Wednesday, February 4, 2015

Penile Cancer: Carcinoma in situ


Carcinoma in situ (CIS) of the penis refers to a squamous cell cancer limited to the most superficial layers of the penile skin. This cancer is also known as Erythroplasia of Queyrat if on the glans (head) of the penis or Bowen Disease if on the shaft of the penis and was covered in a previous blog. While CIS is technically a non-invasive cancer and believed to have low metastatic potential, it has features of high-grade (potentially aggressive) cancer that warrants careful management.

History

CIS was inititally described by Queyrat in 1911 as a red, velvety, well-marginated lesion of the glans penis or prepuce (of uncircumcised men). Bowen described a similar lesion of the penile skin in 1912. The original description of Bowen disease related to subsequent internal malignancy, however subsequent studies have demonstrated that this relationship was nothing more than coincidence.[1]

 

Presentation and Prognosis

CIS has a similar clinical presentation whether on the glans penis or shaft. As described above, CIS can appear as a red, velvety, well-marginated lesion on the penis. Alternatively the lesion can be scaly, crusted or ulcerated – similar in appearance to eczema or psoriasis. Development of metastasis for CIS is incredibly rare – however 10-33% of CIS on the glans and 5% of CIS on the shaft can progress to more invasive, dangerous disease.[2,3]

 

Management

As CIS rarely metastasizes, treatment is focused on (1) confirmation of a non-invasive lesion, (2) resection of lesions with an adequate microscopic margin and (3) penis-sparing techniques if the lesion is on the glans. Confirmation of non-invasive malignancy may require multiple biopsies or complete excision of the area of concern. A 5mm margin if often adequate for lesions on the shaft, while circumcision will cure most cases of CIS on the prepuce. Lymph node dissection is only performed in cases suspicious for invasion or enlarged lymph nodes.

Penis-sparing treatments

Lesions of the glans penis can be difficult to treat surgically without distorting normal penile anatomy or sensation. A number of topical treatments including 5-fluorouracil, 5% imiquimod, laser ablation (YAG or KTP lasers) and radiation therapy have all been used with success.[4-10] For patients with large tumors or lesions refractory to topical treatment, local skin excision can be performed with skin grafting as needed.

Penile lesion (CIS) completely excised (left) and with a skin graft using non-hair bearing skin of the groin (right).


For patients with CIS involving the glans, partial or complete excision with partial or complete resurfacing can be performed.[11,12]



A. CIS on the glans penis, B. Glanular skin removed, C. Skin graft placed on the glans, D. Final, cosmetically pleasant result.  From Palminteri etal. [12]

These penile surgeries often involve a multidisciplinary approach including a urologic oncologist, plastic (reconstructive) surgeon and excellent pathologists to ensure eradication of the disease.  Penile cancer is a rare disease and balancing the risks of cancer with penile reconstruction and function is best done at a center with experience treating this disease.


  1. Anderson SL, Nielson A, and Reymann F: Relationship between Bowen disease and internal malignant tumors. Arch Dermatol 1973; 108: pp. 367.
  2. Buechner SA: Common skin disorders of the penis. BJU Int 2002; 90: pp. 498-506.
  3. Bleeker MCG, Heideman DAM, Snijders PJF, et al: Penile cancer: epidemiology, pathogenesis, and prevention. World J Urol 2009; 27: pp. 141-150.
  4. Harrington KJ, Price PM, Fry L, Witherow RO. Erythroplasia of Queyrat treated with isotretinoin. Lancet. Oct 16 1993;342(8877):994-5. 
  5. Micali G, Nasca MR, De Pasquale R. Erythroplasia of Queyrat treated with imiquimod 5% cream. J Am Acad Dermatol. Nov 2006;55(5):901-3. 
  6. Conejo-Mir JS, Munoz MA, Linares M, Rodriguez L, Serrano A. Carbon dioxide laser treatment of erythroplasia of Queyrat: a revisited treatment to this condition. J Eur Acad Dermatol Venereol. Sep 2005;19(5):643-4. 
  7. Arlette JP. Treatment of Bowen's disease and erythroplasia of Queyrat. Br J Dermatol. Nov 2003;149 Suppl 66:43-9. 
  8. Orengo I, Rosen T, Guill CK. Treatment of squamous cell carcinoma in situ of the penis with 5% imiquimod cream: a case report. J Am Acad Dermatol. Oct 2002;47(4 Suppl):S225-8. 
  9. Micali G, Lacarrubba F, Dinotta F, Massimino D, Nasca MR. Treating skin cancer with topical cream. Expert Opin Pharmacother. Jun 2010;11(9):1515-27. 
  10. Grabstald H, and Kelley CD: Radiation therapy of penile cancer. Urology 1980; 15: pp. 575-576.
  11. Pompeo AC, Zequi Sde C, Pompeo AS. Penile cancer: organ-sparing surgery. Curr Opin Urol. 2015 Mar;25(2):121-8. doi: 10.1097/MOU.0000000000000149.
  12. Palminteri E, Berdondini E, Lazzeri M, Mirri F, Barbagli G. Resurfacing and reconstruction of the glans penis. Eur Urol. 2007 Sep;52(3):893-8. Epub 2007 Jan 22.

