One would assume that the size is dependant on the volume of blood it can take up.
Therefore, I guess, the most accurate representation for penis size would be gained by measuring the difference in blood pressure, when having an erection and having no erection, while standing up, at a location as high on your body as possible (for example the right or left carotid arteria)
I guess a good indication of an XXL size would be, if the diffeence is so big, that you faint while having an erection and standing up
Therefore, I guess, the most accurate representation for penis size would be gained by measuring the difference in blood pressure, when having an erection and having no erection, while standing up, at a location as high on your body as possible (for example the right or left carotid arteria)
I guess a good indication of an XXL size would be, if the diffeence is so big, that you faint while having an erection and standing up
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