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We have been to several medical conferences this year at which leading experts have spoken about penis size and penis enlargement.
Their opinions on the various methods that are so widely advertised to the public can be summed up as follows.
Several European experts say that the relatively new stretcher or extender devices may sometimes be of value in giving a man a little extra length.
One surgical procedure that has become popular since 2005 is slicing through the ligament that supports the penis.
This makes the penis dangle more, so it looks longer when not erect. But it will make no difference to the size of your erection - and it won't come up as high as it used to before the op.
Another type of surgery involves injecting your own fat into your penis to make it more bulky. This may not work, and it can lead to complications.
We recommend that you do not agree to undergo any surgery unless you have seen an NHS consultant urologist who feels that you really need it.
Penis stretchers (extenders)
These 'stretchers' are small rectangular frames that you wear on your penis for hours at a time, every day. They pull your organ out to its maximum length, and the idea is that it will gradually remain longer.
The devices are said to be undetectable under trousers.
There have been several reports from Italy and Spain by surgeons who claim a modest degree of improvement in length from this kind of traction.
We don't think these devices are some sort of miracle discovery, but one surgeon reported that a group of men achieved an average increase in length of 1.8cm after using the device daily for four months. This is less than three-quarters of an inch, but for some men this would be significant.
Stretchers cost between £150 and £200.
What treatments are there to reduce penis size?
Again, we advise you not to have this operation unless an NHS consultant urologist has said it is necessary.
Some urologists are beginning to use a special extending frame to try to stretch the penis.
Occasionally, a man with a big penis feels that he wants it reduced in size. This can be done, but there is quite a risk that the operation might go wrong.
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