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Hi there Yariome, as with most products, we couldn't really tell a product's maximum efficacy unless we see it for ourself, or better yet, experience it first hand. For a wider review on penis pumps, you may check out this article: http://sexuality.about.com/od/sextoys/a/penis_pumps.htm or you could watch the video and handy guide here: http://www.extremerestraints.com/penis-pumps_62/
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The pressure caused by pumps can easily tear apart the cells that make up the penis tissue and lead to the formation of blood clots within the penis. The suction that forces blood toward the head of the penis may also cut off the blood flow if the pump is used for extended periods of time.
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