The Quick Extender Pro can quickly extend your penis at the expense of comfort. Because of that experience, we went on to assess the device itself. It moves a lot, and it can make your penis sore if worn for extended periods of time. What’s impressive about this traction device is the sheer number of buyers… over half a million units sold worldwide!This is key to achieving patient satisfaction and reducing the risk of post-treatment dissatisfaction.Treatment consisted of 2 polylact-glycolacetic acid stents implanted with fibroblasts from laboratory-prepared scrotal tissue specimens from 21 people with an average age of 28.0 years.According to some studies, the Penimaster PRO can extend by an average of 1 centimeter per month.Eight (72.7%) articles concerning injection therapies showed a significant increase in penile girth (p pIn addition, in the context of gay culture, penile size may influence sexual attractiveness, particularly among men who have sex with men.By making the traction much stronger, it enabled the penis extender to work wonders, even though it is a fairly old design.The growing market for male genital esthetics has brought new surgical procedures, devices, and implants.At 24 weeks, the average increase in penile girth was 2.1 ± 1.0 cm in the HA group and 1.6 ± 0.9 cm in the PLA group. In 2018, Elist et al. reported both satisfaction and adverse events in 400 patients who participated in a postoperative questionnaire. Given the seemingly high rates of complications with ADM grafting, grafting does not appear to be viable despite the successful enhancement of penile girth. The authors highlighted several advantages of decellularized dermal matrix grafts for penile girth augmentation over autologous dermal fat grafts. In 2014, Shaeer used a spin superficial circumflex iliac artery and vein flap for penile girth augmentation, with a mean increase of 5.6 cm. However, penile prosthesis surgery does not affect the size of the penis but may indirectly help the penis grow larger. In 2021, Khalil et al. investigated a new adjuvant surgical technique for graft-less penile girth restoration and thickening through assisted expansion of the tunica albuginea. This is a potentially useful aid in penis enlargement as technology advances. Similarly, men with inflatable penile prostheses may see a greater increase in length compared with extensible penile prostheses. After prosthetic implantation, 72% of patients reported a decrease in length. General penile prosthesis implantation involves prosthesis insertion into the cavernous body of the penis. The mean follow-up duration was 6 months, with 1, 2, and 4 cases of infection, erosion, and persistent dilatation of the proximal Penuma coronary sulcus, respectively. The penis is then bent, and additional sharp stripping is performed to expose the surface of the suspensory ligament. An incision is made toward the pelvic process and deepened with a sharp peel through the subcutaneous tissue until a shiny white perineum can be seen. Another new type of scrotal incision implantation involves making a 1- to 2-cm longitudinal incision in the upper scrotum on the left or right base of the penis. The distal end of the penile implant can be aligned with the episcleral and glans sulcus connections before alignment. Although no perfect penile injectable material exists, PMMA microspheres appear to be safe, stable, and effective, and patient satisfaction is high. However, significant dissatisfaction was not found during patient follow-ups, and the erectile aspect of sexual function was not affected due to the independence of the PMMA implant from the corpora cavernosum and corpus spongiosum. Most patients (52%) reported nodularity, ridges, irregularities, indentations, or voids in the tissue fillers. Polymethyl methacrylate microspheres are suspended in a vehicle such as bovine collagen or fibrin and are one of the safest non-absorbable soft tissue fillers. Representative figures of polylactic acid filler injection for penile augmentation. The study also reported 5 cases of mild, transient acute encephalitis, but no severe acute cerebrovascular accidents. The authors attributed the decline in satisfaction to an erectile stiffness disorder because the postoperative cavernous body was covered with a softer HA. Available injectable soft tissue fillers include hyaluronic acid (HA), poly l-lactic acid (PLA), polymethyl methacrylate (PMMA), calcium hydroxyapatite, and synthetic polymers such as silicone. Human acellular dermal matrix (HADM) is an extracellular matrix and 3-dimensional framework structure of the human dermis used in the treatment of various urologic diseases.At the 6-month follow-up, significant increases in flaccid, extended, and erect penis lengths were observed, with mean increases of 1.7, 1.3, and 1.2 cm, respectively.If you're set on buying a Jes Extender, go ahead and save up for the Platinum Edition version of the device.This enlargement exceeded that of most previously published surgical procedures.In 2012, Kang et al. reported 52 patients who underwent phalloplasty, including autologous fat injection.One case of penile hematoma and one case of glans numbness were reported, both of which resolved without medical intervention.The