Saturday, June 4, 2011

Shortening Of The Penis After Prostatectomy: Yes, It Really Happens

When counseling patients about the complications of radical prostatectomy, most urologists spend a great deal of time discussing impotence and incontinence.  Few urologists, in contrast, discuss another very common but not well known postoperative problem: shortening of the penis.  While not noticed by some men, shortening of the penis can lead to significant problems with self esteem, sexual satisfaction, and quality of life after radical prostatectomy for prostate cancer.  Despite these significant consequences, many urologists disregard it  while others are simply not familiar with it.  As a result, many patients agree to and proceed with a radical prostatectomy without being aware of this postoperative issue and do not take any steps to minimize it.  In this post, I will discuss shortening of the penis, how often it occurs and what, if anything, can be done to prevent or limit its occurrence.

It Happens More Often Than You Think

Despite its obscurity, shortening of the penis is actually a common complaint of men undergoing radical prostatectomy.  Studies have shown that nearly half of men undergoing prostatectomy demonstrate some decrease in penis size postoperatively.  The average decrease in flaccid penis length at 1 year after surgery has been reported to be about 1.3cm.  A larger decrease of 2.3cm (nearly an inch) has also been reported in the length of the erect penis after the same period of time.  One study reported that, after prostatectomy, almost 20% of men lose 15% of the length of their penises when measured in the erect state.  You can imagine that such a decrease is noticeable and disheartening for a large number of men.

What Causes Shortening of the Penis ?

Many theories have been advanced, speculating about the root cause of shortening of the penis.  One such theory that has been debunked (for the most part) is that of tension from the urethra.  It was thought that because the prostate is removed, tension is created in bringing together the bladder and urethra.  As a result, the urethra is pulled up towards the bladder, simultaneously pulling the penis into the body and shortening it.  This theory does not make much anatomic sense as the urethra is tethered to the part of the pelvic muscles called the urogenital diaphragm.  As a result, the urethra cannot really get pulled much in either direction, limiting its ability to shorten the penis.

Recently, a more comprehensive theory has emerged which divides the causes for shortening of the penis into short and long term.  Shortening of the penis can first be noticed from the time of catheter removal through the first month or so after surgery.  This initial shortening is thought to occur directly as a result of damage to the nerves traveling around the prostate that are responsible for erections.  Damage to these nerves at the time of surgery leads to stimulation and hyperfunctioning of nerves that are part of the sympathetic nervous system.  These nerves, responsible for the “fight or flight” response, release adrenaline which leads to contraction of  smooth muscle in the body.  These sympathetic nerves send impulses to the penis where the smooth muscle of the erectile bodies contract.  This contraction of the penis pulls it into the body and makes it appear shorter.  Fortunately, this is a short term response which is reversible.

Long term shortening, in contrast, is caused by progressive, irreversible changes to the structure of the penis.  These changes are brought about through two mechanisms:

1)     Permanent nerve damage experienced during surgery:  When nerve damage occurs anywhere in the body, the tissues to which the damaged nerves supply impulses usually experience atrophy or breakdown.  This can often be seen in paraplegic, wheelchair bound people in whom the loss of nerve signal  causes a significant decrease in the size and muscle mass of the legs.  The same can be said of the penis after nerve damage during prostatectomy.  If permanent nerve damage occurs, the lack of impulses to smooth muscle of the penis leads to an atrophy or breakdown of the tissues responsible for erections and causes the penis to shrink both in length and girth.

2)     Decreased transport of blood and oxygen through the erectile tissue of the penis: As is widely known, loss of erections is a common side effect of prostatectomy, particularly in the first few months after surgery.  Erections lead to the circulation of oxygen-rich blood through the penis which nurtures it and keeps it healthy.  If no erections occur for extended periods of time, the lack of circulation of this oxygen-rich blood leads to fibrosis or scarring of the erectile tissue of the penis, also leading it to shrink in terms of length and girth.  This phenomenon has been demonstrated both through experimental animal studies and human studies.

Preventing Shortening of the Penis

While causing problems like shortening of the penis, radical prostatectomy still remains a vital tool in the fight against prostate cancer.  Most men will proceed with surgery to cure their prostate cancer even with the knowledge that a prostatectomy may significantly decrease the length of the penis.  But what if we could prevent or, at least, limit shortening of the penis after prostatectomy?  Studies have demonstrated that this, indeed, is possible.  While short term, reversible, shortening of the penis cannot truly be avoided, long term, permanent, shortening can be prevented or limited. 

