Well... my quick answer is that I think the smooth muscle theory is the most promising of all PE explanations so far and the evidence definitely supports it.
It is documented that Angiotensin, which increases blood pressure, will elicit a growth response in smooth muscle cells. I think that is what happens with jelqing and clamping. It seems to be the same process (angiogenesis) observed in patients with blocked arteries; increased blood pressure puts stress loads on the vascular cavities and natural arterial bypasses are formed as a result (although they are not usually able to fully compensate for the blockage.)
Great thread by the way!
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