penis is then bent, and additional sharp stripping is performed to expose the surface of the suspensory ligament.Among these patients who received HA treatments, 4.3% experienced complications such as subcutaneous bleeding, subcutaneous nodules, and infection throughout the 6-month follow-up period. Surgical approach Therefore, this review evaluated the mental health status of men who complained of a small penis and examined the state of nonsurgical and surgical treatments for male patients seeking penile enlargement, along with a risk assessment for each. For most penis extenders, the best way of using it is to wear it for one hour every day first, then gradually increase the time wearing it up to 12 hours a day. The second benefit is that penis extenders can increase the overall state of mental health of a particular individual. Penile implant surgery does not reduce penile size compared with presurgical stretching measures, instead preserving or increasing penile size for most patients. Wrong use could result in permanent damage to your penis, so please follow the instructions carefully. & Djinovic, R. Penile girth enhancement procedures for aesthetic purposes. An institutional review board-approved study listed by clinicaltrials.gov and presented at the International Society of Sexual Medicine. It is mostly treated as an orthopedic device, and thus it can be said that this is a highly durable device as well. Simply put, it is a quality device that brings performance to the table whenever necessary. It can be the size, the way they look, and even their performance. This approach should involve experts from different fields such as psychology, urology, and sexual medicine. Any treatment method for SPA must encompass significant psychological components, because the treatment of SPA is not merely physiological, but a complex interplay of psychological and physical factors. Developments in skin flap procedures, the introduction of products such as Penuma, and breakthroughs in tissue engineering have redefined the landscape. Recognizing these challenges, the recent technological advancements and innovations in surgical techniques are promising. Therefore, addressing these issues is crucial for any treatment protocol. The pleasure from anal sex involves the stimulation of nerve endings and the stimulation of prostate gland, and is related to penis size. In summary, the penis is crucial in sexual function through stimulation and pleasure during heterosexual interactions. They argue that this emphasis is rooted in the eroticization of the body within various gay cultures, along with the ‘dual presence’ of the penis in homosexual relationships and encounters. Drummond and Filiault examine the increasing significance of penis size among men who have sex with men. Research by Bogaert and Hershberger corroborated this finding in which a sample of 4000 men, those in the gay community generally had larger penises than their heterosexual counterparts. Several studies have identified an increase in similar augmentation operations performed by medical experts, even though acceptability ratings for such surgeries are rarely recorded in the literature.The penis is often brought into intimate discussions, and it can often be a source of disappointment from both sides if not talked about carefully.Vacuum treatment of the penis is likely an ineffective method for penile lengthening and thickening but provides psychological satisfaction for some men.Therefore, penile prosthesis surgery does not decrease penile size and may indirectly help the penis grow larger.Although HADM is becoming a common modality for penile enlargement, relatively few descriptions of its complications exist.No other extender or traction device has such a comfortable traction system, which is why we ranked it first.Satisfaction with penile appearance and sexual life was significantly higher in the HA groups.An institutional review board-approved study listed by clinicaltrials.gov and presented at the International Society of Sexual Medicine.The subcutaneous surface of the glans is then exposed through penile intussusception, further exposing the coronal sulcus. We can imagine that it would put you in a tight position when choosing the best penis extenders out there. Here are seven of the best penis extenders that are currently out on the market. Our research team tested your options for penis extenders heading into 2024 — find out how they compare in effectiveness, comfort, durability, and more. In addition, the advent and refinement of artificial intelligence, various surgical techniques, and products are anticipated not only to improve male SPA and small penis syndrome but also to enhance treatments related to female sexual function and satisfaction. At the end of the study, the median penile length and girth were 17 and 11 cm, respectively. One of the most common complaints of patients after penile prosthesis implantation is that their erection is perceived as smaller than their natural erectile memory. The most common postoperative complications were seroma (4.8%), scar formation (4.5%), and infection (3.3%), whereas no patients reported any change in sexual function, erection, or ejaculation. At long-term follow-up (mean, 4 years), 72% of the patients still showed improvement, and 81% of the subjects reported “high” or “very high” satisfaction. In the 400 patients, the medial circumference increased from a mean of 8.5 ± 1.2 to 13.4 ± 1.9 cm. How long should I wear an extender each day? We like to call it penis "training" as it is similar to the classic muscle growth principle. All Hydromax pumps comes with a 60-day, no-questions-asked satisfaction guarantee! Finally, choose the size range that best fits your measurements below. Although most of these patients have less trouble maintaining sexual function, many still undergo surgical treatment. Those who seek surgery and nonsurgical treatments for penile enlargement fall into 1 of 3 categories. First, let’s give you a global overview of our top-ranked penile extenders and traction devices on the market today… The study could help doctors to ensure they provide adequate counselling and treatment, and help patients avoid ineffective and risky procedures. Researchers from King’s College Hospital NHS Foundation Trust and King’s College London have reviewed the use of surgery and other treatments to enlarge penis size. Although most of these patients have less trouble maintaining sexual function, many still undergo surgical treatment.Injectable implants designed to increase penile circumference are becoming more widely utilized (Fig. 4).During the nontreatment period, significant changes in penis length and girth were not observed.Despite a standardized surgical approach and rigorous postoperative care, the complications of combined prostaglandin E and ADM were severe, suggesting that it is not an ideal or safe method.Like other penis extenders, it can help correct impotence and premature ejaculation, and the curvature of a man's penis.In studies regarding female orgasms, 62% thought vaginal intercourse was the best trigger for orgasm. An increasing number of men are self-conscious about the size of their penis given the constant media promotion of the penis' relationship with masculinity and manhood and the widespread cultural opinion that bigger penises are better. Over the past 2 decades, the “The bigger the penis, the better” mentality has been reinforced by an explosion of media content focused on expanding the size and thickness of the male penis. As we said earlier in this article, your penis size is most likely normal. No significant differences were observed in the circumference of the proximal penis. One case of penile hematoma and one case of glans numbness were reported, both of which resolved without medical intervention. Notably, most of the literature on penile enhancement comes from China, Korea, and Mexico. Overall, prospective studies with long-term follow-up and reproducible results are lacking in this field. Very good results were achieved by test subjects in a study who wore PHALLOSAN forte for up to eight hours a day for six months. The simple application exerts light pressure on the tissue of the penis. As a certified sex therapist, his comprehensive guidance empowers individuals to make informed decisions regarding penis enlargement and achieve optimal well-being. It had a hell of a lot of traction power, we'll give it that, but what made it uncomfortable were the two rings near the head of the penis. The answer is some people are just more used to more traditional means of penis extension devices. These extensively utilized methods for penile enlargement demonstrate effectiveness and yield high patient satisfaction. The International Index of Erectile Function scores indicated that device satisfaction was generally favorable, with only 4 patients discontinuing use due to mild and reversible adverse outcomes. Two different studies have shown significant changes in mean penile length but not penile girth. Vacuum treatment of the penis is likely an ineffective method for penile lengthening and thickening but provides psychological satisfaction for some men. The average penile girth measured before and after treatment was 9.5 and 12.1 cm, respectively. Baoquan Han Even males with average-sized penises wished to have larger penises, with studies revealing that males are often dissatisfied with their penile look, which is correlated with the frequency they overestimate their penis size. Summary of clinically relevant studies on different penile girth augmentation methods. In addition, it highlights the underlying motivations for penile enlargement and to provide an overview of the various medical, tractional, injectable, prosthetic, and reconstructive modalities commonly utilized in urology and plastic surgery (Table 1). This gives it an image of comfort as opposed to any other traditional rod-style extending device. Also, if we're going to look at the base of the extender, it is of ergonomic design. Penimaster PRO reliably treats Hypogonadism and can alleviate penis shortening that happens when the prostate gland is removed. According to some studies, the Penimaster PRO can extend by an average of 1 centimeter per month. Other outcomes accompanying this physical change were significant improvements in self-confidence and self-esteem, as well as high levels of long-term patient satisfaction with minimal and manageable