The most effective method of minimizing the chance of shortening the penis depends on avoiding the permanent damage to the penis that I described above.  This requires some work by both surgeon and patient.  First, damage to the nerves around the prostate needs to be avoided by the surgeon.  The way to accomplish this task is to perform a meticulous nerve sparing prostatectomy.  Of course, every prostatectomy is always a fine balance between cancer control and nerve sparing.  That is why a skilled, experienced surgeon is vital to performing a prostatectomy that cures cancer with a minimal sacrifice of the nerves. Studies have demonstrated that the most important, independent, predictor of shortening of the penis is nerve sparing during surgery.  In fact, one study demonstrated that successful nerve sparing prostatectomies performed on potent men who maintained good erections after surgery led to no change in the length of the penis whatsoever.

Once the surgery is performed, the rest of the responsibility to prevent long term shortening of the penis falls on the patient.  Studies have shown that various “rehabilitation” strategies can ensure the continued circulation of oxygen-rich blood through the penis and prevent the scarring of the penis that I mentioned above.  As  a result, men who undergo such “penile rehabilitation” after surgery have demonstrated less extensive shortening of the penis.  One study, for example, evaluated the benefit of using a vacuum erection device daily from the time the catheter is removed after nerve sparing radical prostatectomy.  Measurements of penis length prior to and 3 months after surgery demonstrated a decrease in the length of the penis by more than 1 cm in only 3% of men who used the vacuum erection device regularly as opposed to 67% of men who were not compliant with the protocol.  Another study of men undergoing nerve sparing robotic prostatectomy evaluated a rehabilitation regimen of daily Viagra for 9 months after surgery. The study found that at 1 month after surgery, men suffered from a decrease in penis length of about 0.6cm.  This decrease in length was thought to be due to the short term, reversible process described above.  By 9 months after surgery, however, this decrease in the length of the penis was no longer present as the measured penis length appeared to be equivalent to that noted preoperatively.  Hence the short term process was reversed and the long term, irreversible process of shortening was prevented through the regimen of rehabilitation.

Take Home Message

Shortening of the penis is a very real complication of radical prostatectomy.  Although not often talked about, this phenomenon can lead to significant impairment of self esteem and a decrease in the quality of life for men undergoing surgery for prostate cancer.  The occurrence of shortening of the penis is lamentable in that, for the most part, it is preventable.  With meticulous nerve sparing, permanent nerve damage and subsequent damage to the penis can be limited.  Similarly, through a regimen of penile rehabilitation (via pills, injections, or pumps), many men can prevent or decrease permanent scarring of the penis and the inevitable, irreversible shortening it causes.




Check out my new Book: 

   Prostate Doc’s Guide to Life After Prostatectomy


Share your Prostate Stats and learn from those of others!

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  3. A very informative article. I had a Prostatectomy in August 2009 and haven't had an erection since. I have noticed my penis has become much shorter. It is sometimes difficult with urination, I have to literally stretch it out so I don't get my pants wet. I find I urinate better sitting down. I had complications with my surgery, I have COPD and cough frequently. I apparently coughed so hard that I blew out the staples or stitches, can't remember which and it went unnoticed for several hours. I lost a lot of blood, much of it went into my testicles. They had to perform emergency surgery to stitch me back up, I would up getting 13 units of blood. They put me in a drug induced coma to prevent me from coughing but then they had some difficulty in bringing me out of it. After 12 days I was able to come out of it which was lucky since the doctor told my wife that if I couldn't come out of it they were going to have to do a trach. Because of the coma I lost use of my arms and legs and had to do rehab to walk again. A promised 4 day hospital stay turned into 39 days. Then a month later my kidneys failed and I had to have 4 dialysis treatments. Luckily enough function returned so I don't have to do that. Anyway, I have rambled on, just wanted to say I enjoyed your article.

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    1. Yes its very important i diden both,been married to long to have a real sex life,i lost an inch in girth an 1/3/4 length,had robot surgery,he scraped my pee tube,now ill have whats called an overflowing bladder i guess for life,i only piss out half my bladder..
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  9. What crap. No where have I read that Dr pulls the urethra out the way of the blade, saving its length. They remove a section, that goes thru the prostate. Every account of prostate removal states removing the section, and reattaching the remainder of the urethra to the bladder edge( pulling it up up meet the bladder) this article says "if the patient fails to do the pump, etc". Crock ! Hell yes they cut an inch+ out. C'mon. Get real.

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    ReplyDelete
  33. For many years, it was assumed that manual male enhancement exercises to increase the size of the penis were a mere myth. Even men’s magazines would state that manual exercises do not work.

