Screw Penis Extender - Unboxing & Impressions

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A penis extender is an external medical device with tentative evidence for Peyronie's disease as of 2019.[1] It acts as a mechanical traction device that stretches the penis in the flaccid state to make it longer.

Penis extenders usually have a plastic ring that sits at the base of a flaccid penis, and another ring before the glans, with a traction device that runs along the sides of the organ. The wearer adjusts springs, which pull the penile shaft with the intention of literally stretching the flaccid penis to become longer.

There is tentative evidence for use in Peyronie's disease.[1] Studies, as of 2019, however have been small in size, many had difficulty carrying out the treatment during the study period, and people were not blinded to the treatment that they were receiving.

Adverse events are not extensively reported in the literature. They are usually mild and self-limiting; however, it may partly account for lack of patient compliance with penile traction therapy (PTT). The most commonly reported symptoms with PTT include pain, erythema, ecchymoses and pruritus. There has also been a case report of pubic bone edema associated with vigorous usage. In general, all of these adverse events are self-limited and resolve with discontinuation of the therapy.[1]

Aggressive uses of penis extenders can cause damage to skin, blood vessels or even result in a fractured penis.

Penis enlargement, or male enhancement, is any technique aimed to increase the size of a human penis. Some methods aim to increase total length, others the shaft's girth, and yet others the glans size. Techniques include surgery, supplements, ointments, patches, and physical methods like pumping, jelqing, and traction.

Surgical penis enlargement methods can be effective; however, such methods carry risks of complications and are not medically indicated except in cases involving a micropenis. Noninvasive methods have received little scientific study, and most lack scientific evidence of effectiveness. However, limited scientific evidence supports some elongation by prolonged traction.[1] Some quack products may improve penis erection, mistaken by consumers for penis enlargement.

There are several surgical penis enlargement treatments, most of which carry a risk of significant complications.[2] Procedures by unlicensed surgeons can lead to serious complications.[3]

Surgical penis enlargement methods include penile augmentation and suspensory ligament release. Penile augmentation involves injecting fat cells into the penis or grafting fat cells onto the penis. Injecting fat cells into the penis can cause swelling and deformity; in some instances, removal of the penis may be necessary. Grafting fat cells onto the penis can be effective; however, the increase in size may disappear over time. Suspensory ligament release increases flaccid penis length, but does not increase the length of an erect penis[4] and can create problems with sexual function.[5]

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."[6] Both statements were first published in January 1994 and re-affirmed ever since.[6] Complications from penis enlargement procedures include scarring that may lead, ultimately, to penis shrinkage or erectile dysfunction.[7][8]

Other surgical treatments include the injection of dermal fillers, silicone gel, or PMMA.[9][10] Dermal fillers are also not approved by the US Food and Drug Administration (FDA) for use in the penis.[11]

Because of great risk and uncertainty, medical professionals are generally skeptical of penile enlargement and avoid attempting it.[8][12] A 2019 study in Sexual Medicine Reviews found that surgical methods of penis enlargement are typically ineffective and can be damaging to both physical and mental health.[13] The authors found that such treatments are "'supported by scant, low-quality evidence... Injectables and surgery should remain a last option, considered unethical outside of clinical trials'".[14] According to the study, "'overall treatment outcomes were poor, with low satisfaction rates and significant risk of major complications, including penile deformity, shortening, and erectile dysfunction'".[13]

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