The Nesbit Procedure is a surgical procedure designed to correct severe bending of the penis. It is the most widely used method for straightening congenital curvature of the penis, especially cases featuring moderate bending of the penis, because it is less likely to cause erectile dysfunction than tissue grafting. However, the procedure causes a shortening of the penis in all patients and results in permanent sensory loss or erectile dysfunction in less than 2 percent of cases. On the other hand, more than 90 percent of patients, both those suffering from Peyronie’s and those with congenital bending, are happy with the results.

The procedure itself is quite simple. The penis is filled with a sterile physiologic salt solution in order to cause an artificial erection. The surgeon gathers with a clamp the outer side of the bend, which forces the Tunica Albuginea to straighten the penis. The direct consequence of this procedure is a slight shortening of the surface of the penis. The suture points may ooze for a day or two after the operation, but this is to be expected. The patient should avoid sex until the wound is healed and no more pain is experienced.

Another good way of dealing with Peyronie’s disease is to use a Male Extra system to straighten the penis. Despite the controversy surrounding such novel approaches as Male Extra systems, several clinical studies have already been conducted in order to assess the effectiveness of this technique. Due to the nature of Peyronie’s disease, any procedure that is based on sound scientific facts and promises to work is quickly put to the test in the hope that it might prove to be the long-sought cure. And Male Extra systems seem to be a genuine alternative for men suffering from the disease.

The Male Extra system, which can is part of the Male Extra penis enlargement program, works by forcing the tissue that makes up the penis to expand instead of retracting and increasing the curve. By using the Male Extra system on a regular basis, the men who took part in clinical studies have been able to reduce their curvatures and maintain or increase the size of their penises. While there’s still a lot of testing to be done, the studies have proved that the Male Extra system is a safe and effective alternative to surgery or injecting various substances into the plaque.

The Male Extra system can also be used as an adjunct of surgery. While surgical intervention removes the plaque that had formed on the penis, it also triggers a shortening of the penis as the tissues located around the former plaque zone are no longer of the same length as the rest of the shaft. Therefore, the Male Extra Male Extra system can be used to force these tissues to expand and assume the same length as the others in the penile shaft. Thus, men who have chosen surgery in order to rid themselves of Peyronie’s disease have a chance to prevent penile shortening.

The Male Extra system was classified as a Medical system Type 1 by the health authorities of the European Union and bears the CE sing, while the manufacturing process is fully compliant with the ISO13485:2003 and ISO90001:2000 quality management standards. Included in the Male Extra package is a free membership to Male Extra, the penis exercises program featuring a series of exercises designed to decrease the curvature caused by Peyronie’s disease. Members of this program can learn to increase the length and girth of their penises, correct curvatures, prevent premature ejaculation and maintain sexual fitness throughout the years.

Condoms are probably the safest way to prevent the spread of STDs and also one of the most effective means of avoiding unwanted pregnancies. Around the world, condoms are promoted by NGOs striving to stop AIDS and to teach men and women about family planning and responsible sex. Not everybody agrees with the use of condoms, but they are still the cheapest and easiest way of dealing with STDs and unwanted pregnancies.

However, many men are not very comfortable with buying condoms from pharmacies because they don’t like to inform other people about their private activities. Just thinking about going into a pharmacy or drugstore and asking for condoms, possibly even a female vendor, is enough to make them queasy. They are also afraid that some people might prove judgmental and criticize their choice of using condoms or start joking about it in a malicious manner. This is why condoms are sold in Western countries through vending machines that allow buyers to preserve their privacy. Still, this convenience has triggered a new problem of its own.

Men who avoid buying condoms from pharmacies are also unable to get advice on the features of this or that brand of condoms, especially regarding the length and circumference. This is a very important issue, since buying the wrong size means that the condom will either tear or slide off the penis during sex, thus defeating the very purpose for which condoms are bought. Professional advice is very important because most men have no idea what size of condoms fits them best, while other men can’t even rely on the standard sizes. A recent study conducted in India has shown that the 60 percent of Indian men find standard size condoms too big for them.

