Related Experiment Video
Updated: Sep 11, 2025
Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease
Published on: March 15, 2024
Circular grafting combined for length gain in men after penile implant surgery
Michael West1, Jose M Flores1, John P Mulhall1
1Sexual & Reproductive Medicine Program, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY 10022, United States.
Introduction:
Acquired penile shortening has multiple possible causes, including Peyronie's disease, penile prosthesis (PP) removal, trauma, radical prostatectomy, and long-standing erectile dysfunction. If severe, it can preclude the ability to have intercourse. Multiple surgical techniques aimed at enhancing penile length have been described. Herein, we describe a circular grafting technique for penile lengthening in men with debilitating penile length loss.
Aim:
To describe the indications, technique, outcomes, and complications associated with circular grafting with PP insertion.
Methods:
We describe our preferred method for performing circular grafting with PP insertion.
Main Outcome Measure:
Penile length gain achieved after circular grafting.
Results:
Average penile length gain after circular grafting is 2.5 cm in our practice. This is similar to the length gain associated with other similar procedures.
Conclusion:
Circular grafting is a viable option to augment penile length in men with penile length loss precluding intercourse. Possible complications include changes in sensation, tissue necrosis, infection, and PP malfunction.
