Vitamin E: Antioxidants such as vitamin E prevent ?brosis. Early studies on the use of vitamin E in Peyronie’s disease reported a decrease in penile curvature in 78% of patients and a decrease in plaque size in 91%. Though the recent evidence does not support a strong role for vitamin E, the low toxicity and cheaper cost of the supplement encourages its use either alone or in combination with the other treatment options for Peyronie’s disease.

Potassium para-aminobenzoate (POTABA): POTABA has long been suggested both by mainstream medical and alternative treatment experts as an effective therapy for the plaque, curvature, and pain produced by chronic Peyronie’s disease. In a study done on 32 adult men who were treated for at least 3 months with POTABA on a daily basis, significant symptom resolution was seen. For example, improvement in penile discomfort / pain was seen in 8 of 18 patients, and decreased plaque size was found in 18 of 32 patients. Similarly, a significant improvement in penis angle (curvature) was seen in 18 patients while 8 patients reported complete correction of the curvature. However, even PTABA is not free of side effects and its efficacy still needs to be established in a vast majority of patients.

Traction-based extenders: Out of all these alternative options, penis stretchers (or extenders) have emerged as the most promising treatment option because of their high success rate, long-lasting impact and safety. The most unique fact about the successful use of penis extenders in the treatment of Peyronie’s disease is that, unlike other natural or alternative methods of treatments, their use has been documented, established and recommended by several clinical trials and studies. In one of such study presented in the 2nd European Congress of Andrology (September 2002), the efficacy of mechanical penile stretching (PS) to reduce penile deformity during erection was tested. The study was done in Italy on ten patients affected by Peyronie’s disease, apparently unchanged at least for the latest 3 months and with penile curvature during erection (PEC). Measurements were performed before and after daily home penile stretching application (at least four hours / day) for 3 to 6 months. As a result, penile curvature during erection was significantly and successfully decreased after 3 months. Also, the treatment was well tolerated (no severe complication and no patient drop outs occurred). The results suggested a promising use of penile stretchers in selected Peyronie’s patients affected by penile curvature without erectile dysfunction.

So, while surgery is still an option, it is often associated with a high risk of complications, more costs and other problems and hence the last resort.

Understanding the causes of erection

In the case of your penis, there are actually two tasks that it handles:

• Releasing urine from the bladder, known as urination
• Releasing sperm and seminal fluid from the prostate gland, known as ejaculation

When things are working properly, ejaculation is a three-step process:

1- Arousal: The man becomes sexually aroused

2- Erection: The penis responds by becoming erect

3- Ejaculation: Physical stimulation of the penis causes ejaculation

If, by any chance, step two (erection) does not happen, the step three (ejaculation) becomes difficult or impossible and the condition is called “male impotence”. It means, even if the man is stimulated, the penis does not become erect. To understand why, you need to understand the mechanism of an erection.

When you want to move nearly any part of your body, you do it using muscles. Whether you are moving your fingers, toes, arms or legs, muscles do the work. Even when you stick your tongue out, you do it using muscles:

• You think about moving some part of your body
• The appropriate muscles contract
• That part of the body moves

Muscles let you move your body voluntarily and with precise control. The penis, on the other hand, is completely different. There are no muscular contractions involved in making the penis erect. To become erect, the penis instead uses pressure. Probably the easiest way to understand how the penis becomes erect is to think of a balloon. If a balloon has no air in it, it’s limp. As you inflate a limp balloon with just a little air, it becomes elongated and rigid.

Role of corpora cavernosa in causing erection

The penis uses a similar mechanism, but instead of using pressurized air to become rigid, the penis uses pressurized blood. The penis contains two cigar-shaped structures, called corpora cavernosa (singular: corpus cavernosum), that it uses to become erect.

You can think of the corpora cavernosa as balloon-like tubes. Arteries bring blood into these two tubes, and veins carry blood away from them. The penis can be either limp or erect, depending on the flow of blood:

In a non-erect state, the arteries that bring blood into the corpora cavernosa are somewhat constricted, while the veins that drain the blood from the penis are open. There is no way for pressure to build inside the penis.

In this state, the penis is limp.

