Shaeer's glans augmentation technique: a pilot study.

Area of Science:

• Urology
• Plastic Surgery
• Andrology

Background:

• Penile augmentation often focuses on shaft dimensions, neglecting glans volume.
• Existing glans augmentation methods, like hyaluronic acid injections, have limitations, including reduced glans sensitivity.
• There is a need for effective glans augmentation techniques that preserve sensation and function.

Purpose of the Study:

• To report the first-ever glans augmentation procedure utilizing a dermal fat graft.
• To evaluate the efficacy and safety of glans augmentation by grafting.

Main Methods:

• A pilot study involving ten males seeking glans augmentation.
• Surgical technique involved creating flaps, dissecting a plane around the urethra, and inserting a dermal fat graft.
• Outcomes measured included glans circumference, patient-reported volume, and glans sensitivity.

Main Results:

• Glans circumference increased by 16.6% initially, with a sustained 14.2% increase at 10-12 months.
• Patients reported high satisfaction with augmented glans volume, which was well-maintained.
• Glans sensitivity, engorgement, erectile function, and ejaculatory control were preserved post-procedure.

Conclusions:

• Glans augmentation by grafting shows promising results for penile enhancement.
• The procedure demonstrates good volume retention at one year.
• Key functional aspects such as sensitivity, engorgement, erectile function, and ejaculation are preserved, with no reported adverse effects.