Outcomes and patient satisfaction after Penuma silicone implant surgery via two surgical approaches
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View abstract on PubMed
Summary
This summary is machine-generated.The Penuma penile implant significantly increases flaccid penis length and girth, with high patient satisfaction. A lateral scrotal incision approach reduces complications compared to the traditional infrapubic method for this cosmetic enhancement.
Area Of Science
- Urology
- Plastic Surgery
- Cosmetic Surgery
Background
- The Penuma is a soft silicone implant for cosmetic enhancement of the flaccid penis in men with normal erections.
- Patient satisfaction and surgical approach modifications are key outcomes for penile implants.
Purpose Of The Study
- To report patient satisfaction outcomes at least 6 months post-Penuma implantation.
- To determine if surgical approach modifications reduce postoperative complications.
Main Methods
- Retrospective chart review of 92 Penuma implant cases (April 2019-December 2022).
- Comparison of penile measurements, adverse events, and satisfaction between lateral scrotal incision and infrapubic approaches.
- A 26-item questionnaire assessed outcomes at least 6 months post-surgery.
Main Results
- Average flaccid length increase of 2.5 cm (44%), girth increase of 3.1 cm (32%).
- Seroma (12%), implant revision (7%), and implant removal (higher with infrapubic approach: 21% vs 6%) were noted.
- 82% patient satisfaction with appearance; 75% would repeat the surgery.
Conclusions
- The Penuma implant enhances flaccid penile appearance, length, and girth, offering a viable cosmetic option.
- The lateral scrotal approach is associated with a lower postoperative complication rate compared to the infrapubic approach.
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