When a man becomes aroused, the arteries leading into the penis open up so that pressurized blood can enter the penis quickly. The veins leaving the penis constrict. Pressurized blood is trapped in the corpora cavernosa, and this blood causes the penis to elongate and stiffen. The penis is erect.

If the arteries leading to the penis do not open up properly, it is difficult or impossible for a man’s penis to become erect. This problem is the leading cause of erectile dysfunction (ED).

To solve an erection problem when the cause is poor blood flow, you need to open the arteries

Understanding blood flow through the penis

To understand the vital role of blood in causing the erection of your penis, you must think about the way blood flows in your body. Your body has just one pump, the heart. But different parts of the body need different amounts of blood at different times.

For example:

• If you eat a big meal, your body needs to send more blood to the stomach and intestines to help with digestion.
• If you are running in a marathon, your body needs to send more blood to your arm and leg muscles, and it may want to cut most of the blood flowing to the stomach (and other nonessential organs) in order to save oxygen for the legs

What your body needs, in other words, is a set of valves that it can use to increase and decrease blood flow to certain parts of the body. And your brain needs a way to control those valves so it can turn them on and off when necessary.

Role of the brain in causing an erection

The penis is one of the places in the body where the brain needs to be able to turn the blood flow on and off with a valve.  When a man is sexually stimulated by sight, thought, or touch, the brain sends signals that relax the smooth muscles around the arteries that supply blood to the corpora cavernosa. The veins draining the bodies cannot keep up, resulting in swelling.  As the swelling reaches the limit of the penile skin, the penis becomes firm.  The pressure of the spongy corpora cavernosa against the skin partially closes the veins, helping to maintain the erection.  Erection continues until the signals from the brain stop, but erections are not consistent; waxing and waning are normal, even during intercourse.  

Changes in Erections

Almost all men experience occasional changes in their erections. Erection changes also occur over a lifetime. Not getting an erection does not equal “sexual dysfunction”.

There are many reasons for not getting an erection such as fatigue, stress, not being in the mood for sexual activity, alcohol and/or drug use, partner issues, insufficient sexual stimulation, and so on. Lack of erections from time to time does not mean that sexual activity must stop.

Finally, for many men, the misunderstanding and myths associated with erectile dysfunction are often the very reason why they will not seek treatment for the same. If you are also experiencing erection problems, it is important to address the issue in the first place and discuss the problem with your doctor. Erection problems often add to the normal pressures of a relationship and may bring increased feelings of despondency, lack of confidence and lowered self-esteem.

How Peyronie’s disease develops?

The scar tissue, or Peyronie’s Plaque, forms in the wall of the tissue that surrounds the corpus cavernosum. That is, a plaque forms in the “canvas” (tunica albuginea) that wraps the erectile tissues. This plaque is a ?at plate of scar tissue that actually develops on the top or bottom side of the penis inside a thick membrane called the

Signs & symptoms of Peyronie’s disease

The severity, progression and resolution of various signs and symptoms of Peyronie’s disease are variable and vary from person to person. Symptoms may develop slowly or appear overnight.

In a follow-up study of 97 men, 40% reported a worsening of their signs and symptoms over time. However, in 47%, the disease had stabilized after resolution of the inflammatory process, and, in 13%, symptoms had even disappeared spontaneously.

As mentioned above, in Peyronie’s disease, a plaque or hard lump forms in the tissue of the penis. However, it is not 100% confirmed that what actually causes the disease. Some experts believe that it could be some hidden trauma or injury but it is not always confirmed. The plaque makes the penis less flexible, causing pain and making the penis bend when it is erect. For the same reason, many men with Peyronie’s disease have sexual problems because they cannot get or maintain a normal erection. Patients also usually have increasingly painful erection and deviation of the penis. Similarly, in many other cases, these plaques can also cause pain with erection and curvature of the penis.

In many men, the pain decreases over time, but the bend in the penis may remain a problem, making sexual intercourse difficult. The sexual problems that result can disrupt a couple’s physical and emotional relationship and can lower a man’s self-esteem.

Does Peyronie’s disease cause erectile dysfunction?

Unfortunately, yes, as Peyronie’s disease will not only cause abnormal shape / curvature of your penis but will also prevent blood flow beyond the plaque resulting in erectile dysfunction. Correcting the plaque will improve potency.