Having a small penis is very embarrassing when buying condoms. No man wants to be seen purchasing the smallest size available because of the possible negative opinion of those who happen to be in the store at that moment, while the wide range of colors, shapes and flavors available is enough to baffle anybody. And the feeling of embarrassment is not the exclusive property of men with small penises. Men with larger than average penises are also embarrassed when it comes to identifying the exact size that fits them. Although well-endowed men tend to command the respect of others, it’s still unpleasant to be stared at.

If you are not sure what condom size fits you, then here’s a quick reference guide that will let you identify the right size on the spot. The standard condom sizes used in the Western are small, medium (also known as regular), large and extra large. These sizes translate as follows: small means a length of 6 inches or 15 centimeters and a circumference of 3.9 inches or 9.8 centimeters; medium means a length of 6.5 inches or 16 centimeters and a circumference of 4.1 inches or 10.4 centimeters; large means 7 inches or 17.5 centimeters in length and 4.1 inches or 10.4 centimeters in circumference; extra large is 7.5 to 8 inches or 18.5 to 20 centimeters in length and a circumference of 4.3 inches or 10.8 centimeters at the base and 4.7 inches or 12 centimeters around the glans.

The vast majority of men are born with normal penises and grow up thinking nothing about the shape of their penises, confident that their sex life will be just as good as that of the next fellow. Unfortunately, nature is not always kind to us and the good things in life come mixed with a many bad things.

Some men have the unpleasant surprise to find that their penis develops scar tissue and starts bending. This condition is known to health care professionals as Peyronie’s disease. It is believed that as many as 1 percent of all men suffer from this disease.

Peyronie’s disease is a condition named after Francois de la Peyronie, surgeon to Louis XIV of France, who was the first man to describe a treatment in 1743. While the cause of this disease is not well understood, its mechanism is perfectly clear.

The “tunica albuginea” is the tough layer of connective tissue that contains the sponge-like Corpora Cavernosa. For reasons unknown, scar tissue begins to form in the “tunica albuginea”, which prevents the normal expansion of the penis during erections and, in time, bends the penis to one side or the other.

Although the disease is somewhat painful at first, the pain eventually goes away on its own. The only effects of this disease are the curvature, which is visible when the penis is erect, and possibly a shortening of the penis in the flaccid state.

Most men suffering from it are perfectly able to have sex with their partners and experience no pain during intercourse. The disease can affect men of all races and ages, but it is most commonly seen in Caucasian males ages 40 and up. It is not contagious and is in no way related to cancer or other serious conditions.

While diagnosing of Peyronie’s disease is quite simple, treating it is not. Most urologists have little knowledge of possible treatments and one should seek the advice of an urologist who specializes in this disease. Some treatments that have been tried are drugs containing L-arginine and sildenafil. Surgery is also considered an option in severe cases.

Peyronie’s disease is probably a very old condition, one that’s been around for centuries if not since mankind’s first days on this planet. Like erectile dysfunction and other intimate problems, the condition has not been openly discussed for a long time, as men tried to hide it from the world and from themselves. In the ages when people frowned upon intimate diseases and there was little understanding of illnesses and their causes, it’s easy to guess why nobody wanted to bring up this topic. The natural fear of impotence or sexually transmitted diseases was bad enough in those times.

The first clinical reports on this condition were made more than 250 years ago by Francois Gigot de la Peyronie, the man whose name is still linked to the condition, although the first to mention it was Cesare Aranzi in 1587. De la Peyronie was a brilliant surgeon and one of the founders of the Royal Academy of Surgery in France. His work on the penile curvature was the first and, for a long while, the only step toward the modern attempts to cure it. Unfortunately, today we are no closer to a comprehensive definition of the causes of Peyronie’s disease than Peyronie himself was in 1743.

Most doctors agree with the assumption (as yet unproven) that Peyronie’s disease is caused by microvascular trauma during intercourse. Unfortunately, since the tunica albuginea (the layer of the penis where the condition develops) is not rich in blood vessels, the healing process does not always follow the normal course. Multiple instances of intercourse trauma and poor healing lead to the formation of a plaque, which is made of fibrin, a protein that helps blood clot. This plaque prevents the normal expansion of the penis tissues during erection, thus causing the characteristic bend.

