Abstract
BackgroundThis study aimed to evaluate the long-term penile size among patients who underwent extensive metoidioplasty. MethodsAn evaluation was conducted on 7 out of 14 patients (mean age: 29.71 ± 13.76 years) who participated in a 2015 study that introduced a postoperative protocol to improve penile size after extensive metoidioplasty. Five transsexual females (46XX karyotype) and two patients with 5-alpha reductase deficiency were retrospectively followed up in 2023 to assess the long-term efficacy of the protocol at a specialized clinic in a general hospital in Tehran, Iran. All participants were informed about the study and consented to participate. ResultsFive patients achieved increased penile size from their 2015 measurements (mean, 29.00 ± 13.34 mm). Five patients requested a larger sized penile traction device to continue the protocol. ConclusionThe long-term implementation of this protocol can result in increased penile size. We advise highly motivated patients to continue practicing the protocol to achieve better results.
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