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Penis enlargement, sometimes called male enhancement, refers to an assortment of techniques intended to increase the girth, length, or erectile rigidity of the human. A penis pump is a cylinder that is fitted over the penis, with a manual or motorized pump to create a partial vacuum around the penis, engorging it as blood is drawn in. British Journal of Urology International. The result is tissue expansion, resulting in a permanent increase of the tissue, natural penis elargment. Whether effective or not, excessive tension can result in injury to the tissues or nerves of the penis. Due to the speculative nature of any hope natural penis elargment "improvement", social controversy due to the sexual nature of the topic, and the many known cases of permanent injury involved in the endeavor, many medical professionals are sceptical of the subject, and tend to avoid work in this field.