Can the signs & symptoms resolve on their own?

If you don’t get any treatment at all, spontaneous improvement is very rare. After one year, about 2/3rd of the men do not get any worse and remain stable. However, on the other hand, 1/3rd of men may have worsening of the signs & symptoms, eventually leading to potential complications.

Based on the above discussion and clinical features, it can be concluded that Peyronie’s disease is, in fact, a serious issue that can lead to severe deformity, abnormal shape, erectile dysfunction and many other sexual health problems in men. It is, therefore, crucial to address the problem as early as possible. As surgery and medical drug treatment options for Peyronie’s disease are not free from side effects and risks, you can always choose another option.

Impotence is defined as a consistent inability to achieve or sustain an erection that will allow for fulfilling sexual intercourse. The erection may be too weak, too brief, or too painful.

Anatomical Description
To better understand impotence, it’s helpful to have a picture of the anatomy of the penis and male sexual response. Two chambers filled with spongy tissue, called the corpora cavernosa, run the length of the penis. A membrane called the tunica albuginea surrounds them both. The urethra, which emits urine and semen from the body, runs beneath the corpora cavernosa.

An erection can result from either thinking or dreaming of sex, or direct stimulation of the genitals, although most of the time both sources of stimulation come into play. In a man without impotence, such stimulation prompts brain impulses that tell the muscles of the corpora cavernosa to relax. Blood then begins to fill the spongy tissue, causing the penis to expand. The tunica albuginea then contracts trapping the blood inside the penis and sustaining erection. In healthy sexual response, the process usually doesn’t reverse until just after ejaculation, when the corpora cavernosa muscles contract, stopping the inflow of blood, and the tunica albuginea create resistance, allowing the blood to flow back into the body.
Attaining and maintaining an erection is a complex series of events, involving nerve impulses in the brain, genitals, and spinal column and requiring response from the muscles, veins, arteries, and fibrous tissues in or near the corpora cavernosa. A disruption of any one of these events can cause impotence.

How Common Is Impotence?
About one in 10 men report having impotence, but more have it and do not report it. Teenage boys and younger adults report impotence, but it is most common in men over age 45. Between 20%-35% of 60-year-old men may have impotence. Even though it becomes more common with age, aging itself does not cause impotence; instead, underlying problems, such as arteriosclerotic vascular disease, which often occur in older men, can cause impotence.

Causes of Impotence

Impotence has many causes; some psychological and some physical.

Let us look at these in some detail:

Physical factors causing impotence can be as varied as:

• Diabetes
• Alcoholism
• Drug abuse
• Decreased penile circulation
• Neurologic processes, such as spinal cord injuries and diseases
• Atherosclerosis
• Structural abnormalities
• Medications such as antihypertensives, sedatives, antihistamines, and antipsychotics
• Penile diseases such as Peyronie’s disease
  

Psychological or emotional causes include:

• Depression
• Stress
• Anxiety
• Low self-esteem
• Fear of sexual incompetence
• Poor relationship with sexual partner

Treatment of Impotence
Untreated, impotence may only worsen. Inability to achieve an erection can cause performance anxiety, which, in itself, can cause impotence leading to a vicious cycle. If you seek treatment, you have a very good chance of enhancing your ability to have and sustain an erection that will allow you to have satisfying sexual intercourse.

Men’s Clinic is dealing with two types of treatment, surgical treatment and non-surgical treatment.

Surgical Treatment
The vast majority of physical causes are treatable. The new approaches presented by some of the world’s best surgeons, which you will find at Men’s Clinic provide success rates of up to 95% in men who have received surgical treatment, where you are able to achieve satisfactory sexual function. (Normal success rate is approximately 30 to 40%).

Surgery consists of three separate procedures:

Implants
The doctor inserts penile prostheses or penile implants in each of the two corpora cavernosa. These implants may be rigid, malleable, hinged, or inflatable. The inflatable types are associated with more mechanical failures and complications than the others.

Arterial reconstruction
If the arteries that carry blood into the penis are blocked or damaged (usually from injury), your doctor might surgically reconstruct the arteries.

Venous surgery
Your doctor may surgically block penile veins that impair erection by allowing blood to flow back into the body prematurely.