It is also believed that the diseases develops only in men who are genetically predisposed to the accumulation of fibrin within the tunica albuginea and the expansion of plaque to healthy tissue along the dorsal and ventral midline of the shaft. However, one must keep in mind that this attempt at etiology is still speculation at this moment. Unfortunately, Peyronie’s disease is considered a rare diseases and non-life-threatening, which means that only a handful of professionals are actually interested in uncovering the causes and finding a cure.

Judging by the rapid growth of the penis enlargement market, a lot of men are not happy with their current size. I’m not sure whether the problems they face in their sex lives come from penis size, low confidence or some other cause, but it’s clear that a bigger penis is one of the ways to achieve success in bed. A bigger penis does matter when asking a lady out and once you’ve got her in bed any other problems should be forgotten for the moment.

You probably don’t need me to tell you about the benefits of having a bigger penis when it comes to sex. It’s absolutely fantastic to never have to worry about sex and simply take it whenever and wherever it happens. This is the feeling you get when you no longer have to think what the lady might say when she discovers that you are not particularly well-endowed. This is also the feeling you get when you see a content smile on your lady’s face and you know you’ve done a good thing. A bigger penis may not be exactly the answer to all prayers, but it can be a very good advantage when used correctly.

And let’s not forget the psychological benefits of having a bigger penis dangling in your pants. Who’s got time to be shy around women when they’re ogling that bulging crotch? Nothing comes close to that feeling of confidence (or even swagger) that’s plain to see in the face of any man who’s absolutely sure of his ability to charm women. Regardless of how many bad experiences one may have had in the past, a bigger penis is bound to make you feel as if you could take on anything and then some. Women like that kind of attitude in a man, as long as it doesn’t turn to arrogance.

One of the big questions that men would love to know the final answer to is, naturally: “Do women prefer a bigger penis or not?” The answer varies from woman to woman, but all men should know that many women tend to like bigger penises. Although penis size cannot make up for a lack of skill, it’s still better to be larger than average than the other way around. Some women like longer penises, while others prefer a good girth. However, you cannot go wrong with a bigger penis. And if by some really bad luck one lady doesn’t appreciate your being bigger, that’s no apt to be a problem. You can always move on.

A bigger penis brings many important advantages to its owner. It’s very important to be able to enjoy sex without having to worry about anything. Sex should be a positive thing in your life, not a constant source of anxiety and depression and there’s no need to turn into a recluse just because you are afraid you can’t handle a night of passion. Life is for living, not for hiding in a room, away from the world.

One of the biggest problems faced by men interested in penis enlargement exercises is the lack of clinical studies that can back up the effectiveness of this technique with incontrovertible data collected according to the scientific standards of our age. Traditionally, those who believe in the power of exercises to change the length and girth of the penis had to make do with their own experiences and the testimonies of other brave souls who defied the conventional wisdom and tried the exercises themselves. This is why, for a long time, information about penis enlargement exercises was limited to word of mouth, hearsay and Internet forums.

The only existing study of the effects of penis enlargement exercises was conducted in the UK by Doctor Brian Richards, author of numerous books and hundreds of articles on sex-related subjects. The study was performed in the late 1970s and it focused on proving or disproving the effectiveness of an enlargement method called the “Chartham Method”. At the end of three months, 87.5 percent of the men forming the group which used the Chartham Method reported gains ranging from .94 inches to 1.4 inches in length and from .55 inches to 1.2 inches in girth. Doctor Richards concluded that the Chartham Method could enable a large percentage of males to improve the size of their penises.

The Chartham Method is no longer used today because the market of penis enlargement solutions provides a host of new approaches, but the general lack of clinical proof of their effectiveness is still an issue. This is why Lativio LLP, owner of the highly successful Male Extra program of exercises, has decided to put its own product to the test and prove once and for all that penis enlargement exercises are more than just hype and scams. The company is supremely confident in the Male Extra program and wishes to show its commitment to providing products and services of the highest quality to its customers.

