PS-07-002 Penile augmentation by Division of the Suspensory Ligament of the penis and autologous fat injection: A 72-patient experience

Abstract

To evaluate the outcome of penile augmentation (PA) surgery at one center. This was a retrospective review of patient outcomes after surgical PA from January 2018 to October 2018 at one centre. All patients underwent division of the suspensory ligament of the penis, with insertion of silicon buffer, and autologous fat injection. 60 patients underwent a standard halfmoon incision above the base of the penis in the pubic hairline and 12 patients had a V-Y-plasty incision. The following data were collected; pre and post-operatively: flaccid penis length and girth; patient reported satisfaction rates and complications. 72 patients were included the study. The mean patient age was 38 (26-62) years; mean follow-up period was 5 (1-9) months; mean pre-operative flaccid length and girth was 9.2 (6-14) cm and 8.8 (7-11.5) cm respectively; and the mean increase in flaccid penile length and girth was 4.4 (2-8) cm and 4.1 (2.5- 7.5) cm respectively. In terms of patient-reported treatment outcome: 50 patients reported very high satisfaction; 15 patients reported high satisfaction; 5 patients reported moderate satisfaction; and 2 patients low satisfaction. No serious complications were encountered, with the majority being managed conservatively: 5 patients who underwent V-Y-plasty incision developed superficial wound breakdown and infection which was managed conservatively; 5 patients developed phimosis which resolved spontaneously except in 1 patient who needed a circumcision; 5 patients had partial fat absorption with 3 requiring fat top-up; and 7 patients experienced the formation of a hard fat lump which was managed by hyalase injections in an outpatient setting.