Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction. But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections. Marketers rely on testimonials, skewed data and questionable before-and-after photos. Dietary supplements don't require approval by the Food and Drug Administration, so manufacturers don't have to prove safety or effectiveness.

WEDNESDAY, Jan. 13, There's no proof that over-the-counter sexual enhancement supplements for men work, and some are potentially dangerous, a new study reports. Thousands of years before Viagra, men were consuming everything from horny goat weed to powdered rhino horn in hopes of boosting sexual performance. The remedies persist for men who can't get their hands on prescription drugs like Viagra or who prefer "natural" cures. Penis-lengthening surgery is also an option for men, but it is a highly controversial procedure. The American Urological Association says a common form of lengthening surgery has not been shown to be safe or effective.
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