on PinterestExperts say that “ballmaxxing” may lead to permanent damage to male genitalia.
on PinterestExperts say that “ballmaxxing” may lead to permanent damage to male genitalia. Image Credit: Heathline/Paloma Rincon Studio/GettyImages
- “Ballmaxxing” is a viral social media phenomenon in which fluids are injected into the testicles to increase their size.
- Some men are injecting fluids until their testicles become the size of grapefruits.
- Experts caution that ballmaxxing could cause infection and may result in long-term damage to male genitalia.
There is no shortage of “maxxing” trends on social media, from “looksmaxxing” to “fibermaxxing” to “sleepmaxxing.”
The latest, known as “ballmaxxing,” has men injecting fluids like saline or Surgilube into their testicles to increase their size. Some proponents say that ballmaxxing helped inflate their testicles to the size of grapefruits.
But the question on everyone’s mind is, “Why?”
Some say that increasing their scrotum size makes them feel more masculine and confident, while others claim they believe women prefer larger testicles. Some have also suggested that ballmaxxing can enhance sexual pleasure and performance.
However, saline and Surgilube were not intended for these purposes.
Saline is a sterile solution of sodium chloride in water used for medical and health reasons. Surgilube is a sterile, water-soluble surgical lubricant used clinically to facilitate the insertion of medical instruments, catheters, and endoscopes. Both fluids are intended for external medical use and instrument lubrication. Why they’ve been repurposed for ballmaxxing is unclear.
Whatever the reason, experts warn that ballmaxxing may cause more harm than good.
“Physicians have called ballmaxxing one of the most reckless body modification trends to emerge from male online communities, warning that the temporary size increase often leads to permanent damage,” said Robert Glatter, MD, attending physician in the Department of Emergency Medicine at Lenox Hill Hospital in New York City, and Assistant Professor of Emergency Medicine at Zucker School of Medicine at Hofstra/ Northwell.
Healthline spoke with Glatter to learn more about this potentially dangerous trend.
This interview has been lightly edited for clarity and length.
Is ballmaxxing safe?
Glatter: The short answer: The scrotum was not built for this. The area is extremely sensitive and contains delicate structures — including the testicles, blood vessels, and nerves — that are simply not designed to accommodate fluid distension.
Specific risks include infection, abscess formation, and cellulitis from the introduction of unregulated fluid outside a medical setting. Pressure from fluid accumulation may also impair blood flow, potentially affecting testicular function — in other words, the very organs someone is trying to “enhance” can be permanently damaged in the process.
Most ballmaxxing happens at home with kits bought online, with no sterile field and no trained operator, making sepsis a potential and serious outcome.
Others may purchase materials from underground sources, which may contain toxic materials that are not only harmful but also unsterile, increasing the risk of severe infection, sepsis, and the need for surgical intervention with potential permanent disfigurement.
Can saline injections cause permanent damage?
Glatter: Even medical-grade saline, when injected outside a clinical setting by an untrained individual, carries serious risks.
Without proper sterile technique, you are essentially introducing bacteria directly into a warm, enclosed anatomical
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