Surgical and Non-surgical Penile Elongation Techniques

Abstract

To summarize data on lengthening treatments from PubMed-indexed scientific publications. Several surgical techniques achieve penile lengthening when combined with penile prosthesis (PP) implantation, including the sliding, incision/excision and grafting, and multiple incision techniques. Other factors associated with greater length with PP include use of AMS 700 LGX devices, new length measurement technique, immediate activation, and regular device cycling. Among non-surgical therapies, penile traction achieves lengthening in most studies, while vacuum therapies demonstrate milder improvements. Other treatments either have failed to demonstrate consistent benefits or have mixed data, including isolated incision/excision and grafting, scrotoplasty, lipectomy/escutcheonectomy, suspensory ligament release, placement of cylindrical silicone (Penuma), or penile injections with silicone, hyaluronic acid, or other similar materials. Although multiple surgical and non-surgical therapies exist for penile lengthening, most have limited data available. Additionally, injection and surgical treatments can result in severe complications in some cases.