Is V–Y plasty necessary for penile lengthening? Girth enhancement and increased length solely through circumcision: description of a novel technique

Mertziotis, Nikos; Kozyrakis, Diomidis; Bogris, Elias

doi:10.1038/aja.2013.105

Cited by 3 publications

(16 citation statements)

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“…This review included a total of 57 studies [13–69] assessing interventions for penile lengthening and/or enlargement in 1764 healthy men complaining of a small penis (18 studies) [13–30] and 2587 men with concomitant penile pathologies (39 studies) [31–69] consisting mostly of PD and ED. Of the 57 studies included in the review, 25 assessed non‐invasive interventions [13,17–24,31–44,68,69] and 32 evaluated surgical procedures [14–16,25–30,45–67], for a total of 2192 and 2159 men, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 57 papers included, 51 [1–17,19–20,22–33,36–43,45–67,69] reported safety outcomes (complications).…”

Section: Resultsmentioning

confidence: 99%

“…The length was most commonly measured on the dorsal surface from the penile base (pubo‐penile junction) to the tip of the glans (meatus), whereas girth was most commonly measured in the flaccid state at one or more levels along the penis shaft. More specifically, these two measuring methods were explicitly described in 48 [13–22,25–36,38–53,60–69] and 39 papers [13–25,27,31–42,44,48,54,60–69], respectively.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 18 studies [13–30] investigated non‐invasive (nine papers) [13,17–24] and surgical (nine papers) [14–16,25–30] interventions for men complaining of a small penis, aiming to increase length or girth alone or simultaneously.…”

Section: Resultsmentioning

confidence: 99%

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Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

et al. 2020

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Objective To systematically review the literature in order to investigate the efficacy and safety of surgical and non‐invasive penile enhancement procedures for aesthetic and therapeutic purposes. Methods A systematic search for papers investigating penile enhancement procedures was performed using the MEDLINE database. Articles published from January 2010 to December 2019, written in English, including >10 cases, and reporting objective length and/or girth outcomes, were included. Studies without primary data and conference abstracts were excluded. The main outcome measure was objective length and/or girth improvement. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement. Results Out of 220 unique records, a total of 57 were reviewed. Eighteen studies assessed interventions for penile enhancement in 1764 healthy men complaining of small penis. Thirty‐nine studies investigated 2587 men with concomitant pathologies consisting mostly of Peyronie's disease and erectile dysfunction. Twenty‐five studies evaluated non‐invasive interventions and 32 studies assessed surgical interventions, for a total of 2192 and 2159 men, respectively. Non‐invasive interventions, including traction therapies and injection of fillers, were safe and mostly efficacious, whereas surgical interventions were associated with minor complications and mostly increased penile dimensions and/or corrected penile curvature. Overall, the quality of studies was low, and standardized criteria to evaluate and report efficacy and safety of procedures, as well as patient satisfaction, were missing. Conclusion The quality of the studies on penile enhancement procedures published in the last decade is still low. This prevents us from establishing recommendations based on scientific evidence regarding the efficacy and safety of interventions that are performed to increase the penis size for aesthetic or therapeutic indications.

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Section: Resultsmentioning

confidence: 99%

“…Of the 57 papers included, 51 [1–17,19–20,22–33,36–43,45–67,69] reported safety outcomes (complications).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

et al. 2020

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“…20 The suspensory ligament can be accessed through a V-Y incision or a subcoronary circumcision technique. 21 However, the outcomes of this technique have not been always satisfying. The mean increase in flaccid stretched penile length was 1.3 ± 0.9 cm according to a retrospective study.…”

Section: Discussionmentioning

confidence: 99%

Suprapubic Liposuction With a Modified Devine’s Technique for Buried Penis Release in Adults

et al. 2020

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Background: With the increasing prevalence of overweight and obesity, adult-acquired buried penis is more common in recent years. Many surgical techniques have been reported. However, none is the gold standard. Objective: To evaluate the safety and efficacy of combining suprapubic liposuction and modified Devine’s technique for penile lengthening in adult patients with buried penis due to obesity Methods: From September 2015 to June 2018, 26 consecutive suitable patients (mean age: 33 ± 5.7 years, mean body mass index: 29 ± 5.4 kg/m2) with a buried penis received suprapubic liposuction and modified Devine’s technique for penis release in our medical centre. A retrospective study was conducted. Their penile length from tip to the skin (flaccid) was measured pre- and post-operatively. The amount of liposuction was also recorded accordingly. Results: The mean length of the follow-up on the 26 patients is 18 ± 7.1 months (range 3-33 months). The average amount of liposuction is 450 ± 90.2 mL. The average penile length measured preoperatively, post-operatively (on table), and 3 months after the operation is 2.9 ± 1.3, 7.4 ± 2.1, and 5.3 ± 1.8 cm, respectively. The post-operative penile length had significantly increased by 4.5 ± 1.6 cm (on table) and 2.4 ± 0.7 cm (3 months post-operation) with a P value <.05. No patient had difficulties in sexual intercourse or urination post-operatively. None of the patients were dissatisfied with their surgical outcomes. Conclusions: The combination of suprapubic liposuction and modified Devine’s technique is a safe and effective method for releasing the buried penis of adults with satisfying outcomes.

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Men’s Excessive Concern about Penile Size

Wijanarko

Stella

Yanika³

2022

IABJ

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The dissatisfaction of men due to their penile size is found in a number of studies. Concerns can be focused on the penile length or width or even both, whether erect or flaccid. Men who are worried about the penile size also want to increase the size of the penis. Concerns about men’s penile size are also increasing because they think normal penile size is what is shown in pornography. These worries can affect self-esteem, sexual function, and satisfaction, to physical and mental health. Small penis anxiety is an anxiety that arises when a man observes his flaccid penile size and feels concerned that his penile size is less than the normal size. In addition, this concern persists even though it has been refuted by clinical examination. Penile dysmorphic disorder is excessive self-concern, distress, and a preoccupation with trivial or even non-existent deficiencies in penile size and shape that can lead to impaired function. Until now, there have not been effective guidelines for managing patients with complaints of penile size. Some of the treatments that can be conducted are psychosexual counseling, cognitive behavioral therapy, the use of selective serotonin reuptake inhibitors, penile traction devices, and invasive procedures. Various modalities of therapy have been tried to overcome excessive concern about penile size. Yet, so far, no good results have been obtained. Thus, clear and effective guidelines are needed to make treatment can be carried out properly.

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Is V–Y plasty necessary for penile lengthening? Girth enhancement and increased length solely through circumcision: description of a novel technique

Cited by 3 publications

References 0 publications

Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

Suprapubic Liposuction With a Modified Devine’s Technique for Buried Penis Release in Adults

Men’s Excessive Concern about Penile Size

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