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  35. Though am new to searching online for help, am not really new to having the desires of satisfying my wife in bed. I have really longed for these days when I will have a huge and strong penis because I have always been a little man as my wife does call me. It hurts me whenever I cum before 2 minutes or even earlier on sex, having a little penis that can’t even satisfy her; I really used to be about 4.9cm and about 7cm on full erection, that surely was a little me. It all continued all that way until few months ago when I searched online for the first time and found some comments about Musson Penis Enlargement.
    I thought about it and decided contacting them on MUSSON_PENISENLARGEMENT@YAHOO.COM to buy 1 for myself; I did really with the greatest hope. My greatest surprise is I only got to use their stuff for just 3 weeks and I already got 12.7cm added to my 7cm and I used further to discover last week that am now measuring 9.4inc long and hard on erection. Now I do also stay on sex longer than I ever dreamed of. Am so happy for the new results and very thankful to the profession or Dr Musson . You can as well get more of their products and help on Musson.costumercareline@gmail.com

    ReplyDelete
  36. I would like to let all know that the size of your Penis really matters in your relationship or marriage. I got married to my wife about 1 month after we met on a photo studio, we lived happily for the first 3 months of our marriage until i and my wife started having quarrels at home because i couldn't satisfy her on bed with my little penis. Actually my penis was very small, it measured about 4.5 inch long on erection and i am 39 years old. My wife said it was forbidden by the women of this world. My wife started sleeping with other men outside. Sometimes i will return from work without finding my wife at home and whenever i call or ask her where she was, she will always snub at me and sometimes just tell me to go get a larger dick. All this continued for a long time and it hurt me so much that i was at the edge of breaking up on the marriage till when i read about a doctor called DR. OFEIMU online. I never thought i could smile and be in a happy marriage again if not for the help of DR.OFEIMU. I got the doctors Emails: ofeimuspellalter@gmail.com . on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs which i use for just 8 days and i began to feel the enlargement of my penis, and without surgery. This went on for a little period of about 10 days and to my surprise my wife keeps screaming that she love my big dick now. Now my wife no longer cheat on me, and my penis is now about10.5 inches long on erection and off course very large round. And now my wife uses breasts, hips and bums enlargement. I and my wife are very happy for the help rendered to me by DR. OFEIMU, and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email: ofeimuspellalter@gmail.com or ofeimuspellalter@yahoomail.com
    Am thankful to the doctor for helping me.

    ReplyDelete
  37. Weak erection and low sperm is one of the most embarrassing problem in this world. This problem almost ruined my marriage and almost made me childless for life. All thanks to doctor Hillary who was able to come to my rescue using his herbal medication and saved my life and marriage. Today i have my third child. If you are still held bound by weak erection, low or watery sperm (azoospermia) feel free to contact him on (hillaconn@gmail. com) he will be able to render professional advise and solution.

    ReplyDelete
  38. I would like to let all know that the size of your Penis really matters in your relationship or marriage. I got married to my wife about 1 month after we met on a photo studio, we lived happily for the first 3 months of our marriage until i and my wife started having quarrels at home because i couldn't satisfy her on bed with my little penis. Actually my penis was very small, it measured about 4.5 inch long on erection and i am 39 years old. My wife said it was forbidden by the women of this world. My wife started sleeping with other men outside. Sometimes i will return from work without finding my wife at home and whenever i call or ask her where she was, she will always snub at me and sometimes just tell me to go get a larger dick. All this continued for a long time and it hurt me so much that i was at the edge of breaking up on the marriage till when i read about a doctor called DR. OFEIMU online. I never thought i could smile and be in a happy marriage again if not for the help of DR.OFEIMU. I got the doctors Emails: ofeimuspellalter@gmail.com . on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs which i use for just 8 days and i began to feel the enlargement of my penis, and without surgery. This went on for a little period of about 10 days and to my surprise my wife keeps screaming that she love my big dick now. Now my wife no longer cheat on me, and my penis is now about10.5 inches long on erection and off course very large round. And now my wife uses breasts, hips and bums enlargement. I and my wife are very happy for the help rendered to me by DR. OFEIMU, and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email: ofeimuspellalter@gmail.com or ofeimuspellalter@yahoomail.com
    Am thankful to the doctor for helping me.

    ReplyDelete
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  40. Hello everyone, i am here to give my testimony about a spell Caster Called Dr Eboehi, I was heartbroken because i had very small penis, not nice to satisfy a woman, i have been in so many relationship, but cut off Because of my Situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the Internet about this specialist called Dr Eboehi and decided to email him on his email i saw on the Internet, ( dreboehispelltemple@gmail.com ),i told him i needs help because i belief that age is still on my side to be able to still perform well on bed he told me the procedure and i believe him just 2 weeks and 3 days now and i see the deference My penis is now strong,sex duration time so long i sex till i get satisfied and my lover is so happy and suppress, Thanks to ( dreboehispelltemple@gmail.com )

    ReplyDelete
  41. DR OSCAR HERBAL ENLARGEMENT,
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    ReplyDelete
  43. Hello everyone am Edwin Sallo from taxes USA , i am here to give my testimony about a spell caster called Dr. Alaho, i used to have a small penis 8 cm but only 2 and half months to have it reaches 18 cm! My sex life is amazing and my girlfriend is mad and pleased by the enormous size of my penis. And all thanks be to Dr. Alaho, for his powerful herbal cream and oil i used for a little time in case you also need help Email: ( dr.alahospelltemple@yahoo.com ) or you we Whatsapp the Dr +2348146226679 I love you as my father