Groundbreaking Non-surgical Treatment

A NEW non-surgical treatment has just been launched at Men’s Clinic. A computerized training system provides you with an erection within 10 minutes. PowerMannn ® was developed in close co-operation between Danish medical specialists and computer experts.
Three years of intensive product development and more than 270 clinical tests made it possible to lay down the data for an optimal training program for impotence. The program has been condensed on a microchip and the schedule indisputably yields excellent results with a success rate of 100% for achieving an erection.
A special computer program pumps up the penis prior to intercourse. The system benefits men who either suffer from potency problems or who wish to improve their male prowess. The program can be used once a day before intercourse or other sexual activity. Once you achieve an erection, you place a binding (ring) device around the base of your penis, helping to sustain the erection by preventing blood from flowing back into your body.

Medical/Drug Treatment
Treatment for impotence follows a course that rules out many potential causes for the condition. Most treatment moves from the least invasive (reducing doses on drugs causing impotence) to the most invasive (surgery). Depending on the cause of the dysfunction and on your lifestyle, your doctor may suggest more than one type of treatment.
Some men like tablets like, which you take orally; others you inject into your penis, insert into the end of your penis, or rub on your penis. Depending on the type of therapy and medication prescribed, you should consult a doctor to assess the best treatment and your response to it.
One of the most famous drug right now is Viagra. It is an oral drug that relaxes smooth muscles in the penis during sexual stimulation, allowing increased blood flow to the penis and making an erection possible. Viagra is relatively new, so researchers have not carried out long-term tests on its effects and some clinical evaluations shows a less affective and convincing success rate.

Drug list: (Not all drugs are available in every market)

• “Bromocriptine” for hyperprolactinemia
• “Papaverine” and “phentolamine” injections
• “Nitroglyserin” this muscle relaxant can induce erection when rubbed on the penis
• “Yohimbine” (Yocon)
• “Viagra” oral drug (sildenafil)
• “Alprostadil” an injection into the penis
• “Testosterone cypionate” for abnormally decreased gonad activity (hypogonadism)

In particular DL and squat exercises , designed to increase your testosterone and HGH levels, are rumored to produce temporary gains amongst trainers.

But is there any truth to this myth?

To answer, lets see why this myth persists…

To start with, there are numerous treatments on the market which claim to increase your penis size by boosting your natural testosterone and HGH levels.

The idea is that by boosting your HGH particularly, you encourage cell replenishment and growth, meaning that your penis too could experience additional gains. but, you can only take such theories with a pinch of salt. After all, the larger you get physically, the smaller your penis will look in comparison.

So how can I improve my penis size?

Whilst exercising and training won’t do you any harm (in fact, training can improve your stamina levels), we wouldn’t advise sticking to this method alone, especially as your hormone levels are not that simple to control.

To experience real, lasting gains, the simplest way to improve your penis size is to use a penis extender.  These work by applying traction to the corpora cavernosa in your penis (the tubes responsible for holding blood when your penis is erect), causing cells to break away from the walls and duplicate. As these cells increase in mass, they enable your penis to hold more blood, achieve harder erections, reduce premature ejaculation and penile curvatures, but more importantly they can add inches to your penis.

In one recent study of 18 men, it was found that after wearing the device for 4-8 hours a day over 6 months, the participants experienced average gains of 2.8cm when erect and 1.9cm when flaccid. These results remained months after the completion of the study.

With the right penis extender you can experience similar results.

To do that, just make sure before you buy, that they provide you with the following:

• Backed by Clinical studies – not a generic studies, but a clinical study that has been specifically done on their device helps increase trust.
• Guarantee – the longer the money back guarantee the more confident they are that their device works. Simply make sure it is longer than 6 months because most penis extenders need at least 6 months in order to show maximum results.
• Quality of materials – top penis extenders are made from Medical Type 1 materials and use Comfort Way Technology and MDA Technology to ensure 100% comfort and freedom from chaffing no matter the shape, size, angle or sensitivity of your penis.

So pick the right penis extender and you can experience real visible gains and not some myth. Simply remember to do your research and pick the right device for you. You can also check a few reviews we have on our site.
Our SizeGenetics Review and Jes Extender Review should help you pick a good penis extender suiting your budget.

