The vacuum pump. This is a cylinder that sucks out air. You stick your penis in and the resulting vacuum draws extra blood into it, making it erect and a little bigger. You then clamp off the penis with a tight ring -- like a tourniquet -- to keep the blood from leaking back into your body. What are the drawbacks? The effect only lasts as long as you have the ring on. Using it for more than 20 to 30 minutes can cause tissue damage. This is sometimes used as a treatment for erectile dysfunction, but has not been proven to actually increase the size of the penis.
Penis-lengthening surgery is also an option for men, but it is a highly controversial procedure. The American Urological Association says a common form of lengthening surgery (involving cutting the suspensory ligament of the penis) has not been shown to be safe or effective. The group also refuses to endorse surgeries that inject fat cells in the penis with the goal of increasing penile girth.
Penis length surgery involves cutting the ligament with which the penis is attached to the pubic bone and grafting added skin to the base to increase length. This will increase the size of the flaccid penis by up to 2cm, but it doesn’t affect the size of the erect penis. The cut ligament may also not provide the support it originally did, which means that you might find your erections less satisfactory as a result. There is also a risk that this type of surgery may cause the side effect of pain during sex.
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One of the questions that gets asked a lot is about finding something that will permanently extend the size of your penis. Nothing, other than painful and not always successful surgery, can permanently extend the size of your penis. The American Urological Association  does not promote penis augmentation surgery as effective or beneficial. Sometimes, these surgeries even leave the penis smaller than before .
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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.