    ReplyDelete
  44. I would like to let all know that the size of your Penis really matters in your relationship or marriage. I got married to my wife about 1 month after we met on a photo studio, we lived happily for the first 3 months of our marriage until i and my wife started having quarrels at home because i couldn't satisfy her on bed with my little penis. Actually my penis was very small, it measured about 4.5 inch long on erection and i am 39 years old. My wife said it was forbidden by the women of this world. My wife started sleeping with other men outside. Sometimes i will return from work without finding my wife at home and whenever i call or ask her where she was, she will always snub at me and sometimes just tell me to go get a larger dick. All this continued for a long time and it hurt me so much that i was at the edge of breaking up on the marriage till when i read about a doctor called DR. OLIHA online. I never thought i could smile and be in a happy marriage again if not for the help of DR.OLIHA I got the doctors Emails: oliha.miraclemedicine@gmail.com. on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs which i use for just 7 days and i began to feel the enlargement of my penis, and without surgery. This went on for a little period of about 10 days and to my surprise my wife keeps screaming that she love my big dick now. Now my wife no longer cheat on me, and my penis is now about10.5 inches long on erection and off course very large round. And now my wife uses breasts, hips and bums enlargement. I and my wife are very happy for the help rendered to me by DR. OLIHA, and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:oliha.miraclemedicine@gmail.com Am thankful to the doctor for helping me. you can whatsapp him +2349038382931......

    ReplyDelete
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  46. I wake up every day and singing praises to this wonderful man called Dr Iriso, i used to have a small penis 7 cm but only 1 and half months to have it reaches 17cm! My sex life is amazing and my girlfriend is mad and pleased by the enormous size of my penis. And all thanks be to Dr Iriso, for his powerful herbal medicine i used for a little time, in case you also need help Email: ( dririsoherbalcenter@yahoo.com ) or you can call him on this number +2348074876448..

    ReplyDelete
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    BREAST ENLARGEMENT
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    VIRGINAL TIGHTER/ DISCHARGE CURE
    HERBAL STRETCH MARK REMOVAL
    PIMPLES & DARK SPOTS REMOVAL(herbal)
    WEAK ERECTION/CURE (herbal)
    ANTI-PREMATURE EJACULATION ( Herbal
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    MALE INFERTILITY (cream and
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    POST GROWTH (GET TALLER)
    HERBAL WHITENING HERBAL CREAM
    DARK KNUCKLES & ELBOW REMOVAL
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    VARICOSE VEIN REMOVAL( herbal)
    MALE ORGAN ENLARGEMENT PUMP
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    ReplyDelete
  48. My name is Gary David,i just want to share my testimony with the world on how Doctor Trust Help me to enlarge my pines. Please read my good news carefully and i am sure it will affect your life positively on how you will also enlarge your pines,because i know some many people out there also need his help!

    I came across so many comments about Dr Trust Penis Enlargement Medicine some weeks ago, though I had really wanted my penis to be large, long and thick,because i was not able to have sex with my wife..It was really affecting our marriage and my wife was about to divorce me. I had about 8.128cm – 3.2 inches before. Am really amazed on the fast results archived within 3 days of using Dr. Trust Penis Enlargement Medicine. It work and now I have got 22.87cm – 10.5 inches now. And my wife love it more now, i began to feel the enlargement of my penis, This went on for a little period of about 5 days and to my surprise my wife keeps screaming that she love my big dick now. And my penis is now 10.5 inches long on erection and off course very large round. I am very happy for this Penis Enlargement experience. He can help with all kinds of cure you may need as flows:

    Pines Enlargement
    Low sperm count
    Weak Erection
    Love spell
    Herpes spell
    HIV spell
    Pregnancy spell
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    cancer
    watering sperm
    womb fertilization
    penis erection
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    s t d diseases
    internal heat
    rashes
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    dairy
    long time sickness
    kidney,heart,lungs,problem
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    ReplyDelete

