Silicone implants and pills can be grouped amongst the other failed attempts to increase penile girth. Our research team could not find clinical references (such as studies, presentations or peer review papers) supporting the use of pills for penile girth enhancement. One single-center study of a silicone graft for girth enhancement had only a small number of respondents and was not statistically significant. Our experience with removing surgically implanted devices has demonstrated a poor anatomical result and difficulties with the mesh used to anchor the device. Regarding Vacuum Erection Devices (VED) – Most literature related to vacuum pumps supports some minimal increases in both length and girth and is a modality that does NOT preclude the use of UroFillâ„¢ and the UroFillâ„¢ technique.