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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.
Using penile extenders involves hanging a weight off the penis for hours at a time, which doesn't increase size. To the contrary, this can cause tissue damage and there have been reports of it causing Peyronie's disease (curving of the penis). Rather than resulting in enlargement, using penile extenders could cause injury and have a negative effect on your ability to get an erection.
Most of these products that are available over the counter feature herbal and natural ingredients. They are considered safe for use , but you should contact your physician if you are taking medications, are under 18, or have any chronic conditions. Even some natural ingredients can interfere with prescription medications . A small minority of people, including males, can also have reactions to products such as enhancements, even though they are natural. As with any other supplement or food you consume, use your due diligence to make sure there are no ingredients you are allergic to in the products you choose to take.
However, it’s possible to get pills that can effectively help aid your erection and increase your libido. There has been lots of medical research into the causes and treatment of erectile dysfunction and sexual dysfunction in men. The medical treatments available to you if you are trying to improve your sex life or stamina in bed are, on the whole, effective and can be given by your GP.
There are several surgical treatments, most of which carry a risk of significant complications. Procedures by unlicensed surgeons can lead to serious complications. Risky surgical treatments include subcutaneous fat injection, division of the suspensory ligament, and the injection of dermal fillers, silicone gel, or PMMA. The American Urological Association (AUA) and the Urology Care Foundation "consider subcutaneous fat injection for increasing penile girth to be a procedure which has not been shown to be safe or efficacious. The AUA also considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious." Dermal fillers are also not approved by the US Food and Drug Administration (FDA) for use in the penis.
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.