  49. CONTACT DR AIRIAATOR THE GREAT SPELL CASTER FOR YOUR PROBLEM TODAY YOUR PROBLEM ARE OVER NOW.email now:-[airiaator407@gmail.com] have you been facing relationship problems,financ ial problems,diseases or perhaps you need help to any of these problems that I have understated? i cast diverse kinds of spells to solve and cub different problems be it physical,mental or psychological,distance is never a barrier to the potency and effectiveness of my charms. iv'e been in this business for years now and my clients have always had positive testimonies to tell. I do not believe much in words of the mouth,my works speaks for me. contact me with your problems on my call +2348166415077 am a SAMSON ADAMS.I am a spiritualist. I DEAL WITH THE FOLLOWING:- [1] Spells to get back lover,wife,husband. [2] Spells to stop night mares [3] Spells for success [4] Spells of seduction [5] Spells of potency [6] Spells of wealth [7] Spells to recover lost valuables,money. or properties [8] Spells to heal illnesses [9] Spells of love to get him/her back forever [10] Spells of power to perform signs and wonders [11] Spells of luck [12] Spells of promotion [13] Death spells [14] Spells to be fertile [15] Spells to cure HIV & AIDS Your problems are over!!! Have you been facing relationship problems,financ ial problems,diseases or perhaps you need help to any of these problems that I have understated? i cast diverse kinds of spells to solve and cub different problems be it physical,mental or psychological,distance is never a barrier to the potency and effectiveness of my charms. iv'e been in this business for years now and my clients have always had positive testimonies to tell. I do not believe much in words of the mouth,my works speaks for me. contact me with your problems on my email now:-[airiaator407@gmail.com] I am a semaid slah..I am a spiritualist. I DEAL WITH THE FOLLOWING:- [1] Spells to get back lover,wife,husband. [2] Spells to stop night mares [3] Spells for success [4] Spells of seduction [5] Spells of potency [6] Spells of wealth [7] Spells to recover lost valuables,money. or properties [8] Spells to heal illnesses [9] Spells of love to get him/her back forever [10] Spells of power to perform signs and wonders [11] Spells of luck [12] Spells of promotion [13] Death spells [14] Spells to be fertile [15] Spells to cure HIV & AIDS Your problems are over!!! +2348166415077 to call

    ReplyDelete
  50. my name is ken and am 24 years old. I masturbate about 2-3 times a week just to get penis increase. My penis size currently is about 4.3 inches in length. I really want to grow length and girth and I have tried jelking and penis stretches. I haven't seen a change. I have been doing it for about 3 months with no change. I just get frustrated when I see no change and I rarely want to have sex but my premature ejaculation coupled with my small penis wouldn't allow me enjoy sex .this and more have been my worries until i came in contact with dr.joefel through a friend he had help before and since i contacted him my sex life changed , i grown tremendous increase in my penis and i last longer during sex all thanks to doctor Joe who sent me his herbs which i used for just 3weeks..contact doctor JOE now and save your self the stress through his company email adonkoherbalmixture@gmail.com you can also add him up on whats-app via +2348139452225.. he also have herbs that cure DIABETES ,HEPATITIS B, CANCER , and cream for body growth (shapes or butt enlargement and breast enlargement )
    thanks doctor JOE
    kind regards ...

    ReplyDelete
  51. my name is ken and am 24 years old. I masturbate about 2-3 times a week just to get penis increase. My penis size currently is about 4.3 inches in length. I really want to grow length and girth and I have tried jelking and penis stretches. I haven't seen a change. I have been doing it for about 3 months with no change. I just get frustrated when I see no change and I rarely want to have sex but my premature ejaculation coupled with my small penis wouldn't allow me enjoy sex .this and more have been my worries until i came in contact with dr.joefel through a friend he had help before and since i contacted him my sex life changed , i grown tremendous increase in my penis and i last longer during sex all thanks to doctor Joe who sent me his herbs which i used for just 3weeks..contact doctor JOE now and save your self the stress through his company email adonkoherbalmixture@gmail.com you can also add him up on whats-app via +2348139452225.. he also have herbs that cure DIABETES ,HEPATITIS B, CANCER , and cream for body growth (shapes or butt enlargement and breast enlargemen

    ReplyDelete
  52. Finally my husband found a permanent cure to his erection problems after radical prostatectomy 4 years ago.
    I and my husband used to have this very amazing sex life that anytime we have sex it makes me love him even more, but this amazing sex experience was soon ended when my husband did his prostate surgery and he was unable to achieve any erection. We tried all the urologist prescribed pump, Viagra but none was able to give him even the weakest erection. I met an old friend who made it possible for me to contact ED LIFE PANACEA and there i got a medicine which he used and today sex experience with him is what i always look forward to. He lasts even longer than he did before the prostate surgery and he is okay with no side effects. If you are struggling with any erection related issues just contact them on www.edlifepanacea.com or info@edlifepanacea.com. Thanks admin for allowing me share this joy.

    ReplyDelete
  53. My name is Scot Moel am from Texas USA. I want to share a testimony of how Dr. agege saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can make love to my wife and my pines was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i cant even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr. agege have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is now 8 inches and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed. You can contact him via (dragegespellalter@yahoo.com) his whatsapp number(+2349036492096,) Thanks for the Enlarge pines you did to me to save my marriage...I am really grateful sir,

    ReplyDelete
  54. Friends!! Is there anyone tried TenGenix male enhancement supplement for Bigger, harder, longer lasting erections, increase sexual stamina . Please advise me How to take Tengenix and how long it will take to get results.