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  2. Hey guys i just had an important question regarding the first photo .for that graft that was done does the skin that was added eventually change colour to suit everything around it or it stays white (please reply to me id really appreciate it and reply just really quick to alimakki99@hotmail.com

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  10. I have been living with my wife with a small penis in my marriage and this has resulted to an everyday problem with me and my wife because we had no child and we have been maried for 4 years, i was really confused and i was so shy to say it out to anybody until my wife treathen to go for a diveorce and that will be a shame to my path, so i read about a Shared Testiminy of Dr JIM FACEBOOK on how he has helped to many people to solve there problems with his herbal cream so i applied and he sent it to me and insttucted me on how to use it, what surprised me was that it took just 1 month and my penis was 12.9cm(5.1inches) when erect, and now my wife is 4 months pregnant, Do not be shy to loss what you cherish so much take a bold step today and contact him on his below contacts via Email drjimsolutioncenter@gmail.com or WhatsApp :+2348100368288 click Dr FB Page https://web.facebook.com/Dr-JIM-Solution-Center-368240946983102/posts/ so you can benefit from his herbal medicine

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    Replies
    1. Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough 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,MOSES BUBA and decided to contact him on his email: buba.herbalmiraclemedicine@gmail.com) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend JOY, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr MOSES BUBA I also learn that Dr MOSES BUBA also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr MOSES BUBA now for help on his email ( buba.herbalmiraclemedicine@gmail.com ).

      Delete
  16. Dr. Sam has really made me so much believe in him by getting me cured with his herbal treatment. i really appreciate you Dr.Sam for bringing back happiness to my life again. thanks you so much,friends join me to thank him for what he has actually done for me i pray to you all for a good life and good health, and most especially to you Dr. Sam THANKS.

    I have been suffering from (HERPES SIMPLEX VIRUS) disease for the past four years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few months ago i came on search on the internet if i could get any information concerning the cure of this disease, on my search i saw a testimony of someone who has been healed from (HERPES SIMPLEX VIRUS) by this Man Dr Sam and she drop the email address of this man and advise we should contact him for any sickness that he would be of help, so i wrote to Dr. Sam telling him about my (HERPES Virus) well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me. I am now here to testify that i am not longer a herpes patient, I have experience a total transformation in my life,for all herpes patients get your herbal medicine to cure your sickness. And there has being rapid improvement in my health, I no longer feel pains and I wake up each morning feeling revived. So friends my advise is if you have such sickness or any other at all,you can contact him. (Supremecurehome@gmail.com) Wbesite: http://www.supremecurehome.blogspot.com
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  18. Hello everyone get the cure to low sperm count, penis enlargement, weak erection and premature ejaculation problem from DR OLIHA , my wife left me because i was not able to perform on bed,and because of that we were childless,he sent his product (herbal medicine) to me which i used and it is a permanent cure to weak erection and premature ejaculation my new wife is two month pregnant now, so i give all thanks to DR OLIHA for making me a man again,i was cured with his herbal product. contact DR OLIHA Email { oliha.miraclemedicine@gmail.com} or +2349038382931

    ReplyDelete

  19. I wake up every day and singing praises to this wonderful man called DR,KOBEKO i used to have a small penis 9 cm but only 1 and half months to have it reaches 18cm! 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.KOBEKO for his powerful herbal cream and oil i used for a little time in case you also need help email drkobekoenlragementhome@gmail.com u can also call him on his telephone number or whatsapp +2349064844957

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  21. Good day readers, My name is
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    ReplyDelete
  22. 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.OMOHAN. online. I never thought i could smile and be in a happy marriage again if not for the help of DR.OMOHAN. I got the doctors Emails:(dromohanherbalmedicine@gmail.com ) on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream 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 about 10.5 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.OMOHAN , and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:( dromohanherbalmedicine@gmail.com ) Am thankful to the doctor for helping me.
    his whataspp number +2348164816038

    DOCTOR OMOHAN CAN AS WELL HELP THE FOLLOWING PROBLEMS
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    ReplyDelete


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  24. Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough 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, OLHIA and i decided to contact him on his website i saw on the internethttp://olihawonderfulherbs.webs.com/ so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend Ella, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OLIHA I also learn that Dr OLIHA also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OLIHA now for help on his email {oliha.miraclemedicine@gmail.com} or whats app him number: +2349038382931

    ReplyDelete
  25. 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.OMOHAN. online. I never thought i could smile and be in a happy marriage again if not for the help of DR.OMOHAN. I got the doctors Emails:(dromohanherbalmedicine@gmail.com ) on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream 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 about 10.5 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.OMOHAN , and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:( dromohanherbalmedicine@gmail.com ) Am thankful to the doctor for helping me.
    his whataspp number +2348164816038

    DOCTOR OMOHAN CAN AS WELL HELP THE FOLLOWING PROBLEMS
    1. HIV/AIDS SPELL
    2. HERPES SPELL
    3. CANCER SPELL
    4 IF YOU WANT YOUR EX LOVER BACK SPELL
    5 IF YOU NEED A BABY SPELLhim to solve
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    get all your problem solve. No problem is too big for him to solve.

