says Fisch. So don’t waste your money on a product or service that swears it can give you five more inches. “There’s no actual scientific study that they rely on."
4 - Use a moisturizer on the penis before the exercises and it is preferred not to use soap and shampoo as these materials will lead to redness and irritation of the penis skin . If it stays for a long period of time, in addition to dry skin, and the occurrence of cracks, it is preferred to use the Intensive Care Vaseline instead of the ordinary Vaseline as it can stay on the skin for long period of time without irritating or damaging the skin of the penis.

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