Abstract
Although different techniques for augmentation phalloplasty have been reported in the medical. literature, this issue is still highly controversial, and none of the proposed procedures has been unanimously. approved. Between 2000 and 2016, 156 patients were referred to our institution for penile enhancement. The average penis circumference was measured at the mid-length of the penis and was 8.1 cm (5.4–10.7 cm) and 10.8 cm (6.5–15.8 cm) during flaccidity and erection, respectively. All patients received penile augmentation with dermal acellular grafts. Postoperative measurements were performed at 6 and 12 months. At the 1-year follow-up, the average penis circumference was 11.3 cm (8.2–13.2 cm, 3.1 cm mean increase) during flaccidity and 13.2 cm (8.8–14.5 cm, 2.4 cm mean increase) during erection. No major complications occurred in the series. Minor complications were resolved with conservative treatment within 3 weeks. Sexual activity was resumed from 1 to 2 months after surgery. The psychosexual impact of the operation was beneficial in the majority of cases.
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