    ReplyDelete

  55. My name is scaler shirley,i just want to share my testimony with the world on how Doctor Trust Help me to enlarge my penis. Please read my good news carefully and i am sure it will affect your life positively on how you will also enlarge your penis,because i know some many people out there also need his help!

    I came across so many comments about Dr Lucky Penis Enlargement Medicine some weeks ago, though I had really wanted my penis to be large, long and thick,because i was not able to have sex with my wife..It was really affecting our marriage and my wife was about to divorce me. I had about 8.128cm – 3.2 inches before. Am really amazed on the fast results archived within 3 days of using Dr. Lucky Penis Enlargement Medicine. It work and now I have got 22.87cm – 10.5 inches now. And my wife love it more now, i began to feel the enlargement of my penis, This went on for a little period of about 5 days and to my surprise my wife keeps screaming that she love my big dick now. And my penis is now 10.5 inches long on erection and off course very large round. I am very happy for this Penis Enlargement experience. He can help with all kinds of cure you may need as flows:

    Pines Enlargement
    Low sperm count
    Weak Erection
    Love spell
    Herpes spell
    HIV spell
    Pregnancy spell
    Marriage for spell
    cancer
    watering sperm
    womb fertilization
    penis erection
    witch craft attack
    s t d diseases
    internal heat
    rashes
    low sperm count
    dairy
    long time sickness
    kidney,heart,lungs,problem
    with doctor,. Trust you are in safe hands your healing is assured
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    ReplyDelete
  56. My name is Rashid Karan I had a dick problem my dick was so small to the extent that I couldn’t satisfy my wife we had so many quarrels and fights, I was helpless and I didn’t know what to do until I met Doctor Duraka who helped me out of my helpless situation he did something for me that helped me enlarge my dick and my dick came to the normal size and long enough to satisfy my wife, my wife has no reason to complain anymore. I now enjoy my sex life to the fullest. If there’s anyone out there with this similar problem please kindly contact Dr Duraka. Via; email: drdurakasolutiontemple@gmail.com or Call: +2349052486702. He is the solution that you need…

    ReplyDelete
  57. My name is Scot Moel am from Texas USA. I want to share a testimony of how Dr. agege saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can make love to my wife and my pines was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i cant even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr. agege have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is now 8 inches and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed. You can contact him via (dragegespellalter@yahoo.com) his whatsapp number(+2349036492096,) Thanks for the Enlarge pines you did to me to save my marriage...I am really grateful sir

    ReplyDelete
  58. Special thanks to God almighty for who made it possible for Dr OSAGIE ,who cure me from HIV,i have being positive for over 3 years and i have Being to all several medical personnel and all to no avail,till i met a woman online Giving thanks to Dr OSAGIE ,who cure her of HIV,at first i thought it was a scam,but i later gave it a try,i contacted the Dr via email,and he replied me immediately,and i told him my problem,and he told me what to do,wish i did,and today am HIV negative,god bless you Dr OSAGIE for saving my life.if u have any problem you can contact Dr vi email :DROSAGIESOULTIONTEMPLE@YAHOO.COM or
    drosagiesolutiontemple@gmail.com
    or join him on whatapps with this is +2347030465649 or his is number
    call
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    ReplyDelete
  59. As a sign of gratitude i want to also reach out to others out there not lose all hope. 3 years ago I had a prostate cancer surgery. Since then I have not been able to have any erection to enable me have sex. Despite having taken various medications and supplements, I have not at all been successful. In my state of compliant i was opportune to speak to a cousin of mine because at first i was shy about the problem but this was almost tearing my marriage apart and my wife saw me as a half man who could not perform his duty as a man to satisfy her. He gave me the contact information on how to contact the doctor who sent this very powerful herbal medicine to his friend that had similar problem, i contacted him and he sent me the medication which i used too and that was all. In my life i never thought i would ever be able to have any erection not to talk about having sex again but i was proven all wrong and now i am so active like i am in my early 20's. Do not suffer in silence or be shy you can contact him too on joseherbals28@gmail.com He will surely be able to help you too.


    ReplyDelete
  60. My name is Denilson , i just want to share my testimony with the world on how Doctor Ade Help me to enlarge my pines. Please read my good news carefully and i am sure it will affect your life positively on how you will also enlarge your pines,because i know some many people out there also need his help!