    ReplyDelete
  26. 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.OMOHAN. online. I never thought i could smile and be in a happy marriage again if not for the help of DR.OMOHAN. I got the doctors Emails:(dromohanherbalmedicine@gmail.com ) on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream 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 about 10.5 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.OMOHAN , and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:( dromohanherbalmedicine@gmail.com ) Am thankful to the doctor for helping me.
    his whataspp number +2348164816038

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    4 IF YOU WANT YOUR EX LOVER BACK SPELL
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    ReplyDelete
  27. hello everyone this is real and i want to tell the whole world about
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    i was really frustrated and tired of living because my penis was too small
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    ReplyDelete
  28. Women Lie : Size DOES Matter

    And if you've ever taken a girl home, gotten hot and heavy and then felt embarrassment and PANIC when you take off your pants and see the look of DISAPPOINTMENT on her face, you need to go check this out right now . . .

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    I'll tell you right now (and I've got proof), that anyone who tells you "size doesn't matter to women" is flat out lying to your face and trying to make you feel better . . .

    Heck, just recently I asked a focus group of women via an anonymous online survey if size matters, and again and again they said "Oh my god, I HATE IT when it's SMALL."

    For a long time I didn't know what to tell the guys who'd write in to me and ask how to get "bigger."

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    Best,

    [Ana]

    P.S. There's absolutely nothing in the world that will make you smile as wide as pulling down your pants and seeing a look of AWE and ANTICIPATION on a woman's face. The first time you hear her say "It might be too big" in a soft, excited voice, you're going to feel a thrill through your spine like you just snorted 3 lines of cocaine.

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    ReplyDelete
  29. Hello everyone am here to share my testimony. I was suffering from BREAST CANCER for the past 3 years and my Dr told me that there is nothing he could do, after the 5 times chemotherapy and radiation and i was not responding to treatment and not even getting better and i had no money for Surgery because it was too expensive for me. I was frustrated and confused, seeking advice from people until a friend told me about Dr. Iyere Herbal Medicine and herbal cannabis oil and its fast curing ability of any kind of cancer and told me that her mother's LUNGS CANCER was cured by the same Iyere. I was desperate to to have the HERBS and i contacted Dr. Iyere via email to get the miraculous oil. The Dr send me the Herbal Medicine and Cannabis oil through FedEx, to cut the long story short, i got Completely Cured after taking the Herbs for a week. To cut the long story short, as i am writing this testimony on this Blog am so strong and healthy no more cancer in my body again. I did my test and the Doctor confirmed it, i do not have BREAST CANCER anymore which he (The Medical Doctor) was Shock when he confirmed it. I really want to Appreciate Dr Iyere who got me cured with the help of his herbal medicine and to God Be All The Glory. He also have a herbal cure for the Following DISEASES and INFECTIONS below, this is 100% Real.

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    ReplyDelete
  30. Hello
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    ReplyDelete
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    ReplyDelete
  32. I was very nervous and had been researching Penis Enlargement surgery for a few months. I decided to get a consultation with Dr. Abalaka and I'm so glad I did. His work makes you feel very comfortable and Dr. Abalaka 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. Abalaka. you can consult him direct to his personal Email and mobile: Email: Abalakaherbalcure@gmail.com / mobile: +2348161346801
    HE IS ALSO SPECIALIZE IN THE FOLLOWING
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    ReplyDelete
  33. Hello my viewers this is your chance and opportunity to booster your Bums Bums Hips,and Breast,dick,Enlargement Pills and Cream and Removal of Stretch Mark Use Dr moses buba herbal product Enlargement Cream and Pills for real natural Hips and Bums curves and faster results.They are one of the top rated enlargement best herbal product it will really help you of hip and creams and pills of Stretch Mark and bums,they consists of proprietary blend of mastogenic herbs and exotic plant extracts that have been proven to increase hips,penis enlargement and bums size by naturally stimulating new cell growth in the hips and bums tissues of a human being.They will physically increase your hips and bums appearance.contact me on +3197010201069 for his or contact him buba.herbalmiraclemedicine@gmail.com or whatapps him on +23428128712230 ...

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  34. All thanks to Dr omohan, i have being suffering from HIV for so long. till i met a woman who told me about a particular doctor who has cured her from HIV, i thought it was a scam, till i collected her number and i called her, she is an america woman,she told me all i need to know about this doctor , and i contacted the doctor and explain my situation to him and he told me all i need to do.And am happy to tell the whole world now that am HIV negative, may the good lord grant you long life doctor.If you are suffering from such illness or you have any spiritual problem, hurry up and contact doctor omohan via email:dromohanherbalmedicine@gmail.com. call or whatsapp him via:+2348164816038

    ReplyDelete
  35. Hello everyone i am very happy to meet Dr wonders, I have been humiliated many times in relationships due to the fact of not being able to satisfy my girlfriend because I had a very small penis. i had so m
    any relationship called off because of my situation, i have used so many product which i found on line but none could offer me the kind of help i searched for. I was going through some comments on Facebook when I saw a testimony about this specialist called Dr wonders, and how he helped solve the testifier relationship issues regarding to their sex life, so i decided to seek his help too following the email I saw ( drwondersenlargementhome@gmail.com ) so I decided to give his herbal product a try. i emailed him and he got back to me, and I told him my story, Dr wonders, sent me some herbal pills for Penis Enlargement, Within 2 week of usage, i began to feel the enlargement of my penis, ” and now it just 5 weeks of using his products my penis is about 9 inches longer, all thanks to the great Dr wonders, I believe their are so many people going through the same thing which I went through thats why I decided to tell the world how I got help from this great man. (drwondersenlargementhome@gmail.com ) or you can also whatsapp him on his mobile number +2347036517871

