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A penis extender is a non-surgical device that aims to increase the length and sometimes the girth of the penis through the principle of traction. Here's how it generally works:

1. **Mechanism**: The device typically consists of a plastic ring for the base of the penis, a second ring for the tip, and two adjustable rods that run alongside the shaft. The device gently stretches the penis, leading to cell replication and expansion. Over time, this can result in a lengthened penis.

2. **Principle of Traction**: The underlying principle is similar to certain traditional practices observed in different cultures, such as the elongation of necks by the Kayan women of Myanmar or the elongation of lips and ears in various African tribes. When tissue is stretched for a prolonged period, it can lead to cellular replication in the tissues, resulting in increased length.

3. **Usage**: For effective results, the extender must be worn for several hours a day over many months. Most manufacturers recommend wearing the device for 4-6 hours a day, although this can vary.

4. **Effectiveness**: There's some evidence to suggest that penis extenders can be effective, but results can vary widely among individuals. It's also essential to understand that while some gain might be achieved, expectations should remain realistic. Moreover, the effectiveness can depend on regular and prolonged use.

5. **Safety**: When used correctly, penis extenders are generally considered safe. However, they can cause discomfort, especially in the beginning. There's also the risk of temporary numbness, bruising, or decreased penile sensitivity if the device is not used properly.

6. **Medical Context**: Some doctors recommend penis extenders after penile surgery (like penile lengthening surgery) to maintain or optimize the outcome. They might also be used as a non-surgical method for treating Peyronie's disease, a condition where the penis has an abnormal and significant curve.

7. **Purchase**: If someone is considering purchasing a penis extender, it's essential to ensure that it's medically approved and made by a reputable company. It might also be helpful to consult with a healthcare provider or urologist for recommendations and advice on usage.

It's crucial for individuals to approach the idea of using a penis extender with a realistic perspective on outcomes, proper research, and possibly even medical consultation.