Penile Length in the Flaccid and Erect States: Guidelines for Penile Augmentation

Wessells, Hunter; Lue, Tom F.; McAninch, Jack W.

doi:10.1016/s0022-5347(01)65682-9

Cited by 311 publications

(258 citation statements)

References 9 publications

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“…Wessell et al [11] reported that, although stretched penile length closely correlated with erect length, there was an average discrepancy of 0.5 cm between the two. Deveci et al [9] compared the stretched flaccid penile length before and after the IPP and found that penile prosthesis did not have a negative impact on the measurement of stretched flaccid penile length even though 72% of patients reported a decrease of penile length in the study.…”

Section: Discussionmentioning

confidence: 99%

Prospective and long-term evaluation of erect penile length obtained with inflatable penile prosthesis to that induced by intracavernosal injection

Wang¹,

Howard

Hoang

et al. 2009

Asian J Androl

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We compared erect penile length after inflatable penile prosthesis (IPP) implantation with that induced by intracavernosal injection (ICI) before surgery. A total of 11 patients with full erections induced by ICI of 0.25 mL of Trimix (papaverine, phentolamine and prostaglandin E1) at the time of penile color duplex Doppler ultrasonography were enrolled in this study. The patients subsequently underwent IPP implantation as the ultimate treatment for their erectile dysfunction (ED). Erect penile length consequent to IPP implantation was measured at 6 weeks, 6 months and at 1 year after surgery. The Sexual Health Inventory for Men (SHIM) was administered before, and at 6 months and 1 year after IPP implantation. Erect penile length (mean ± s.e.) as induced by ICI was 13.2 ± 0.4 cm, whereas the lengths attained with IPP were 12.4 ± 0.3, 12.5 ± 0.3 and 12.5 ± 0.4 cm at the sixth week, sixth month and 1-year follow-ups, respectively. There were 0.83 ± 0.25, 0.75 ± 0.20 and 0.74 ± 0.15 cm decreases in erect penile length at 6 weeks, 6 months and 1 year, respectively, after IPP implantation when compared with that after ICI (P < 0.05). The SHIM scores for patients reporting shorter penises were the same as those for patients without complaints at the 6-month and 1-year follow-ups (P > 0.05). To our knowledge, this is the first study to objectively show a significant decrease in erect penile length after IPP implantation when compared with that after ICI. However, this decrease did not affect the effectiveness of IPP in treating ED.

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Section: Discussionmentioning

confidence: 99%

Prospective and long-term evaluation of erect penile length obtained with inflatable penile prosthesis to that induced by intracavernosal injection

Wang¹,

Howard

Hoang

et al. 2009

Asian J Androl

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“…Although there is no standard technique for measuring penile size, there appears to be a consensus among researchers that penile length should be measured on the dorsum of the penis beginning from the pubopenile junction to the tip of the glans ( Figure 1). 5 This measurement applies to the flaccid, stretched and erect states. In addition, measurements of penile girth should be obtained from the middle of the penile shaft, in all three states.…”

Section: Penile Sizementioning

confidence: 99%

“…Furthermore, flaccid penile girth measurements were 9.75 cm for 11 The validity of self reported measurements needs to be considered when evaluating these data. Wessells et al 5 published their data regarding penile length and indications for penile augmentation. They examined penile lengths in 80 men with a mean age of 54 years.…”

Section: Penile Sizementioning

confidence: 99%

Penile size and penile enlargement surgery: a review

2008

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“…The mean erect penile length, according to the guidelines (13.3 cm), is closely correlated with the results (12.9 cm) obtained in White, Black, and Asian patients, indicating its applicability regardless of the race. [8][9][10] To the best of our knowledge, the inclusion of the erect penile length into the criteria for selection of surgical technique has not been reported yet. On the other hand, in severe deviations, there is even more significant penis shortening if the shortening procedures are used.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of Peyronie's disease based on penile length and degree of curvature

et al. 2004

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The aim of the study was to present the selection criteria for surgical techniques for the treatment of patients with Peyronie's disease. A total of 55 men with Peyronie's disease were surgically treated. We created specific criteria for selection of the appropriate surgical technique. All patients had a stable disease for 6 months and impossible vaginal intromission. All patients had subjective (as reported by the patient) and/or objective normal penile rigidity (as observed after intracavernous administration of alprostadil). Also, they all underwent drug therapy, which was unsuccessful. Among them, 40 patients with penile curvature of o601 and erect penile length of 413 cm underwent Nesbit's operation, whereas plaque excision and grafting with polytetrafluoroethylene patch was performed in 15 patients with penile curvature of Z601 and/or erect penile length of r13 cm. At a mean (7s.d.) follow-up of 81.1733.8 and 78.7732.8 months, respectively, straightening of the penis was achieved in 35 out of 40 (87.5%) and 12 out of 15 (80%) patients, respectively, whereas erectile dysfunction developed in two out of 40 (5%) and one out of 15 (6%), respectively. Shortening of the penis occurred in all 40 patients undergoing Nesbit's operation, and in none of the patients undergoing plaque excision. Six out of 40 (15%) patients undergoing Nesbit's operation reported subjective perception of penis shortening, whereas none of the patients undergoing plaque excision complained of this discomfort. In conclusion, we recommend the selection of surgical technique based on penile length and degree of curvature. Nesbit's operation is an appropriate surgical technique for the treatment of patients with erect penile length of 413 and deviation of o601, whereas the plaque excision and grafting with polytetraflouroethylene patch is a technique of choice in the treatment of patients with erect penile length of r13 and/or deviation of Z601.

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Penile Length in the Flaccid and Erect States: Guidelines for Penile Augmentation

Abstract: Only men with a flaccid length of less than 4 cm., or a stretched or erect length of less than 7.5 cm. should be considered candidates for penile lengthening.

Cited by 311 publications

References 9 publications

Prospective and long-term evaluation of erect penile length obtained with inflatable penile prosthesis to that induced by intracavernosal injection

Prospective and long-term evaluation of erect penile length obtained with inflatable penile prosthesis to that induced by intracavernosal injection

Penile size and penile enlargement surgery: a review

Surgical treatment of Peyronie's disease based on penile length and degree of curvature

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