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Two subjects in each group reported inflammation at the site of injection that was mild and improved with conservative treatment. The mean penile girth at baseline was 81.75±9.86 mm in the HA group and 80.37±6.79 mm in the control group (no significant difference). Penile traction devices, or extenders, are the only non-surgical method with limited scientific backing, primarily for length increases. Vacuum erection devices (VEDs), or penis pumps, create a vacuum around the penis, drawing blood into the shaft to induce an erection. Many products marketed for enlargement, such as pills, supplements, and creams, lack scientific evidence to support claims of permanent growth. Flaccid length is a poor predictor of erect size, as many smaller flaccid penises expand significantly upon erection. While concerns about size are widespread, most men seeking intervention fall within the normal range of penile dimensions. 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