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Updated: Feb 4, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
Implementation of length expanding inflatable penile prosthesis is not sufficient to prevent postsurgical penile
Jared J Wallen1, SriGita K Madiraju, Run Wang
1Department of Urology, Florida Hospital Tampa Urology, Tampa, FL 3100, USA Charles E Schmidt College of Medicine of FAU, Boca Raton, FL 33431, USA Department of Urology, University of Texas Health Science Center at Houston, Houston, TX 77030, USA Department of Urology, Ark-La-Tex Urology, Bossier City, LA 71111, USA.
Abstract:
A single armed, prospective, two-center study was conducted with an aim of evaluating the effectiveness of the AMS 700 LGX cylinders in maintaining or increasing penile length postimplantation. The LGX has the unique ability to expand in length with inflation. Only 23.1% (6) of the patients were able to maintain stretched penile length. We now recommend leaving the implant inflated 60%-80% in the immediate postoperative setting for approximately 6 weeks. Then we teach pump training with deflation at around 6 weeks, prior to a maximum inflation protocol daily. Further studies would be required to validate if these interventions have significantly increased the number of patients who maintain or gain stretched penile length.
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