    ReplyDelete
  36. Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough 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,OLU and decided to contact him on his email: Drolusolutinthome@gmail.com) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargemen was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OLU I also learn that Dr OLUalso help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OLU now for help on his email (Drolusolutionhome@gmail.com) or add him on whatsapp line +2348140654426

    ReplyDelete
  37. Hello everyone, i want to give thanks to the Lord for sending Doctor Idemujan to solve my problems in life, i want to tell the whole world about how I grew my penis by 4 extra inches using Doctor Idemujan herbal cream, the main reason for buying this was to add up to my penis size, because it was a big problem to my life, my confidence with my woman was low, she threaten to live my house and go look for a man that will make her happy in bed, i feel so bad and i was really worried, and i have been trying since 20 years of age to enlarge my penis but none rendered me the help i want i have used vaccine, penis pump,surgery,online creams from United States Of America,CANADA,INDIA,UK, and more but none of them enlarge my penis i was really frustrated and tired of living because my penis was too small, imagine a 40 years old like me having 2.5 inches and to make it worse i was having erectile dysfunction, low of sperm, i can not met my woman and she will get pregnant, to GOD be the glory as i was searching through the online for help on Google page i saw one Mr Richard James from Chicago Illinois USA testifying of how Doctor Idemujan HERBAL CREAM and LIQUID enlarge his penis from 3 inches to 5 inches within one week of using his herbal cream, because of my problems, i have to go for fasting and prayers from different church, begging God to send a helper to me that will help me solve my life problems, then i believe my problems can also be solved too, so i quickly contacted him through his email: idemujanherbalcurecenter@gmail.com to God be the glory i was surprise after one week of using his cream my penis enlarge to 4 extra inches and is now 6 inches long and very thicker i am so happy to feel like a real man in the bedroom at last so if you need penis enlargement,erectile dysfunction cure, weak erection, breast enlargement, and many sexual relation cure or any kind of disease you have and you need cure do not hesitate to email: idemujanherbalcurecenter@gmail.com or you can call his phone number + 2349024338906 God bless you all Amen.

    ReplyDelete
  38. The doctors said Herpes virus do not have medical cure because the virus is capable of hiding within the human cells, it remains protected from your immune system. Herpes isn’t a special virus – your immune system has the tools to fight it back. But because it is able to lay dormant in protected cells, your immune system is unable to remove it from your body,But with strong reactive herbal medication is capable of getting rid of the virus gradually and totally from your body without damaging any of your cells,natural herbs kills the virus totally not just reducing the out break. Get natural herbs cure from Dr. Oshuku (droshuku@gmail.com) or WhatsApp number +2348130419838

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  40. Hello everyone, am very happy to share this little awesome testimony about Dr okosun a great herbal doctor who help me enlarge my penis size.3.2 cm to 8.3 cm longer with his herbal cream mixture, my girlfriend is now so amazed with the autonomous size of my penis , if you you are also in need of help on how to enlarge your penis to become bigger and stronger I adverse you to contact Dr okosun on his email contact him dr.okosunspellalter@gmai.com
    you or contact on whatsapp number +2349037067348 because he is one of the best herbal doctor that i can only show you up to, if your penis is 4.2 cm and want to get it reach 9.2 cm within three weeks i Dr okosun is also specialized on obeo m breast and boobs enlargement i advise you to contact him for help.

    ReplyDelete

  41. 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.OMOHAN. online. I never thought i could smile and be in a happy marriage again if not for the help of DR.OMOHAN. I got the doctors Emails:(dromohanherbalmedicine@gmail.com ) on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream 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 about 10.5 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.OMOHAN , and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:( dromohanherbalmedicine@gmail.com ) Am thankful to the doctor for helping me.
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    ReplyDelete

  42. My name is June buff am from usa. I want to share a testimony of how Dr EBAKO Wells herbal oil saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,I wasn't able to satisfy m wife any more and she became so tired of my sex life issues, and she was getting angry every time we make love, because i always cum quickly in 10 minutes and it was very frustrating,but i never loose hope, i went out to search on a way to make my penis big and lastly in bed. miraculously i saw a testimony of how Dr EBAKO Wells has helped my fellow men, on getting help and making their penis bigger and stronger, i wrote to Dr EBAKO Wells for his herbal oil and he told me once i used his oil in 5 days my penis will be 9 inches bigger be able to satisfy my wife longer in bed and also be able to control my ejaculation to cum whenever i want to. to my shocking surprise after using the herbal oil 5 days after i was shocked when my penis grow bigger to 9 inches exactly as i wanted and now my wife enjoy me on bed and even crave for more. My fellow friends suffers no more, if you need your penis issue to be solved you can contact Dr ebako Wells today and right now on his email: doctorebakospellhome@gmail.com or whatsapp him on +2348124644470 ....