    I came across so many comments about Dr Ade Penis Enlargement Medicine some weeks ago, though I had really wanted my penis to be large, long and thick,because i was not able to have sex with my wife..It was really affecting our marriage and my wife was about to divorce me. I had about 8.128cm – 3.2 inches before. Am really amazed on the fast results archived within 3 days of using Dr. Ade Penis Enlargement Medicine. It work and now I have got 22.87cm – 10.5 inches now. And my wife love it more now, i began to feel the enlargement of my penis, This went on for a little period of about 5 days and to my surprise my wife keeps screaming that she love my big dick now. And my penis is now 10.5 inches long on erection and off course very large round. I am very happy for this Penis Enlargement experience. He can help with all kinds of cure you may need as flows:

    Pines Enlargement
    Low sperm count
    Weak Erection
    Love spell
    Herpes spell
    HIV spell
    Pregnancy spell
    Marriage for spell
    cancer
    watering sperm
    womb fertilization
    penis erection
    witch craft attack
    s t d diseases
    internal heat
    rashes
    low sperm count
    dairy
    long time sickness
    kidney,heart,lungs,problem
    with doctor,Dr. Ade you are in safe hands your healing is assured
    Email: Adespelltemple@gmail.com
    Call +2347057375409.

    ReplyDelete
  61. Hello to all my people am CHRIST POTTER from usa ,am very happy to share this little intresting testimony about DR SEBI a great herbal doctor who help me enlarge my penis .3 cm to 7.2 cm longer with his herbal cream mixture, my girlfriend is now so amazed with the automonous size of my penis , if you you are also in need of help on how to enlarge your penis to become larger and stronger I adverse you to contact DR SEBI on his via email drsebiherbalsolutiontemple@gmail.com or contact on whatsapp number +2348153863900 because he is the only herbal doctor that i can only show you up to , if your penis is 2 .2 cm and want to get it reach 9 .2 cm within three days i dr sebi is also specialized on breast and boobs enlargement i advese you to contact him for help.may God bless you sir for your good works.

    ReplyDelete
  62. My name is paul robert am from U.S.A. I want to share a testimony of how Dr. DADA herbal mixture cream saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can't make love to my wife and my penis was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i cant even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr. DADA herbal mixture cream have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is noinchw 8 es and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed. You can contact him via {drdadaspellhome@gmail.com) or call him or what-apps him through +2349053287581.he also specialize on the following things
    HIP/BUM ENLARGEMENT
    BREAST ENLARGEMENT
    BREAST LIFT & REDUCTION
    PENILE/PENIS ENLARGEMENT
    GENERAL BODY SLIMMING
    HIPS & THIGH REDUCTION
    Thanks for the Enlarging my penis sir, you indeed save my marriage...I am really grateful sir,

    ReplyDelete
  63. Hello to all my people am james kelvin from usa ,am very happy to share this little intresting testimony about DR SEBI a great herbal doctor who help me enlarge my penis .3 cm to 7.2 cm longer with his herbal cream mixture, my girlfriend is now so amazed with the automonous size of my penis , if you you are also in need of help on how to enlarge your penis to become larger and stronger I adverse you to contact DR SEBI on his via email drsebiherbalsolutiontemple@gmail.com or contact on whatsapp number +2348153863900 because he is the only herbal doctor that i can only show you up to , if your penis is 2 .2 cm and want to get it reach 9 .2 cm within three days i dr sebi is also specialized on breast and boobs enlargement i advese you to contact him for help.may God bless you sir for your good works.

    ReplyDelete
  64. I just want to share this personal story about how my husband survived the problem of NO ERECTIONS after prostste surgery.
    My husband undertook prostate surgery 3 years ago and before then i always looked forward to great sex with him and after the surgery he was unable to achieve any erections, we were bothered and we tried so many drugs, injections and pumps and rings but none could give him an erection to even penetrate. I searched for a cure and got to know about Dr. Hillary who is renowned for curing problems of this nature and he did encouraged me not to give up and he recommended his herbal medication which my hubby took for 3 weeks and today his sexual performance is optimum. You too can contact him for similar problems on (hillaconn@gmail.com). A man who cannot satisfy his wife's sexual need is not a real man!

    ReplyDelete
  65. My name is paul robert am from U.S.A. I want to share a testimony of how Dr. DADA herbal mixture cream saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can't make love to my wife and my penis was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i cant even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr. DADA herbal mixture cream have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is noinchw 8 es and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed. You can contact him via {drdadaspellhome@gmail.com) or call him or what-apps him through +2349053287581.he also specialize on the following things
    HIP/BUM ENLARGEMENT
    BREAST ENLARGEMENT
    BREAST LIFT & REDUCTION
    PENILE/PENIS ENLARGEMENT
    GENERAL BODY SLIMMING
    HIPS & THIGH REDUCTION
    Thanks for the Enlarging my penis sir, you indeed save my marriage...I am really grateful sir,..,,

