“I imagine it to be physical action (I.e PE) leading to a chemical cascade via cell signalling. Send this signal enough at the right frequency and intensity and you will get growth.”
I 100% agree with you.
Here’s a theory. You never actually damage your penis which then “rebuilds” or “heals”. You would have a stiff hard dick made up of a bunch of scar tissue if you actually did that.
Here’s my idea, I have no idea if it’s right but its a better idea than damaging and then healing
Smooth muscle cells are constantly in a “tense” state (not relaxed). When they are relaxed, it allows for the blood vessels to open up resulting in blood flow into the corpora cavernosa. Normally this relaxation of smooth muscle cells is mediated by the nervous system that releases chemicals that induces relaxation of the smooth muscle cells.
However! When you are performing jelqing exercises what you are doing is causing mechanical “shear stress” on your blood vessels. This shear stress causes the cells that make up your blood vessels to release nitric oxide (NO) that causes your smooth muscle cells to relax instead of your nervous system releasing chemicals to cause it to relax. (Think about it, after a few few minutes into a good jelq routine your penis may be as girthy as when you are erect, but your penis isn’t pointing up at full attention and you are almost completely flaccid. It would, in my mind, make sense that this is due to the fact that your smooth muscle cells are all relaxed due to increased NO production from the mechanical stress on the blood vessels, independent of the nervous system.)
Now that your smooth muscle cells are relaxed, and you have blood entering your penis at an increased rate due to increased blood vessel diameter, you can begin to jelq. Whether the gains from jelqing occur from smooth muscle cell proliferation and increased secretion of collagen occurs, or whether you stretch your tunica albuginea, or both I have no ideas about.
Google: nitric oxide endothelial cells smooth muscles shear stress to find out more about mechanical stress on endothelial cells inducing smooth muscle cell relaxation.