While, wanting a bigger penis might be a goal for most men, it does not mean that they want to undergo a painful surgery or invest in a penis enlargement device. Some would prefer a few simple tips to enhance the look and size of their penis.

That wish comes true today, read on below to find a few simple tips to do just that!

We have four simple but proven techniques that can instantly help you to increase the size of your penis without any real effort or cost:

Trim your hair –  no, not the hair on top of your head. We’re talking about your pubic hair. Now in case you never realized, this hair alone is hiding at least 2cm of your penis, so by simply trimming this hair you can immediately add an inch to your penis. Plus you get to increase your personal hygiene.

Learn how to control your flaccid penis –  be honest, when do you feel most self conscious about your penis? When you’re flaccid. right! this is when you are at your smallest (especially on a cold day), and when you least want your partner to see it.

But what if you could actually control the size of your flaccid penis? Well you can. Barring temperature, there are 2 other ways you can control your flaccid penis size – your mental arousal and the need to urinate. Both of these can help to enlarge your penis, without the need to be fully erect. So practice using them to increase your size and take note of the difference they make.

Weight management – okay this tip is not so immediate, but it is an important one as your body shape can influence how big your penis appears. For example a guy with a 5 inch penis who is short and slim will look bigger than a tall guy of the same size who is overweight.
While you are stuck with your height and cannot do much about it, there is always something you can do about your weight. By losing weight and toning up you can ensure that none of your penis is hidden by your stomach, instantly creating the illusion of gained inches.

Learn your angles – one of the biggest problems we have as men is that we judge our own size by looking down at ourselves, and as you can imagine this can make you look smaller than you are, as you are looking at yourself from the wrong angle.
Yet angles don’t always have to have a negative effect on the size of your penis. In fact learn how to use your angles correctly and you can make your penis look bigger to onlookers.
Try it now. Stand in front of your mirror with your penis erect and look at yourself at different angles. You’ll soon notice that you look better from the side and particularly at a 45 degree angle.

What else?

While each of the above techniques does help create the illusion of a bigger penis, they do not provide permanent solutions. So, if you’re looking for a more permanent method, then there are other things that you can try.

Take penis extenders for example…

These use a technique similar to that used in orthopedic surgery, they apply traction to the corpora cavernosa in your penis, causing cells to break away and replicate. As these cells accumulate in mass, they enable your penis to hold more blood, attain harder ejections, reduce premature ejaculation and curvatures, and more importantly add inches to your penis.

And if you use a quality device it is completely painless!

An example of a quality penis extenders, SizeGenetics uses Medical Type 1 materials, as well as 16 Way Comfort Technology so no matter the shape, size, angle or sensitivity of your penis, you can comfortably wear the device all day look without experiencing discomfort or chaffing.

you could also try,

Penis exercises and pumps to improve the size of your penis.

So if you are genuinely interested in improving the size of your penis, then why not give one of these techniques a try? In a matter of weeks, you can be closer to your dreams of a bigger penis.

Lets try find that out.

What are the recommended guidelines for choosing a penis extender?
Sex experts and specialists agree there are some basic rules of thumb when it comes to choosing a traction-based penis extender such as:

• Are they scientifically backed and tested?
• Do they produce quality and fast results?
• Are they safe to use?

Therefore before you even consider buying any penis extender, you must look at the following aspects that will even help you make your choice that much easier easier.

Observe how easy it is to use
A penis extender should have sufficient comfort mechanism that allows you to wear the device with ease and comfort throughout the day. Remember, like any other traction-based device, you need to wear the extender for a long time  for maximum result in the shortest time. Therefore, it is crucial that any device you try does interfere with your daily routine and lifestyle.

Test for credibility
We live in an era of evidence-based medicine, there fore you must only consider evidences, pure facts and real testimonials, not claims. Accordingly, go for a penis extender that has been clinically backed by a number of trials and studies and has been recommended by full-fledged health experts and doctors.  A good penis extender, should be clinically proven not only to enlarge your member but also improve overall sexual performance and pleasure. One of the best ways to check credibility is to see whether the product has been recommended by full-fledged medical practitioners and certified health care providers.

