15% larger than the X30 Xtreme! The X40 Xtreme takes your hydrotherapy workout to a whole new level. It's our most powerful pump to date with the same unique globally patented design, and comes with many additions. A Handball pump is included that works in water for a more extreme pumping sensation, maximum gains and the benefit of absolute comfort and control. If you're serious about penis enlargement then the new Hydromax X40 Xtreme is for you.