Similar to Dr. Kaplan's Starter Package, but comes with a special cylinder designed to eliminate Erectile Dysfunction and Premature Ejaculation. Cylinder is one size only, will accommodate an erect base circumference up to 5.5 inches. This complete system includes: Deluxe Hand Pump and Pressure Gauge Special E.D. Cylinder Erection Enhancing Bands Instruction Book 3 Month Warranty The Deluxe Hand Pump is quiet, lightweight, and dependable. For permanent increase in penis length, penis girth and scrotal enlargement. Dr. Joel Kaplan offers quality male enhancement products. Dr. Kaplan's pumps and supplements have helped men increase penis size and stamina, since 1991. Made in the USA.