(540) Aesthetic Penile Augmentation Procedures: A Comprehensive and Current Perspective

Abstract

Abstract Introduction Society has perpetuated the misconception that penis shape and size are a marker of masculinity and sexual ability. Unfortunately, many men experience small penis anxiety syndrome (SPS), a body dysmorphic disorder in which a patient believes their penis to be small even when it is clinically average in length and girth. In these situations, patients who have received proper psychological evaluation may choose to pursue clinical procedures to augment their penis. There is a lack of consensus on current approaches for aesthetic penile augmentation in patients with small penis anxiety. As cosmetic surgery becomes more widely accepted, management of SPS may present a challenge for urologists. Objective We aim to provide a updated review of aesthetic penile augmentation procedures that are available for physicians to discuss with this unique patient population. Our review focuses on procedures and techniques that have been of interest in the scientific literature over the last five years. Methods A PubMed literature review was performed to identify articles published between 2015-2021 on penile aesthetic augmentation procedures. Relevant prospective studies, retrospective studies, and systematic reviews were included, while abstracts and opinion papers were excluded. Search terms included “penis”, “penile,” “augmentation,” “enhancement,” “aesthetic,” “girth,” and “length.” Results After thorough psychological counseling, patients with small penis syndrome may choose to undergo penile augmentation. Augmentation procedures range from invasive to non-invasive. Surgical solutions include grafts and flaps, suspensory ligament release, and suprapubic lipectomy. Minimally invasive solutions include injections of fillers (hyaluronic acid, polylactic acid, and polymethyl methacrylate). Noninvasive solutions include external devices such as vacuum pumps and traction devices. Conclusions In the current climate, aesthetic penile augmentation is becoming a desirable option for many patients but remains clinically controversial. While there are a multitude of treatment options with varying degrees of invasiveness, there is no standardized recommendation for patients who are pursuing penile enhancement. Our review of the literature summarizes recent and relevant studies and demonstrates the need for further research and consensus on penile augmentation procedures. Disclosure No