Determine how it works
Remember, your primary preference should be an extender that works “naturally”. A natural penis extender should work both ways i.e. its traction should be powerful enough to stretch the penile tissues naturally and induce “cell multiplication and division” leading to the natural growth of the penis. Secondly, it should be capable of drawing enough blood to the tissues of your penis and maintain the erection for long time. In other words, it should work as a “dual-edged” weapon in your fight against small penis size and short, weak erections.

Go for quality
Penis extenders should be tested for potency and potential hazards (if any) and backed up with the best research and science available. Also, good manufacturing facilities are key elements in ensuring the best quality. So, look for trusted brands that have been around for some time. There are some trusted brands (like SizeGenetics) that have shown remarkable results of penis enlargement of up to 3 inches in length and 1.5 inches in girth (thickness). You should, therefore, not compromise for less.

Check for safety
Many times you hear “natural” and automatically think it is safe. However, make sure to do your research when planning to use any kind of natural penis extender. Read the authentic testimonials, and see if the product has been approved by some major international and credible health authority. Ideally, it must have a high safety profile i.e. should show no side effects even after long term use and it should not cause any penis, skin marks or discomfort even if worn throughout the day. Similarly, user compliance and tolerance is another important issue you should consider while choosing the best suitable penis extender.

Go for additional health benefits
A penis extender that not only enlarges your penis considerably but also offers additional health benefits should definitely be on top of your list. Some of these additional benefits could include treatment of Peyronie’s disease, correction of abnormal penis curvatures and management of male impotence or erectile dysfunction.

To conclude, choose a penis extender that has been proven to have no side effects from long term use and is a viable, 100% effective device to help you achieve a larger, thicker penis and also to produce stronger and longer erections.

Natural and normal intact penises with foreskin usually have wrinkles. Even circumcised penises have some wrinkles, because the penis expands when erect. If you were to get circumcised, there would be no wrinkles while erect, but there would possibly be some when flaccid. There could also be very tight skin, which doesn’t move at all for sex, and painful erections.

What are penis wrinkles?
In normal scenario, a penis wrinkle is a wrinkle in the skin of the shaft of the flaccid penis. It is often said that the more wrinkles, the larger the erect penis will appear when compared to its flaccid state.

What causes penis wrinkles?
Penis wrinkles are also known as the “foreskin wrinkles” and are generally present at birth. Their presence depends on the nature of skin and muscle contraction of your penis. Some male health experts also call these wrinkles as the “temporary wrinkles” as they are only present when your penis is not erect (as in a flaccid state) and disappear as soon as you become semi erect or fully erect.

Importance of penis wrinkles
Penis wrinkles are nothing but the soft, loose creases of penile foreskin in flaccid state. These small skin flaps are present naturally to provide the penile skin more flexibility and elasticity at the time of erection. If there were no wrinkles on your penis  in flaccid state, your skin could not stretched further during erection and it could cause severe discomfort, pain and even inability to perform sexual intercourse.

All in all, it’s completely normal to have wrinkles on your penis in the flaccid state. However, if you notice their presence even when you are fully erect and hard, you should think about visiting your doctor as it could be a sign of some serious underlying problem.

Why penis extenders are relatively safer than other methods & devices?
The fact that penis extenders or stretchers are considered relatively safer than other methods & devices is because of the following reasons:

No side effects even after prolong use:
Specific penis extenders such as those offered by SizeGenetics are backed by authentic testimonials, and have been approved by some major international and credible authorities on health. Such extenders do have a high safety profile that is, to date, they have shown no side effects even after long term use. Also, most users have reported that these penis extenders do not cause any penis skin marks or discomfort even if you wear them throughout the day.

No complications:
The use of modern penis extenders (for example SizeGenetics) is also considered virtually risk-free and also free of any complications such as bleeding, pain, discomfort, allergy, scarring or wound-formation.

Compliance and convenience:
Modern penis extenders (such as SizeGenetics) have actually minimized the risk and pain associated with older extenders. The base is ergonomically designed to contour to the pelvic shape of a man’s anatomy. This means that as tension is applied and pressure on the base increases, you will not notice any discomfort. Also, unlike the conventional noose extenders, the strap-based penis extenders of SizeGenetics can be used or worn on both types of penises (circumcised and uncircumcised) and are usually considered more comfortable and safe.