The Lativio LLP-sponsored study includes 50 volunteers who will be required to perform a forty-minute exercise program four times a week for 4 to 6 months. Each volunteer will perform the exercises at home and will report to a clinic two times per week to fill in a questionnaire, provide feedback and answer a series of questions. Every four weeks, the volunteers will have their penises measured in order to track their progress. The study will focus on the increase in erect and flaccid length and girth, improved erection hardness, increased frequency of erections, better sexual stamina, libido, confidence and control over ejaculations.

A clinically proven program of penis enlargement exercises will help the company remove that last inch of doubt persisting in the minds of many men who are interested in increasing the size of their penises, but would rather be 100 percent sure of the effectiveness of a particular method before trying it. If, as the company hopes, the study proves that the Male Extra program is indeed effective then it will become the first ever clinically proven exercise program. The official recognition means that existing and prospective customers can trust Male Extra to deliver on its promises.

Lativio LLP have just taken a major step toward maintaining their status as providers of the best penis enlargement exercise program on the market with the launching of the Male Extra DVD. The DVD contains every exercise found in the members’ area, complete with text, pictures and video presentation. The entire power of the Male Extra program is now available on a stand-alone support that can be used any time, anywhere.

The decision to make all the resources needed to go through the Male Extra program available on a DVD is based on Lativio’s commitment to providing customers with the best penis enlargement experience possible. Male Extra is an online program, but many men don’t have non-stop access to an Internet connection, while others find themselves limited to dial-up connections that are too slow for streaming the videos accompanying our exercises. Moreover, the list of visited web pages stored by browsers may cause some uncomfortable moments to men who wish to keep their training a private affair.

Since Internet bandwidth is no longer an issue, the DVD comes with larger videos featuring higher quality footage. Customers can access any exercise in a matter of seconds because they no longer have to wait for pages to load. Not to mention that the DVD can be brought along on holidays, even in countries or remote locations where access to the Internet is not always easy to find. Why should you give up your regular exercises just because you have decided upon an exotic holiday destination?

Lativio is one of the two companies that decided to take this important step. While many men complain of privacy issues and lack of constant Internet access, most providers of penis exercises still choose to remain locked in their business model instead of taking into account what the customers want. We, at Lativio, agreed that the wishes of our customers are paramount and that ease of access to our service is very important.

The Male Extra DVD is a unique guide to penis enlargement because it offers more and better content. Most penis enlargement programs will give their customers guides containing photos and written explanations. Lativio, however, has decided that photos and text are not good enough for its customers and so both the DVD and the online program have demonstrations of every exercise on video support. Customers no longer have to guess how complex movements are supposed to be performed. Now they can actually see them performed and by purchasing the DVD these videos can be watched anytime, without having to wait for them to load.

So choose what’s best for you. If you don’t like loading times, slow Internet connections or having to clear the browser’s history list every time you access the Male Extra website, then you might want to try the Male Extra DVD. It is delivered in perfectly discreet packaging, you can put it in a drawer or a dresser, under key, and you can take it with you anywhere. And it has the best videos of penis enlargement exercises that can help you get those complicated moves right the first time. What’s not to like about it?

Measuring up the penis and trying to figure out if it’s bigger than those of various acquaintances is one of the chief hobbies of certain men. Almost every man is worried about his penis size to a higher or lesser degree and also worried about how he compares to other men. Gym lockers, restaurant and office toilets, all these places remind men about the problem dangling between their legs and the competition for the coveted “Big Penis Respect” award. A whole underground culture of rumors, assumptions and exaggeration has grown around the penis. So, let’s clear a bit of this rubbish with some facts.

Among the many things that men think about the penis we also find the idea that there are huge differences between the penis sizes of the various races inhabiting this planet. This idea goes hand in hand with the racial stereotypes that are thrown around, even by people who should know better. For instance, many people think that all black men have huge penises. They “heard” this from some person who had “first hand” information and they have also seen a lot of porn on the Internet and all the black porn stars had huge penises, ergo all black men are huge.