    ReplyDelete


  66. I never knew that people still have powers and make things happen this way, all Thanks to DR UWAGBALE for making my penis and curing my Erectile dysfunction, i will praise you for your herbs and its quick effect. I have weak erection and can’t even satisfy my wife, but i give God the glory for using Dr UWAGBALE to save me from my shame, i have been suffering for 6 years now, and during that period before i got married last year, i couldn’t satisfy any woman on bed because i can’t even last for 1 mins. Thanks to you once more for helping me, if you have any problem of such you can contact him on his personal email at (druwagbale@gmail.com) his website (www.uwagbale.simplesite.com) for he will attend to you quickly so that you can be able to procure the herbs from him. i assure you 100% assurance that you will also have your own testimony by Gods grace. he has a solution to many problem like

    (1)- Heavy menstrual bleeding.
    (2)-Menstrual periods lasting more than a week.
    (3)-Pelvic pressure or pain.
    (4)- Frequent urination.
    (5)-Difficulty emptying the bladder.
    (6)-Constipation.
    (7)-Backache or leg pains

    he can cast a spell on your name in connection with the following ….
    * A relationship
    * Your financial situation
    * Future events or
    * What is important to you
    * Need help to get your money ripped off?
    * You can change the course of your destiny.
    * Is there someone or something you want to have ?
    * What does the fortune , or your ex back ? send your most important wish to him and he is willing to help you without stress, i wish you all success as you get your own testimony.

    ReplyDelete
  67. My name is paul robert am from U.S.A. I want to share a testimony of how Dr. DADA herbal mixture cream saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can't make love to my wife and my penis was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i cant even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr. DADA herbal mixture cream have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is noinchw 8 es and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed. You can contact him via {drdadaspellhome@gmail.com) or call him or what-apps him through +2349053287581.he also specialize on the following things
    HIP/BUM ENLARGEMENT
    BREAST ENLARGEMENT
    BREAST LIFT & REDUCTION
    PENILE/PENIS ENLARGEMENT
    GENERAL BODY SLIMMING
    HIPS & THIGH REDUCTION
    Thanks for the Enlarging my penis sir, you indeed save my marriage...I am really grateful sir,..,,

    ReplyDelete
  68. Dr Henry Bude penis ENLARGEMENT is specially designed to increase penis size, stop premature ejaculation and help get a stronger erection. It is a powerful blend of high quality handpicked herbal ingredients that are efficient in increasing the size (length and width) of penis and lovemaking performance in men. It is the product of choice for men who want to restore vigour and achieve bigger and rock-hard erection. This herbal cream, pills and liquid medicine works on all types of erectile dysfunctions and other related male problems,
    Increase libido and stamina, Bigger,
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    Gain up to 3-13 full inches in length,
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    Cure weak erection and delay foreplay by retaining orgasm,
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    Stops early ejaculation and make more rounds,
    Ingredients, tropical herb extracts.
    The main ingredient of this male enhancement creams, pills and liquid medicines are native African herbs with mixtures, and these herbs have been used since centuries for male enhancement. It carries natural aphrodisiac properties that is said to restore the vitality of manhood by offering enhanced self-confidence and lovemaking ability, contact Dr Henry Bude Now for your Order on. Email : Dr.henrybude@gmail.com

    ReplyDelete
  69. Hello everyone, i am here to share my testimony on how i enlarge my penis by a spell caster called Dr Agbebaku have render to me, I was married for three months and me and my wife was happy together,until she started complaining that my penis is too small and that i don't perform well on bed, a week later she started going out with other men which really hurt me,and I was even planning to break up the marriage, one day I was browsing the Internet and i saw a post on how Dr agbebaku have help people to enlarge their penis,and i contacted him and he told me that he will make my family happy again, I taught he was joking but I gave him a try,and he made herbal medicine for me and to me within one week that my penis well be big,to my greatest surprise in one week after my penis was big and my wife was happy with me again. you can contact him on his email on ( dragbebakuspellsolutiontemple@gmail.com or dragbebakusolutiontemple@outlook.com ) or you we Whatsapp the Dr +2349053099479 God we bless you

    ReplyDelete
  70. HELLO TO ALL MY PEOPLE I WANT TO SHARE A GOOD INTESTINE ABOUT A GREAT DR
    OSAGIE . WHO HEIR ME TO ENLARGE MY PENIS,I was very nervous and had been
    researching Penis Enlargement surgery for a few months. I decided to get a
    consultation with Dr OSAGIE and I'm so glad I did. His work makes you feel
    very comfortable and Dr OSAGIE is there to answer all your questions and
    give you the confidence and reassurance you need to have faith about having
    a positive outcome for your procedure. It has been someday since my
    procedure and so far I am very happy with my results. I definitely
    recommend Dr OSAGIE . you can consult him direct to his personal Email drosagiesolutiontemple@gmail.com OR
    DROSAGIESOULTIONTEMPLE@YAHOO.COM Mobile:
    or join him on whatapps with this is +2347030465649 or his is number
    call
    +2347030465649.....

    ReplyDelete