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Many doctors question whether the benefits of lengthening surgery outweigh the risks. A 2006 study found that only 35% of men were satisfied with the outcome of surgery, which added only half an inch, on average, to length. Men who are overly preoccupied with penis length tend to have unrealistic expectations of surgery and should seek counseling instead, the authors wrote.

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Two urological researchers, Marco Ordera and Paolo Gontero of the University of Turin in Italy, examined outcomes from both surgical and nonsurgical procedures for “male enhancement” in previous studies. Half of the studies involved surgical procedures performed on 121 men; the other half involved nonsurgical enhancement techniques used by 109 men.
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Performed on the halfway tumescent penis, jelqing is a manual manipulation of simultaneous squeezing and stroking the shaft from base to corona. Also called "milking",[19] the technique has ancient Arab origins.[20] Despite many anecdotal reports of success, medical evidence is absent.[21] Journalists have dismissed the method as biologically implausible,[22] or even impossible, albeit unlikely to seriously damage the penis.[23] Still, if done excessively or harshly, jelqing could conceivably cause ruptures, scarring, disfigurement, and desensitization.[21][22]

FDA has identified an emerging trend where over-the-counter products, frequently represented as dietary supplements, contain hidden active ingredients that could be harmful. Consumers may unknowingly take products laced with varying quantities of approved prescription drug ingredients, controlled substances, and untested and unstudied pharmaceutically active ingredients. These deceptive products can harm you! Hidden ingredients are increasingly becoming a problem in products promoted for sexual enhancement.
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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.


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You can also get the best of both worlds by using them together, but I would advise exercising good judgement while doing so, especially when just starting out. Make sure to use both for the minimal amount of time according to the directions and work your way up from there. This will ensure the safety of your most valued appendage and prevent the possibility of injury from over-doing it.
Richard, the mechanic from New York, got results faster than Bob, but still wore the device under his clothes for about eight hours a day. Richard's wife has also been supportive. "I see a more confident man in front of me from using this product," she says. She also says the lengthening has enhanced their sex life, though she had no complaints before.
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