A penis enlargement procedure may be indicated for a man who has experienced penile trauma or has a medical disorder that affects the function of the penis. In cases where penis size affects fertility or quality of life, penis enlargement may be considered under the direction of a urologist. These include surgical procedures known as penile augmentation (a.k.a. augmentation phalloplasty).
During exercises, the spongy tissues are stretched or expanded to increase their maximum blood capacity. A higher volume of blood leads to the formation of micro-tears in the surrounding smooth muscles. The body will repair these tears and encourage the growth of new cells. It’s the same principle that explains how bodybuilders gain new muscles when working out in the gym.
The average flaccid penis is between 3.5 and 5 inches long and 3.5 inches around, while the average erect penis is a little more than 5 inches in length and 4.5 inches in girth. Some men feel inadequate, even though their penis size is perfectly normal. Nearly 70% of men say they’re not happy with their size, and about half wish they could be larger. 
Doing exercises and staying on track can sometimes be tedious and requires motivation. If you tend to procrastinate things, it can be helpful to have someone coaching you, someone who knows how penis enlargement works, someone who already helped thousands of guys to get a bigger penis, more stamina and and overall better sex. The most famous male enhancement coach in my experience, who was even featured on CNN, MSNBC and sites like Men’s Health, is AJ Alfaro, also called “Big Al”. He is one of the few real male enhancement experts worldwide who offers 1 on 1 coaching, helping you to get exactly the penis you want, no matter if your problem is length, girth or a curvature. This personal coaching called “MeCoach” costs a little more than a normal at home training program without additional support, but is inexpensive anyway, starting at about $25 a month depending on the package you choose (1 month, 3 month or 3 month with additional weekly calls by phone and direct access to your coach via Skype). So, if you are insecure if you can exercise correctly with a guide or you need additional information, some extra motivation and documentation of your progress, this program is what you are looking for and what I recommend. Of course, absolute discretion is guaranteed.
This doesn’t mean penis surgery isn’t a viable solution for various medical indications like e.g. a penile prosthesis in case of complete impotence (erectile dysfunction), circumcision in case of serious foreskin constriction (phimosis) but for enlagement only, there are less risky ways with good rewards as well. Responsible plastic surgeons only offer surgical penis enlargement for patients suffering from a very small penis or micro penis. In addition, there are only very few surgeons who have the skills and knowledge to safely perform this very special type of medical intervention. In my opinion, it should be the last resort if other conventional methods are not a promising option or failed.
Lengthening the penis. The most common procedure is to cut the ligament that connects the penis to the pelvic bone. This allows a little more of the shaft -- on average less than an inch -- to become visible outside the body. It's not really lengthening the penis so much as revealing more of what's usually hidden. To prevent the ligament from reattaching, a guy would need weights or stretching devices daily for about six months.
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