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It sounds like a shady pop-up ad, but the penis enlarger is legit. James Elist's Penuma, which comes in sizes L, XL and XXL, is a silicone sleeve that's inserted under the skin of a man's penis to make it longer and thicker. Men have desired larger penises probably since Adam compared his to the evil serpent who convinced Eve to take a bite of forbidden fruit a metaphor you've never thought of until now, right? The silicon sheath hasn't garnered the FDA's full approval, but has been granted a k permit , which "clears" the device for commercial distribution and qualifies it as safe and effective. While having a monopoly on his silicone penis enlargement sounds pretty darn lucrative on its own, Elist is currently pushing for the FDA to approve his product for sale so that other professionals can perform the procedure. Learn more about Penuma over at GQ. A previous version of this article stated that the Penuma was the only FDA-approved penile implant. The device is not approved by the FDA, but has been cleared by the organization to be used commercially. Other devices have been approved to treat erectile dysfunction. Tap here to turn on desktop notifications to get the news sent straight to you. Here's a visual that shows how the surgery works: Things to know about Penuma and the procedure: Penuma grows the penis by an average 2 to 2. While the procedure generally takes a mere 60 minutes , patients are instructed to relinquish sex for six weeks. The implant has an infection rate close to 3 percent , according to Elist's website. Penises must be circumcised. Elist will perform a circumcision for eligible candidates. More than two-thirds of patients report an increase in self-confidence after surgery, according to Elist's clinical report....

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