Phalloplasty and penile implant surgery

Area of Science:

• Urology
• Andrology
• Surgical Innovation

Background:

• Erectile dysfunction (impotence) frequently correlates with diminished penile length.
• Penile prosthesis surgery aims to restore erectile function but may not address length concerns.
• Patient satisfaction with penile prosthesis surgery can be influenced by perceived or actual penile length.

Purpose of the Study:

• To provide an overview of adjuvant surgical techniques for enhancing penile length.
• To discuss methods that increase perceived or true penile length in conjunction with prosthesis surgery.
• To highlight the potential benefits of these techniques for patient outcomes.

Main Methods:

• Review of surgical techniques categorized by tissue manipulation (removal/fixation) above or below the penile shaft.
• Description of suspensory ligament division as a length-enhancing procedure.
• Explanation of corporal augmentation methods including tissue stretching and grafting.

Main Results:

• Adjuvant procedures offer viable options to increase penile length.
• Techniques involve anatomical modifications and tissue augmentation.
• These methods can address both perceived and true penile length deficits.

Conclusions:

• Simple adjuvant procedures can effectively enhance penile length during prosthesis surgery.
• The application of these techniques is expected to become more prevalent.
• Increased patient satisfaction is anticipated with the wider adoption of these length-enhancing methods.