adverse events (Fig. 6). The growing market for male genital esthetics has brought new surgical procedures, devices, and implants. However, 47, 12, 10, 8, 7, 4, and 3 patients experienced erectile discomfort, delayed healing, insignificant enhancement, wound hematoma, foreskin edema, wound infection, and dorsal skin necrosis, respectively. Although HADM is becoming a common modality for penile enlargement, relatively few descriptions of its complications exist. Penis extenders are devices that men use to extend their penis. With these advancements, penis enlargement surgery might become safer and more effective, benefiting from new technologies such as gene editing, stem cell therapy, nanotechnology, 3D printing, and mature biotissue engineering. Ingenuity and device innovation are vital to technological surgical advances that can produce a more sustainable improved quality of life for patients. Repeated penile girth enhancement using biodegradable scaffolds employing biopsy of previously formed tissue. Autologous tissue engineering on a biodegradable scaffold is a novel, safe, and effective treatment for penile enlargement. Most (96.4%) patients who underwent cosmetic procedures for SPA reported worsened or unchanged SPA symptoms. According to scientists, autologous sarcolemma cell implantation on biodegradable scaffolds is a novel and promising therapeutic strategy for a realistic increase in penile circumference. By creating new functional tissues from somatic cells, the circumference of the penis can be enlarged. This enlargement exceeded that of most previously published surgical procedures. This is yet another basic silicone band traction device that does the job! What’s impressive about this traction device is the sheer number of buyers… over half a million units sold worldwide! ProExtender is one of the oldest and most popular extenders in the world. Your penis size is probably perfectly normal, but for those that are truly dealing with below-average numbers down there, there is hope! A low rate (11.2–14.4%) of mild, temporary adverse events and poor-to-moderate patient satisfaction were found. A total of 29 studies were included (3 reporting non-invasive approaches, 11 injection therapies, and 15 surgical procedures). The penis is often brought into intimate discussions, and it can often be a source of disappointment from both sides if not talked about carefully. This is because most men just often shrug off the quips that other people make about the length of their penis. Often, people love having a partner that has a long penis. #1 – Phallosan Forte (Best Overall) Are you comfortable wearing a penis extender that's made out of plastic? When choosing the best penis extender for you, you should consider the comfort that comes with it. For a reference on what a penis extender is, click this link. This is key to achieving patient satisfaction and reducing the risk of post-treatment dissatisfaction. In the future, more precise and efficient surgical and nonsurgical therapies may be developed, thereby expanding the range of options for patients with SPA. PeniMaster® PRO增重器 The subjects were also trained how to increase the force of the device during determined intervals. Straighten the penis permanently and pain-free in just 6 months Up to 4.9 cm more length and 2.5 cm more girth without surgery ProExtender is one of the oldest and most popular extenders in the world.Pick the strongest-looking penis extender that is currently available.Simply put, it is a quality device that brings performance to the table whenever necessary.We can imagine that it would put you in a tight position when choosing the best penis extenders out there.The most common postoperative complications were seroma (4.8%), scar formation (4.5%), and infection (3.3%), whereas no patients reported any change in sexual function, erection, or ejaculation.Yes, you can position your penis the way you want it in any fashion you want. Veale et al. conducted a systematic review pooling data from 20 studies measuring penile length and girth during flaccidity and erection, and subsequently derived nomograms for men of all ages and races (Fig. 1). Penis enlargement medications, elongation devices, surgical procedures, and other methods are widely accessible, but many lack the necessary oversight and are thus illegal. Men are more concerned with their penis size and girth, and they seek methods to enhance their erections. Various medical, tractional, injectable, and surgical modalities have been investigated for penile augmentation. Based on the noted results and complications, the scrotal dartos flap approach seems to be a viable treatment for penile girth enlargement. A 2021 study by Lei et al. used a novel autologous scrotal flap (scrotal flap method) reversal to increase penile girth by rotating the scrotal flap to a loose plane between the superficial penile fascia and Buck's fascia. Therefore, the superficial circumflex iliac artery and vein flap is a reliable option for penile girth lengthening, and flap enlargement helps preserve the intrinsic blood supply, thereby improving viability and tissue thickness. Over a 6-month period, the second study followed 54 patients who received traction therapy 6 hours a