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    ReplyDelete
  43. Hello my friend you are welcome i have three type of enlargement cream which will not cost you much and they are 100% grantee they are
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    ReplyDelete
  44. Hello everyone, am very happy to share this little awesome testimony about Dr Alabi a great herbal doctor who help me Enlarge my Penis size.3.2 cm to 8.3 cm longer with his herbal cream mixture, my girlfriend is now so amazed with the autonomous size of my penis , if you you are also in need of help on how to enlarge your penis to become bigger and stronger I adverse you to contact Dr Alalbi on his email now on ( dralabispelltemple@gmail.com ) or you can also contact him on his whatsapp number{ +2348105074556} because he is one of the best herbal doctor that i can only show you up to, if your penis is 4.2 cm and want to get it reach 9.2 cm within three weeks Dr Alalbi is also specialized on breast and boobs Enlargement i advise you to contact him for help now and i promise you that with God and with him all your problems shall be solved thanks.....

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    ReplyDelete
  45. I have a small penis size penis and a weak erection and i cant last long in sex and it has been a problem to me for years,my wife always get disappointed with me when ever we are having sex, i don’t last for up to five minute,during sex, i have taken different medications, products and pills but no solution,then i went on the website for a solution on how to enlarge my penis and i got contact of DR raymond who help to cure erection and ejaculation problem with his product and also help to enlarge penis,i got in touch with him through on his email address and i got the product. which i took for just a week and my ejaculation is now normal and my erection is hard and my penis got bigger, longer and thinker than before and now i can last long in bed. now 10.5 inches long on erection and off course very large round. which have stop using his product after i got the result of the penis size i wanted because the more you apply the product the bigger, longer and thicker your penis will be. I am very happy for this Penis Enlargement product it worked effectively and permanent and has no side problem . He can help cure premature ejacutions, male infertility, Herpes, diabetes,male dysfunctions, cancer, low sperm count, to last long in sex. and email him on raymondherbalhome@yahoo.com or whasapp him on( +2349039300771)

    ReplyDelete
  46. My name is john robet am from U.S.A. I want to share a testimony of how Dr.Olu 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.Olu 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 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. can contact him drolusoltionhome@gmail.com { or call or what-apps him through +2348140654426 . .he also specialize on the following things
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    Thanks for the Enlarging my penis sir, you indeed save my marriage...I am really grateful sir, ) or call or what-apps him through +2348140654426 . .he also specialize on the following things



    Thanks for the Enlarging my penis sir, you indeed save my marriage...I am really grateful sir,

    ReplyDelete
  47. HOW DR.JOHN HELP ME TO MAKE MY PENIS INCREASE IN 10 INCHES LONG CONTACT WHATS APP me :+16316333388 NEW
    by: John Austin

    I'm Here to tell people over the world how Dr.john is real herbalist that we help you in any situation problem...my testimony is about a herbalist Doctor called Dr.john I was heartbroken because i had a very SMALL PENIS, not big enough 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.john and decided to email him on his email i saw on the internet, (drjohnenlargementhome@gmail.com) so I decided to give his herbal medicine a try. i emailed him and he got back to me, he gave me some comforting words with his herbal medicine for Penis Enlargement,Within 2 week of it, i began to feel the Enlargement of my penis, "and now it just 3 weeks of using his herbal medicine my Penis is about 10 inches longer, and i had to settle out with my Ex (Girlfriend) i was surprised when she said that she is satisfied with my sex and i have got a large penis,Am so happy..email him to help you too.his WhatsApp number:+2348060259313
    he also specialize on the following things

    Permanent penis enlargement
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    Have multiple orgasms
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    Best regard
    JOHN AUSTIN

    ReplyDelete
  48. HOW DR.JOHN HELP ME TO MAKE MY PENIS INCREASE IN 10 INCHES LONG CONTACT WHATS APP me :+16316333388 NEW
    by: John Austin

    I'm Here to tell people over the world how Dr.john is real herbalist that we help you in any situation problem...my testimony is about a herbalist Doctor called Dr.john I was heartbroken because i had a very SMALL PENIS, not big enough 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.john and decided to email him on his email i saw on the internet, (drjohnenlargementhome@gmail.com) so I decided to give his herbal medicine a try. i emailed him and he got back to me, he gave me some comforting words with his herbal medicine for Penis Enlargement,Within 2 week of it, i began to feel the Enlargement of my penis, "and now it just 3 weeks of using his herbal medicine my Penis is about 10 inches longer, and i had to settle out with my Ex (Girlfriend) i was surprised when she said that she is satisfied with my sex and i have got a large penis,Am so happy..email him to help you too.his WhatsApp number:+2348060259313
    he also specialize on the following things

    Permanent penis enlargement
    Thick penis
    Bigger penis head
    Improved force and intensity
    Boosted semen quantity
    Effective erections
    Cures and prevents impotence
    Have multiple orgasms
    Ends Early ejaculation
    Increased stamina
    Hight blood pressure
    Best regard
    JOHN AUSTIN