And while blacks are well hung, Asians are said to have been handed the short end of the stick. Since they are smaller than white or black people, it follows that Asians also have tiny penises. This is very convenient for a white man who feels bad that all those blacks are bigger than him. But is this really so? Are these differences so big that we can safely stereotype everybody? The answer is yes and no. This means: yes, there are differences and no, they aren’t that big. Fortunately, this is not a field of study devoid of accurate information and there are some studies which provide much needed data.

Ever since the Europeans started to interact with African nations on a wide scale, the white culture has promoted the idea that all black men are hugely endowed and that this makes them somewhat closer to animals than humans. For two or three centuries, the big penis has been used to prove the inferiority of black people. All this came to an end in 1952, when Frantz Fanon used statistical data to prove that there is no positive correlation between African descent and big penises. However, the myth is still alive and well and it will probably take a long time to die.

The World Health Organization has firm specifications for condom sizes, which are based on various studies. These studies seem to indicate that black men have on average a slightly wider and longer penis size, Caucasian males have what is known as the medium size, while Asian men are slightly narrow and shorter in size. The WHO specifications feature condom widths of 5.3 cm for Africa, 5.2 cm for Europe and 4.9 cm for Asia. As you can see, the differences between racial groups are statistically small.

The most important thing to remember is that penis length and width should not be seen as absolutes. If your lover is content with the penis nature gave you and the skills you have acquired over the course of your life, then penis size doesn’t really matter. If, however, you are unhappy with your current size, there are methods that can help. There are all-natural enlargement exercises and there are highly effective Male Extra systems waiting for you. But, really, you should only be looking to enlarge your penis for yourself, not because you heard that other people are bigger.

Penis enlargement exercises are among the best things that have come out of the large and not always reliable market of male enhancement techniques. As the slow movement toward mainstream recognition is sifting out dishonest vendors, useless products and harmful ideas, the true winners of the competition are getting stronger every day. Men who have been dealt a bad hand by nature can now use a variety of techniques and products to improve on their design.

Unfortunately, not every man out there is able to perform the exercises as they should be performed. Many individual cases are simply impossible to take into account when designing penis enlargement exercises and the popularity of these exercises has also triggered a wave of questions. Men wish to know how to overcome this or that problem they have been facing during exercises and they deserve clear answers. And while some questions are answered elsewhere, here is a list of hints and answers for three major problems that come up time and again.

Some men have really small penises. They are the people for whom even the average length penis would be an improvement. Unfortunately a very small penis makes some exercises very difficult (stretches come to mind here). These people have to soldier it through exercises and to put up with a lot of awkward moments until the growth factor kicks in and their penises gain in length. A good option for these men is the use of Male Extra systems. Wearing such a system eight hours per day is sure to make those gains materialize faster than usual. Another option is to try and adapt the exercises’ requirements to their situation, such as using a metal pen for the V stretch instead of a metal bar that might prove unsuitable.

Uncircumcised men are another group facing constant problems when performing certain exercises. The foreskin gets in the way of both jelqing and stretching, which means that special attention must be paid to getting the exercises right. Still, jelqs can be performed by uncircumcised men if enough lubrication is applied. Also, one hand should be placed at the base of the penis to hold the skin back. Achieving the grip needed for stretches is easier when baby powder is used in sufficient quantity. If baby powder does not work, use a piece of tissue paper for extra grip.

The final category is the one made of men whose daily schedules are too busy to include penis enlargement exercises. This is a very common problem since the busy lifestyles of this age leave little room for anything beside work and relaxation. For this reason many men who start penis enlargement programs end up quitting. We all know that time is not always easy to find, but these exercises are meant for people who really need them, so it’s very important to find those 30 minutes of free time. For instance, waking up 30 minutes earlier than usual and starting the day with enlargement exercises is a good idea that worked fine for many men. Others are able to perform exercises in front of the TV, watching their favorite shows.

As you can see, anybody can run into problems while struggling to perform the enlargement routines correctly and to avoid missing a training session. Still, with a bit of patience and commitment, anybody can find a schedule that includes the 30 minutes needed for penis enlargement exercises. It’s all a matter of willpower because any task may seem impossible at first, but a lot easier when you’re in the thick of it.