Penile augmentation procedures can result in significant complications. Penile girth enhancement has become a common procedure sought after by men desiring penile enhancement. Anthropologists have found examples of penile enhancement procedures on nearly every continent. The Kama Sutra depicts the ideal sexual partner by the size of their genitals to lengthen the penis, advising the tying of objects around the shaft of the penis or using insect bites. In South America, the Peruvian Cholomec tribe used weights whereas the Brazilian Topinama tribe employed poisonous snake bites to enhance the penis. These practices were not without consequences, as penile weights could cause significant tissue damage and girth reduction and snake bites could cause pain for up to 6 months.