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. Kit includes: Xtreme Hydropump, carry case, measuring gauge, cleaning sponge, handball pump, comfort insert pad, hose attachment, pump lube, security lock, and shower strap.