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Penis Girth Augmentation Using SEPA Flap and Dermofat Grafts
1Department of Plastic Surgery, Institute of Post Graduate Medical Education and Research, Kolkata, India.
Journal of Cutaneous and Aesthetic Surgery
|January 8, 2024
Summary
Penile girth augmentation using dermofat grafts and SEPA flaps can increase penile size, but patients must be informed of the 50% complication rate, including skin loss and urinary obstruction.
Area of Science:
- Urology
- Plastic Surgery
- Andrology
Background:
- Patient desire for increased penile size impacts confidence.
- Surgical penile girth augmentation methods carry significant risks.
- Dermofat grafts and SEPA flaps are surgical options for penile girth enhancement.
Purpose of the Study:
- To evaluate the efficacy and complications of penile girth augmentation using dermofat grafts and SEPA flaps.
- To highlight surgical techniques, complications, and management strategies.
Main Methods:
- Ten patients underwent penile girth augmentation between June 2016 and March 2022.
- Procedures included dermofat grafts (6 patients) and SEPA flaps (4 patients).
- Patient selection based on Augmentation Phalloplasty Patient Selection and Satisfaction Inventory (APPSSI) score (2-6 pre-operatively).
Main Results:
- Girth increase ranged from 1.9 to 2.6 cm after 6 months.
- A 50% complication rate was observed, including skin loss, urinary obstruction, and fat necrosis.
- Complications were more frequent in uncircumcised patients and those seeking excessive augmentation.
Conclusions:
- Dermofat grafts and SEPA flaps can provide appreciable girth increase in selected patients.
- Patient awareness of potential surgical complications is crucial.
- Careful patient selection and informed consent are essential for managing expectations and risks.