    ReplyDelete
  49. HOW DR HARRY HELPED ME ENLARGE MY PENIS SIZE FROM 2.5 INCHES TO 11 INCHES LONG AND 8.0 GIRTH
    hello everyone this is serious and real i want to tell the whole world about how DR HARRY HERBAL MIXTURE CREAM helped me enlarge my penis size ..i have trying since 19 years of age to enlarge my penis but none rendered me the help i want i have used several vaccines,penis pump,surgery,online creams from USA,CANADA ,INDIA,ZIMBABWE,SOUTH AFRICA and many more but none of them could enlarge my penis i was really frustrated and tired of living because my penis was too small ,imagine a cute and handsome 39 years old man like me having 3.5 inches and to make it worse i was having erectile dysfunction which was so annoying to me,my girlfriends have left me because of my small penis ....to GOD be the glory as i was searching for help on a FACEBOOK page i saw one Mr JEFFERY JONES from USA testifying of how DR HARRY HERBAL MIXTURE CREAM enlarge his penis and healed his grand mom hepatitis B .so i quickly visited his website link http://drharryherbaltempl.wixsite.com/solutiontemple and message him on his email i saw on the website drharrysolution@gmail.com and he replied me and gave me comforting words and told me all i need to do and i was surprise he did not ask for money ,,i got his cream and he sent it to me through united parcel service (UPS)and i got it 4 days later and used the cream just as he told me and its just 11 days of using his herbal mixture cream my penis is now 11 inches long and 8.0 flaccidity am so happy to feel like a man in the bedroom at last so if you need penis enlargement,DIABETES 1/2 CURE,HERPES CURE,HIV/AIDS,CANCER,LUPUS DISEASE,PILE,LOW SPERM COUNT,PREMATURE EJACULATION,ERECTILE DYSFUNCTION,breast enlargement,weak erection,erectile dysfunction cure and many sexual relation cure do not hesitate to email him now drharrysolution@gmail.com or website http://drharryherbaltempl.wixsite.com/solutiontemple you can also whatsapp or call him +2348143240563 thanks

    ReplyDelete
  50. Hello everyone i Am williams pater and i am from USA i am here to give my testimony about an herbal doctor called Dr,olu 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 could not offer me the help i searched for. i saw some few comments on the internet about this specialist called Dr,OLU and decided to email him on his email i saw on the internet,(drolusolutionhome@gmail.com ) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal product for Penis Enlargement, Within three weeks of me use it, i began to feel the enlargement, " and now it just 4 weeks of using his products my penis is about 8 inches longer, and i had to settle thing out with my ex girlfriend , i was surprised when she said that she is satisfied with my performance in bed and i now have a large penis.thanks to DR OLU for is herbal product. you can also reach him with emsil drolusolutionhome@gmail.com though is..number WHATASPP him today on this number [ +2348140654426 ]

    ReplyDelete
  51. Hello every one out there, My name is Nadeem sohail, am here to testify of the wonderful work Dr Alex has done for me with is herbal medicine, in the past years i have being going through hard times in any relationship am into, because of the small size of my penis which was not big enough to satisfy a woman, so which always end up in series of breakup in my relationship with women,because of this i have tried so many drugs to enlarge my penis but did not work out, then i decided to search online for solution to my problem and than came across so many testimony on how Dr Alex have helped them find solution to their problems,so i contacted him on his email and told him about my small penis and ejaculation issue, he told me not to worry that he will help me be a real man again, i did not believe he can help me but i gave him a try,he told me what to do and then send me his herbal cream and medicine which i used and it worked for me,now am a happy man. He can also cure diabetes,H.I.V , Arthritis cure, hepatitis B and any kind of sickness you have. you can contact him on his email on (alexherbalsolutionhome@gmail.com or alexherbalsolutionhome@yahoo.com). or through is whats app +2349068579934,This will be the end of your sexual problems and other problems.hope this infor helps

    ReplyDelete
  52. Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough 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, OLHIA and i decided to contact him on his website i saw on the internethttp://olihawonderfulherbs.webs.com/ so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend Ella, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OLIHA I also learn that Dr OLIHA also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OLIHA now for help on his email {oliha.miraclemedicine@gmail.com} or whats app him number: +2349038382931

    ReplyDelete
  53. Hello everyone my name is john Scott,i was heartbroken because i had very small penis, not nice to satisfy a woman, i had so many relationship called off because of my situation, i have used so many product which i found online but none could offer me the help i searched for. i saw some few comments about this specialist called Dr Austin and decided to email him on DRaustinenlargementhome@gmail.com
    so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 1 week of it, i began to feel the enlargement of my penis, " and now it just 2 weeks of using his products my penis is about 9 inches longer and am so happy..feel free to contact DRaustinenlargementhome@gmail.com call him or what-apps him through +2348106915295...

    ReplyDelete
  54. HOW TO ENLARGE YOUR PENIS WITH DR.COVENANT PENIS ENLARGEMENT CREAM
    Hello everyone am cliff, From texas USA , i am here to give my testimony about a spell caster called Dr Covenant, I was heartbroken because i had very small penis, not big enough 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 Covenant and decided to email him on his email i saw on the internet,(Covenantsolutiontemple@gmail.com) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, ” and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend Jane, i was surprised when she said that she is satisfied with my sex and i have got a large penis.
    Am so happy, thanks to Dr Covenant. If you need his help on his email via (Covenantsolutiontemple@gmail.com) Thanks or call him on his mobile +2349057353987

    RESULTS AFTER CASTING OUR PENIS ENLARGEMENT SPELL;
    Permanent penis enlargement
    Thick penis
    Bigger penis head
    Improved force and intensity
    Boosted semen quantity
    Effective erections
    Cures and prevents impotence
    Have multiple orgasms
    Ends Early ejaculation
    Increased stamina
    Best regard