To conclude, if used properly, penis extenders or stretchers that come from a credible, trust-worthy brands are virtually free of any major side effects and to date, and no serious safety issues have been reported.

Therefore, the rapidly increasing use of external penis-stretching or extending devices has significantly and successfully improved the overall health (including curvature, length and girth) of the penis in men suffering from small penis size, without any major or serious side effects.

If you look through history, you will find that several tribes have used weights and other mechanical instruments to stretch various body parts, be it the lips, ears and even the penis. Many cultures and tribal societies have pursued penis enlargement  in one form or another over the centuries.

Noted anthropologist Margaret Mead has reported that Polynesian males stretched their penises using a woven sleeve made of plant fiber similar to a Chinese finger trap. The penis was inserted into one end and a rock or other heavy object was hung from the other end. Archeological surveys have also revealed cave drawings that date all the way back to 440 BC. Many of these cave drawings show men (usually kings) with large penises.

Let us look at some detail how the various cultures and tribes have tackled the issue of stretching body part and penis enlargement.

Arabia
In ancient Arabian culture, like in many other cultures, a large penis and sexual potency has always been the symbol of male virility and masculinity among ancient Arabs. Ancient Arab tales often explicitly describe various sexual encounters and the resulting male sexual dominance because of their genitalia size and power. The very famous and well known penis enlargement technique of “Jelqing” is thought to have originated from the Arab culture. In the late 70′s Dr. Brian Richards, carried some detailed studies on the effectiveness of the Arabic Jelq and his research was published also by the British Journal of Sexual Medicine and showed extremely positive results for 87% of the test group. However, the overall penis growth was not very significant and also took a lot of time. Many sexperts today, therefore, advocate the “combined” use of penis stretching exercises along with the penis extender to get the maximum results in the shortest possible time.

Africa
The practice of penis enlargement through extension / traction has been widely used in Africa  by tribal members who also use lip and ear stretching as a sign of beauty in their culture. This practice is still quite prevalent after the passage of so many centuries. In certain tribes of Africa, women have used this practice often. One can still see pictures of African women whose necks have been stretched, enlarged and elongated and they wear the gold rings around their necks. This practice and tradition starts when the girls are just 6 years old and the process takes a long time. Most women stop the process by the time they reach 20 years old.
Similarly, the women from the Mursi Tribe residing in the Omo Valley in Southern Ethiopia wear certain traditional lip disks. The disks are worn as a reminder of a woman’s status.  If the disk is large enough, it shows sexual maturity and social status. Sometimes, this lip disk is also worn to increase the size of the lower lip as a symbol of feminine beauty. Gradually, over the period of time, some of the Mursi Tribe women can even pull their lips up to their heads.

South America
Similarly in South America, the Suya Tribesmen from the Amazon have used extension as a tradition based on spiritual and cultural reasons. The men of the tribe used to pierce their ears and lips when they were young and as they got older the stretching continued and lips and ears were actually extended over 300 percent more.

Rome
About ancient Rome and Greece, there are several ancient references to ‘preparation of the member by placing a heavy burden’ and by way of a ‘heated massage’. Even the younger boys were taught how to complete certain penis exercises that helped them to add length and girth.

Egypt
The history of penis stretching in Egypt dates back to the pre-Egyptian dynasty days when ancient manuscripts detailing the crude experimentation on slaves and their penis were written. It has been shown that the pharaohs of ancient Egypt practiced the “weight hanging” method of penis enlargement. However, many scientists now believe that weight hanging is not a safe and fully effective method of enlargement . It has been shown that while even though the length of the penis may increase over a long period of time; its thickness is actually decreased. Depending upon the hanging device, blood circulation also decreases, which can, in turn, cause necrosis (death) of the tissue.

India (South East Asia)
The Indian Sadhus achieved tremendous results by hanging stones onto penises with lianas or grass. Heavy stones extended the penis tissues with equal force during all the period while they were fixed on it.
In short, as we can see various techniques to stretch body parts including the penis has been present in most cultures of the old world.
As for different types of penis extenders technology, the concept of a persistent traction device like an extender might not go back that far, but manual stretching and jelqing surely do.