A numbing cream, followed by an injected numbing agent, prevents pain. “Depending on the patient’s goals, a filler is chosen and then injected into the corpus cavernosum of the penis [two columns that contain most of the blood during an erection]. The filler is then worked through the penis, to achieve a uniform increase in length and girth,” says Cedar Grove, New Jersey, physician Dr. Muhammad Mirza in a RealSelf Q&A.
“The penis extends for two to three inches inside the body in the pubococcygeus (PC) muscle, which can be strengthened in order to achieve stronger erections and orgasms. It also helps a great deal with obtaining better ejaculatory control,” says Hall. “The PC muscle, which surrounds the prostate gland, is like a valve around the genitals. Orgasm builds from the prostate, so learning to develop these muscles is highly beneficial. Doing PC muscle exercises helps to strengthen the muscle, and men can even add weight to help build it up,” says Hall.

• Exercise counts. Exercise improves arterial health, allowing more blood into the penis. But exercising the penis itself is pointless. The sex media sometimes refer to the penis as the “love muscle,” implying that like the biceps, certain exercises can buff it up. But there are different kinds of muscle tissue. The penis contains smooth muscle, not the kind that gets bigger with exercise. Lose the big belly, because a big belly encroaches on the base of the penis, making the organ look smaller. Lose abdominal fat, and your penis looks larger.

The side effects of lengthening surgeries are numerous and include infections, nerve damage, reduced sensitivity, and difficulty getting an erection. Perhaps most disturbing, scarring can leave you with a penis that's shorter than what you started with. Widening the penis is even more controversial. Side effects can be unsightly -- a lumpy, bumpy, uneven penis.
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