day for 4 months. This study demonstrated the efficacy of the penile stretching device in increasing penile length, but significant evidence of greater penile girth was not noted. As with any other penis extender made in Europe, it meets certain ISO standards and is designed with an ergonomic design. Basically, it became a retrofit of the older model, but it lacks the vacuum chamber of much newer penis extender models. Jes Extender establishes that you can get up to 28% longer penis with this device in only a mere span of four months! This puts it as the oldest penis extender on this list and one of the more established ones up to date. More than 20 years of experience in the field of men's health Another new type of scrotal incision implantation involves making a 1- to 2-cm longitudinal incision in the upper scrotum on the left or right base of the penis.A total of 29 studies were included (3 reporting non-invasive approaches, 11 injection therapies, and 15 surgical procedures).The datasets generated during and/or analyzed during the current study are publicly available.It also found no consensus regarding when surgery should be undertaken, if ever.Some men reported a size increase; however, complications were frequent, and none of the techniques were externally validated.Regarding expectations and patient satisfaction, the former must be managed realistically.Although most of these men had normal-sized penises, they tended to worry excessively and overestimate the average penises of other men. Penis extenders can offer a lot of advantages and benefits for the user that wields them. Penis extenders are primarily the best and easiest solution for making your male reproductive shaft longer. Believe me; some women just want to judge a man's penis size according to how long it was when it was flaccid. This refined approach is essential for advancing the field and ensuring effective and patient-centric care of patients with SPA. In summary, SPA treatment must adopt a holistic strategy that prioritizes psychophysical assessment, patient selection, and counseling. This approach is performed through a short dorsal incision at the base of the penis such that the scar is hidden in a pubic hair–covered fold; therefore, the incision is virtually invisible. Human acellular dermal matrix (HADM) is an extracellular matrix and 3-dimensional framework structure of the human dermis used in the treatment of various urologic diseases. This procedure injects excess fat cells from any part of the body into the area to be filled, and the fat cells regrow and fuse with the tissue at the site. However, the effect was different for the circumference of the penile head (9.3 ± 0.86 vs. 8.8 ± 0.66 cm). This concludes that HA is a safe and effective method for penile body enlargement.In the future, more precise and efficient surgical and nonsurgical therapies may be developed, thereby expanding the range of options for patients with SPA.Our research team tested your options for penis extenders heading into 2024 — find out how they compare in effectiveness, comfort, durability, and more.With advances in technology, tissue engineering may be helpful in penile enlargement (Fig. 7).A large penis has long been celebrated as an indication of masculinity, power, prestige, fertility, and stamina.More comfortable to wear than any other silicone-band traction model.We’ll delve into the clinical studies supporting the use of such traction devices later in this article. Of course, most men would decline that their penis is on the small side. The datasets generated during and/or analyzed during the current study are publicly available. Recognizing the limitations of the current evidence and employing a multidisciplinary approach is crucial for better assessment of patient eligibility and meeting patient expectations. Given the mixed results of cosmetic procedures for SPA, clear communication about the potential effects, risks, and psychological impacts of these treatments is vital. Collaboration is crucial to comprehensively understand a patient's condition and effectively manage their expectations. Over a 6-month period, the second study followed 54 patients who received traction therapy 6 hours a day for 4 months.The review, which investigated penile enhancement methods in men without penile abnormalities, found a low level of evidence in favour of penile extenders.The authors highlighted several advantages of decellularized dermal matrix grafts for penile girth augmentation over autologous dermal fat grafts.In all the cohorts, patients with below-average penises were extremely rare, and most patients had normal penises.1,2 The second group of male patients seeks surgery because their penis is physiologically too small.Our result also suggested the possibility of glans penis girth enhancement using penile extender.If you’re looking for a simple extender to test the waters with, Size Genetics may just be your best bet! In total, 17 studies on penile enhancements were reviewed, assessing a total of 21 enlargement interventions in 1,192 men, with 773 followed up after non-surgical or surgical treatment. Other penis extenders on this list just couldn't contend with the amount of customization and application options that