    ReplyDelete
  55. Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough 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, OMOHAN and i decided to contact him on his EMAIL i saw on the internethttp:/{dromohanherbalmedicine@gmail.com} so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, ” and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend Ella, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OMOHAN I also learn that Dr OMOHAN also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OMOHAN now for help on his email {dromohanherbalmedicine@gmail.com} or whats app him number: +2348164816038}

    ReplyDelete
  56. Hello everyone, i am Mike Davis and i am from USA i am here to give my testimony about a herbal doctor called Dr,Agbebaku 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 could not offer me the help i searched for. i saw some few comments on the internet about this specialist called Dr,Agbebaku and decided to email him on his email i saw on the internet ) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal product for Penis Enlargement, Within three weeks of me use it, i began to feel the enlargement, " and now it just 4 weeks of using his products my penis is about 8 inches longer, and i had to settle thing out with my ex girlfriend , i was surprised when she said that she is satisfied with my performance in bed and i now have a large penis.thanks to Dr,Agbebaku for is herbal product. you can also reach him though is email (dragbebakuspellsolutiontemple@gmail.com). or whatsapp him on +2349053099479 , always ready to help..

    ReplyDelete

  57. My name is HILA SHFIE am from England. I want to share a testimony of how Dr itua herbal oil saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,I wasn’t able to satisfy m wife any more and she became so tired of my sex life issues, and she was getting angry every time we make love, because i always cum quickly in 10 minutes and it was very frustrating,but i never loose hope, i went out to search on a way to make my penis big and lastly in bed. miraculously i saw a testimony of how Dr itua has helped my fellow men, on getting help and making their penis bigger and stronger, i wrote to Dr Itua for his herbal oil and he told me once i used his oil in 5 days my penis will be 9 inches bigger be able to satisfy my wife longer in bed and also be able to control my ejaculation to cum whenever i want to. to my shocking surprise after using the herbal oil 5 days after i was shocked when my penis grow bigger to 9 inches exactly as i wanted and now my wife enjoy me on bed and even crave for more. My fellow friends suffers no more, if you need your penis issue to be solved you can contact Dr itua today and right now on his email: drituaherbalsolutionhome@gmail.COM or call or what-sapp him
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    ReplyDelete
  58. i specially want to thank doctor oosa for enlarging my husband penis. my husband penis was not up to 5 inch but after using doctor oosa medicine , my husband penis enlarge from 5 inch to 8 inch and i can now enjoy sex with him . If you need penis enlargement cream,weak erection,low sperm count medicine, kindly contact doctor oosa via doctoroosaherbalhome@gmail.com

    ReplyDelete
  59. hello everyone i am from Texas i have been worried for so many years now because i was trying to figure out how to cure my (erectile dysfunction) and enlarge my SMALL penis but could not find a way out of it ,,my wife has told me if i do not get a cure on time that she will leave me and i love her and my marriage so much .i have used VACCINES,DRUGS,INJECTION AND even did Surgeries just to be happy but none really rendered me the help i needed and i almost gave up when i Used a herbal medicine from a fake bullshit doctor from BRAZIL.i almost lost my life during that period so i gave up and accepted my fate because my wife already requested for a divorce paper s ,,but on one faithful morning i was reading through a comment on Facebook of one MR JEROME HAVERBEKE from Belgium of how DR HARRY HERBAL CREAM and LIQUID enlarge his penis and cure his younger Brother of CANCER DISEASE within the space of 3 weeks wow i was surprised to see it so i quickly visited his website link https://drharryherbaltempl.wixsite.com/solutiontemple behold i saw lots of solution to my problems there so i emailed him and he got back to me and gave me some comfortable words ,and the next day he told what needed to be done and i did it so he sent me his MIRACULOUS HERBAL CREAM AND LIQUID through UPS delivery service and i got it 4 days after ..i then followed his prescriptions on how to use it and OH MY GOD it is just two weeks of using his herbal cream i now have 10 inches when erected and 8 inches when flaccid my wife love it so much now after i had sex with her with my MONSTER PENIS ..and also apologize for asking for a divorce .i am so happy i now feel like a real man ,,thank you so much for taken away this shame from me DR HARRY so if you need any kind of cure visit his website link https://drharryherbaltempl.wixsite.com/solutiontemple email him on drharrysolution@gmail.com or whatsapp him on +2348143240563 THANKS

    ReplyDelete
  60. It is a pleasure to testify of the good works of Dr Alex in my life, few months ago I started searching online for solution to my insatiable sexual life, not been able to last long in bed made my wife cheat on me several times till I came across a testimony of (Rodrick cheg) on how Dr Alex helped him enlarge his penis and how he could last longer then he used to after using his medicine so I summoned courage to contact him through the email that I got in his testimony () quickly I did! Soon I got a reply from him and also words of encouragement, after which he sent me some liquid that I should use and in few days I could tell of the difference when ever I made love to a woman, life has been at it best ever since I meet Dr Alex, his work are magnificent. You can via alexherbalsolutionhome@gmail.com or alexherbalsolutionhome@yahoo.com also whatsapp him +2349068579934 for more information..

