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Penis enlargement or enhancement surgery is one of the more talked about penis enlargement procedures. On the face of it surgery provides a permanent solution to increasing penis size. It can enlarge the penis, usually by over an inch. This is possible because more than one third of the penis is inside the body and attached to the pelvic bone. The surgeon cuts the ligaments holding the penis, which allows the penis to descend. The penis is then stretched by using weights and stretching instruments for permanently enlarging the penis. This type of surgery may lead to scar tissue and an erection pointing down. The base of the penis will also be hairy. Another surgical procedure involves grafting fat cells from different parts of the body on to the penis. This is known as dermal transplants. While this may add to the girth and length of the penis it may give an odd look to the penis due to improper distribution of graft cells and also because the size of the glans cannot be changed. There are also other types of surgery for penis enlargement.

Flexible or malleable rods may be implanted in the penis to increase its size. Another penis enhancement surgery is placement of inflatable penile implants in the corpus cavernoum of the penis. This also involves placing a single or two piece pumping unit in the scrotum that is pressed for fluid to flow into the penis and cause erection to take place. Although surgical procedures have been in medical literature for long their efficacy has always been in doubt. A study conducted in 2006 revealed that most patients were not satisfied with the results of most surgical procedures. Each one of the surgical procedure is beset with complications including side effects of anesthesia or post surgical infections and other complications. Moreover, anxiety may lead to distraction and hamper sexual pleasure.

External penile pumps are an alternative to penile enhancement surgery and should be considered if you wish to avoid risks involved in surgical procedures. These are constriction devices or vacuum pumps that create a vacuum around the penis to allow blood to flow into the corpus cavernosa and cause erection to take place.

In contrast to male enhancement surgery, penis pumping is a natural way of reproducing a natural erection. Natural erection is a result of the hydraulic effect of physiological processes that lead to increased blood flow to the penis. External penile do not involve surgery because the cylinder over the penis. The pumping device is also outside the body.

Surgical procedures for male enhancement are costly. Regardless of whether it is for lengthening, widening or enlargement, surgery may cost you in the range of three to four thousand dollars. Some surgeries cost as much as 17000 dollars. Penis enlargement or enhancement surgery is fact an expensive surgical option to enlargement with the aid of penis pumps.