the Penimaster Pro can bring. This makes it one of the more effective penis extenders in the market. Its discreet nature made it one of the top-selling penis extenders in the market. Psychological distress, diminished quality of life, and impaired sexual function are crucial components of comprehensive SPA assessment. Given the increasing emphasis on physical appearance, “small penis anxiety” (SPA) must be recognized and treated appropriately. This therapeutic advantage is due to the steady remodeling of neovascularization, fibroblast-like proliferation, and collagen accumulation, which are characteristics of highly vascularized normal connective tissue in the adult sarcolemma. Disclaimer; do not rub things that are obviously wrong to rub on your penis (such as sandpaper, but who would do that?). Consider all these options, and try to test it out first if the material present on your desired extender does not irritate you at all. It is considered a safe and effective way of making a penis longer than it should be. For those that can afford it, it’s definitely the most well-designed penis extender by far. The Phallosan Forte is the Rolls Royce of penile extenders, and the price tag supports that statement as you may have noticed. We’ll delve into the clinical studies supporting the use of such traction devices later in this article. P-Long® is a safe and effective option for most men considering penile enlargement with the exception of men who have previously undergone penile augmentation surgery. King’s Health Partners Mind & Body is committed to joining up mental and physical healthcare, training and research to improve health outcomes for our patients and service users. If you don’t mind the traditional suction and want a basic extender to get started with, ProExtender may be your best option. Keep in mind that this is a no-frills very basic extender, but it seems like it does the job. Read our Phallosan Forte review to learn more about this extender. This penis stretcher is also the most comfortable to wear due to its unique suction system. This makes Penimaster PRO the only extender here, which almost has no flaw whatsoever. Furthermore, Penimaster PRO features a great, easy-to-wear extender that you can easily detach when you need to urinate. However, the difference that Penimaster PRO (Official Site 🔒) has over Phallosan Forte is that this device has different application functions. If you want to avail yourself of a Male Edge, we highly suggest that you go for the Male Edge Pro package since it offers many accessories that come with the device. The only probable downside is that this device is less durable than it used to be. Perovic et al. performed the surgery on 204 men with a mean age of 26.77 years. Considering the preservation structure that prevents degradation and fragmentation of the transferred tissue, they are superior to the granular fat used in injections. The aforementioned novel combined technologies show that adjunctive solutions for penile enhancement and the restoration of penile volume exist. The adjuvant incision enlarged the penile circumference by 50% (from 8.0 to 12.0 cm). Moreover, the application of fat, polylactic acid, HA, and dermal transplantation during the preparatory stages of penile enlargement surgery laid the foundation for emerging materials and technologies. These advancements, which are characterized by fewer complications, more effective results, shorter operation time, and higher patient satisfaction, are pivotal for the development of treatment options. With advances in technology, tissue engineering may be helpful in penile enlargement (Fig. 7). Amongst all the traditional-traction extenders we reviewed, this one takes the crown! This is still a very high-quality penis traction device that has a similar suction system to the Phallosan Forte and is very well-designed. The Penimaster is another German masterpiece in the world of penile traction devices. No other extender or traction device has such a comfortable traction system, which is why we ranked it first. Beginning in 2007, Casavantes et al. administered PMMA injections to enhance penile girth in 752 men and conducted follow-up reports over 7 years. Furthermore, for the first time, they demonstrated significant improvement in psychological distress among patients with micro penile syndrome. The authors noted that both HA and PLA fillers had significantly enhanced effects in patients with micro penile syndrome 24 weeks after HA and PLA injections, and encephalitis was a severe side effect without serious adverse effects. In conclusion, this newly developed PLA filler caused significant penile enlargement for up to 18 months and was well tolerated without serious adverse effects. Among these patients who received HA treatments, 4.3% experienced complications such as subcutaneous bleeding, subcutaneous nodules, and infection throughout the 6-month follow-up period. Penimaster Pro Review: Treatment consisted of 2 polylact-glycolacetic acid stents implanted with fibroblasts from laboratory-prepared scrotal tissue specimens from 21 people with an average age of 28.0 years. With conservative therapy, postoperative sequelae included infections, penile skin compression necrosis, and