    ReplyDelete
  61. 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. ALABI. online. I never thought i could smile and be in a happy marriage again if not for the help of DR. ALABI. I got the doctors Emails:( dralabispelltemple@gmail.com ) on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream 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 about 10.5 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. ALABI , and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:( dralabispelltemple@hotmail.com ) Am thankful to the doctor for helping me.
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    DOCTOR ALABI CAN AS WELL HELP THE FOLLOWING PROBLEMS
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    ReplyDelete
  62. Hello everyone i am Mudaf Kyle from MALASIA , i am here to give my testimony about a great spell caster called Dr OLU, I was heartbroken and disappointed because i had very small penis, not big enough to satisfy or pregnate a woman, i have been in so many relationship, but cut off because of my small penis situation, i have used so many product,drugs,vaccines,herbs which doctors prescribe for me, but none could offer me the help i searched for. one faithful day i saw some few comments on the internet about how this great specialist called Dr OLU has been helping men enlarge their penis size ,pregnate woman and last longer in bed and i decided to email him on his email i saw on the internet,(drolusolution@gmail.com) i also visited his website http://droluherbs.clan.su/ ,so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words and steps to follow which i did with his herbal pills for Penis Enlargement, Within 1 week of it, i began to feel the enlargement of my penis, " and now it just 1 weeks of using his products my penis is about 10.5 inches longer in erection , and i had to settle out with my Ex girlfriend stephanie, i was surprised when she opened her mouth and said that i almost killed her and she is satisfied with my sex and i have got a very Big penis now.
    Am so happy, thanks to Dr OLU I also learn that Dr OLU also help with
    penis enlargement
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    spell of all kinds(ex boyfriend/husband/girlfriend back,lottery spell,win a court case spell,job promotion or boom,marriage spell,breakup spells,cancel a divorce spell,Death spell and so many more

    so if you have any of this problem or other do not hesitate to contact Dr.OLU now for help on his email via (drolusolution@gmail.com or website http://droluherbs.clan.su/ [drolusolutionhome@gmail.com] or you can call him on his mobile number +2348140654426 .........for more information and advice contact my email mudafkyle@gmail.com THANKS

    ReplyDelete
  63. hello everyone i am jamie harry from texas USA i want to tell the whole world of great dr obue herbal mixture i was unhappy ever since my girlfriend back then in college mocked me of having a small penis and weak in bed ,ever since then i have been trying to improve my sex life but all effort failed ..but it gut worse when i got married ,my wife is so angry with me and Threatened to leave me if i do not find a way and i love my wife so much so one faithful day i was reading some comments on a blog then i saw a comment of one MR GERARD PETE FROM new Orleans testifying of how dr obue helped him enlarge his penis and fertilise his sperm count so i quickly contacted him by his website link https://drobuesolutiontemp.wixsite.com/drobue and he got back to me and i did as he said ..to my greatest surprise i got 10 inches within two weeks of using his herbal medicine and now its just 3 weeks i am having 10.5 inches i am so happy now..my wife told me am so good in bed that i almost killed her last night all thanks to him note he also cure sicknesses and diseases like

    PENIS ENLARGEMENT
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    so if you need his help contact him on his email drobuesolutiontemple@gmail.com visit his site https://drobuesolutiontemp.wixsite.com/drobue or whatsapp him on +2348030569449 thanks

    ReplyDelete


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  67. I got married 2 years ago and it just seemed that there was no excitement in my sex life. My dysfunction to perform to the best of my abilities in bed made it harder for my wife and me to have a good time during sex. And i was having the feelings that she may decide to get a divorce one day. I knew something had to be done in order to improve my sex life and to save my marriage because my marriage was already falling apart, so when i was on my Facebook page i came across a story of how Dr EFESE helped him enlarged his penis to 7ins better.so i Immediately copied the Email address of the Doctor and explained to him my problem,he gave me some simply instruction which i must follow and i did easily and my friends Today, i am the happiest man on Earth, All Thanks to Dr EFESE for saving my marriage and making me a real man today.You can as well reach the Dr below for help on your problem, for he has the solution to all...
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    ReplyDelete



  68. I got married 2 years ago and it just seemed that there was no excitement in my sex life. My dysfunction to perform to the best of my abilities in bed made it harder for my wife and me to have a good time during sex. And i was having the feelings that she may decide to get a divorce one day. I knew something had to be done in order to improve my sex life and to save my marriage because my marriage was already falling apart, so when i was on my Facebook page i came across a story of how Dr EFESE helped him enlarged his penis to 7ins better.so i Immediately copied the Email address of the Doctor and explained to him my problem,he gave me some simply instruction which i must follow and i did easily and my friends Today, i am the happiest man on Earth, All Thanks to Dr EFESE for saving my marriage and making me a real man today.You can as well reach the Dr below for help on your problem, for he has the solution to all...
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  69. I got married 2 years ago and it just seemed that there was no excitement in my sex life. My dysfunction to perform to the best of my abilities in bed made it harder for my wife and me to have a good time during sex. And i was having the feelings that she may decide to get a divorce one day. I knew something had to be done in order to improve my sex life and to save my marriage because my marriage was already falling apart, so when i was on my Facebook page i came across a story of how Dr EFESE helped him enlarged his penis to 7ins better.so i Immediately copied the Email address of the Doctor and explained to him my problem,he gave me some simply instruction which i must follow and i did easily and my friends Today, i am the happiest man on Earth, All Thanks to Dr EFESE for saving my marriage and making me a real man today.You can as well reach the Dr below for help on your problem, for he has the solution to all...
    Email: efeseherbalhome@gmail.com
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    ,,.

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