Some surgical methods have the most evidence of effectiveness, whereas others have fairly frequent complications, sometimes severe, including scarring that lead, ultimately, to penis shrinkage or erectile dysfunction.[1][2] Noninvasive methods have received little scientific study, and most lack scientific evidence of effectiveness, although scientific evidence supports some elongation by prolonged traction.[3] Some quack products may improve penis erection, mistaken by consumers for penis enlargement.


The penis surgery has made improvements during these past years. Nonetheless, even though we can obtain positive results, it still presents many risks of side effects (such as the penile retraction or erectile dysfunction) which do not always make this option the perfect alternative when penis extenders and surgery are compared. The surgery usually consists of cutting the suspensory ligament and posterior enlargement of penis. Even though this way to increase penis size is faster, this method does not always offer permanent results, due to later retraction of penis.
If there is one unifying factor, it is a lack of confidence about what nature has provided. The average length of a British penis is, according to a 2016 King’s College London study, 5.16in erect and 3.67in flaccid. Only 0.14% of men have what one University of California study defined as a “micropenis” – that is, less than 2.5 inches when erect. Nonetheless, study after study shows dissatisfaction remains widespread among men.

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In July 2017, the 55-year-old decorator, from London, became one of a growing number of British men to have a surgical penis enlargement. Talk of enhancement was once the preserve of promotional spam mail for bizarre-looking pills and pumps; now, it is serious clinical business. British clinics, which have taken consultancy rooms in Harley Street and in UK cities including Manchester, Sheffield, Birmingham and Leeds, report record numbers of patients calling on their services. One practice, the London Centre for Aesthetic Surgery, has gone from performing a handful of penis procedures annually when it opened in 1990 to more than 250 in 2017. Between 2013 and 2017, members of the International Society of Aesthetic Plastic Surgery carried out 45,604 penis enhancements worldwide. Previous numbers are unknown; the procedure was considered such a minority concern that it wasn’t included in surveys. This increase in demand seemingly caters to a growing anxiety about penis size, but it is by no means a risk-free procedure. For Alistair, dreams of a larger penis were overtaken by infections, lumps and an erection that no longer rises above a 45-degree angle. And he is not alone. In recent years, the General Medical Council has recorded stories of “wonky penises” and erectile dysfunction following surgery. In Stockholm, last summer, a 30-year-old man died after suffering a cardiac arrest following an operation to enlarge his penis.
Cock Rings. These rubber donut-shaped devices tightly encircle the erect penis. Typically used to help maintain erection, they also provide a small--temporary--size boost. Flaccid or erect, blood circulates in and out of the penis. One of the veins that carries blood out runs close to the organ's skin (on top). A ring restricts outflow somewhat by compressing this vein. Don't expect miracles. Any effect is modest and temporary.
The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: Size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one.
The size of a man’s penis has been discussed out of proportion. Most porn movies feature porn stars with insanely large penises, which leads many to feel unduly worried  about their size. And then there is a myth that a bigger penis satisfies women more, which is NOT exactly true. But there is little doubt that having a bigger phallus is every man’s biggest desire.
• Exercise regularly. Exercise improves arterial health, allowing more blood into the penis. But exercising the penis itself is pointless. The sex media sometimes refer to the penis as the "love muscle," implying that like the biceps, certain exercises can buff it up. But there are different kinds of muscle tissue. The penis contains smooth muscle, not the kind that gets bigger with exercise.
Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says. Testosterone deficiencies can also affect mood and energy levels. Boyle tests for testosterone levels and prescribes it as a topical gel, though she warns it is only safe when prescribed and monitored by a physician. Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.
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