seromas in 3, 2, and 5 cases, respectively. Biopsies of the scrotal cutaneous tissue were used to obtain fibroblasts, which were cultured until the total cell count reached at least 2 × 10. In 2018, Habous et al. explored whether penis size measured preoperatively and penile erections after penile implant surgery were linked in 133 patients undergoing penile implant surgery. The 2 types of studies both suggest that Penuma results in a rapid, durable increase in penile girth and generally improves the flaccidity of the penis. In 2012, Alei et al. performed a procedure to increase penile girth in 69 patients utilizing porcine dermal decellularized grafts. Penis extenders, also known as penile traction devices, have been medically used to treat all sorts of penile conditions for decades, including both Micropenis Syndrome and Peyronie’s Disease. A large penis has long been celebrated as an indication of masculinity, power, prestige, fertility, and stamina. An increasing number of men with healthy and normal penises want to enlarge their penis. The Danish SizeGenetics Extender and Canadian-made ProExtender are also two great budget-friendly options for those who don’t mind using the traditional silicone band traction system. The Phallosan Forte stands out as ranking #1 across the board, due to its hyper-comfortable vacuum cup traction system. This article covered the topic of penile extension in depth. It is with great care that you must follow the instructions so that you would not use the penis extenders in the wrong way. Of course, most penis extenders in the market are sold online and shipped straight to your home, so you would have no way to know if it's actually comfortable or not. Next up, penis extenders can help strengthen relationships. With that said, penis extenders can boost the self-esteem and confidence of an individual. Comfort is the foremost thing that you need to consider when looking out to buy penis extenders. Several studies have identified an increase in similar augmentation operations performed by medical experts, even though acceptability ratings for such surgeries are rarely recorded in the literature. Numerous studies have shown that men who believe their penis is small are not only unhappy with their physical appearance but also have a lower sense of self, which manifests itself in their relationships. This was true across all age categories but was most pronounced among males who thought their penis was average-sized (46%) or smaller than the average (91%) (18–65 years). Among 23 patients with a mean age of 26.5 years, the mean flaccid penile length increased from 8.8 ± 1.2 cm to 10.1 ± 1.2 cm and 10.5 ± 1.2 cm, respectively, in the first and third months of follow-up. In a 2005 study by Aghamir et al., 27 patients received vacuum erection device treatment. These aspects are unique to penile enlargement surgery for the treatment of female sexual dysfunction. A 2002 study surveying perceptions of penis size among 375 sexually active women found that 32% of women thought penis length was less significant than penis girth. Table 2 shows patients who present for medical treatment due to small penis size. The erection of the penile prosthesis simulates the physiological erection of the penis, thus allowing patients with erectile dysfunction to achieve coitus and treat severe erectile dysfunction. In a 2022 study by Siegal et al., 49 patients who received Penuma implants found that the mean preoperative and postoperative flaccid girths were 9.3 ± 1.2 and 13.1 ± 1.1 cm. The Penuma implant is a medical-grade silicone implant surgically implanted subcutaneously in the penile shaft to improve the girth of the penis. However, one disadvantage of HADM is that penile girth increases significantly in the flaccid state, but less significantly during erection. Injectable implants designed to increase penile circumference are becoming more widely utilized (Fig. 4). Some irregularities in the implants were observed in approximately half of the patients, which did not cause any problems. Patients had an average girth increase of 3.5 cm after 1 to 3 injections. The visual analog scale was used to rate satisfaction, with scores increasing from 51.6 ± 14.7 mm before the procedure to 64.8 ± 19.3 mm, 3 months after the procedure. The best way to do this is to check again the reviews outside of the website of the penis extender that you're inclined to. With that in mind, pick the penis extender with the best materials in them. Pick the strongest-looking penis extender that is currently available. The safest approach to this is to refer to personal reviews and testimonies that are made outside the website of the penis extender that you're checking out. How will you enjoy your penis extender if it isn't comfortable? In summary, the size of the male penis is uniquely beneficial for female reproductive health, orgasm, and sexual dysfunction. The physiological and psychological evaluations must be considered with patients' attitudes toward surgery to analyze the feasibility and effects of surgery and determine whether these can be achieved (Fig. 2). Therefore, when receiving patients with penile thickening, a thorough physiological and psychological evaluation must be performed.