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Penis Enhancement and Reshaping with Autologous Fat

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Fat Transfer in Plastic Surgery

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Abstract

Men’s satisfaction and sexual function is influenced by discomfort over genital size, which leads to seek surgical and non-surgical solutions for penis alteration. In this article, we report the results of a retrospective study of 355 cases of enlargement phalloplasty. We found a significant improvement in circumference at rest at 2, 6 and 12 months post-surgical procedure (all p < 0.0001). This study is clinically relevant due to the large cohort of patients included.

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References

  1. Lever J, et al. Does size matter? Men’s and women’s views on penis size across the lifespan. Psychol Men Masculinity. 2006;7(3):129.

    Article  Google Scholar 

  2. Davis SN, et al. The Index of Male Genital Image: a new scale to assess male genital satisfaction. J Urol. 2013;190(4):1335–9.

    Article  PubMed  Google Scholar 

  3. Shaeer O, Shaeer K. Impact of penile size on male sexual function and role of penile augmentation surgery. Curr Urol Rep. 2012;13(4):285–9.

    Article  PubMed  Google Scholar 

  4. Francoeur RT, Perper T. A descriptive dictionary and atlas of sexology. Santa Barbara: Greenwood Press; 1991.

    Google Scholar 

  5. Cleaveland P, et al. The history of penile enhancement—to cut a short story long. BJU Int. 2015;115:33.

    Google Scholar 

  6. Klein R. Penile augmentation surgery: San Francisco, CA. Electron J Hum Sex. 1999;2:1999.

    Google Scholar 

  7. Mondaini N, et al. Penile length is normal in most men seeking penile lengthening procedures. Int J Impot Res. 2002;14(4):283.

    Article  CAS  PubMed  Google Scholar 

  8. Roos H, Lissoos I. Penis lengthening. Int J Aesthet Restor Surg. 1994;2:89–96.

    Google Scholar 

  9. Loeb H. Harnrohren capacitat und tripperspritzen. Munch Med Wochenschr. 1899;46:17.

    Google Scholar 

  10. Schonfeld WA, Beebe GW. Normal growth and variation in the male genitalia from birth to maturity. J Urol. 1942;48(6):759–77.

    Article  Google Scholar 

  11. Kinsey AC, et al. Sexual behavior in the human male. Philadelphia: Saunders; 1948.

    Google Scholar 

  12. Ajmani M, et al. Anthropometric study of male external genitalia of 320 healthy Nigerian adults. Anthropol Anz. 1985;43:179–86.

    CAS  PubMed  Google Scholar 

  13. Bondli P, et al. Clinical study of the longitudinal deformation of the flaccid penis and of its variations with aging. Eur Urol. 1992;21:284–6.

    Article  Google Scholar 

  14. da Ros C, et al. Caucasian penis: what is the normal size. J Urol. 1994;151(Pt 2):323A–5A.

    Google Scholar 

  15. Wessells H, et al. Penile length in the flaccid and erect states: guidelines for penile augmentation. J Urol. 1996;156(3):995–7.

    Article  CAS  PubMed  Google Scholar 

  16. Smith AM, et al. Does penis size influence condom slippage and breakage? Int J STD AIDS. 1998;9(8):444–7.

    Article  CAS  PubMed  Google Scholar 

  17. Chen J, et al. Predicting penile size during erection. Int J Impot Res. 2000;12(6):328.

    Article  CAS  PubMed  Google Scholar 

  18. Munding MD, et al. Pilot study of changes in stretched penile length 3 months after radical retropubic prostatectomy. Urology. 2001;58(4):567–9.

    Article  CAS  PubMed  Google Scholar 

  19. Ponchietti R, et al. Penile length and circumference: a study on 3300 young Italian males. Eur Urol. 2001;39(2):183–6.

    Article  CAS  PubMed  Google Scholar 

  20. Schneider T, et al. Does penile size in younger men cause problems in condom use? A prospective measurement of penile dimensions in 111 young and 32 older men. Urology. 2001;57(2):314–8.

    Article  CAS  PubMed  Google Scholar 

  21. Sengezer M, et al. Accurate method for determining functional penile length in Turkish young men. Ann Plast Surg. 2002;48(4):381–5.

    Article  PubMed  Google Scholar 

  22. Shah J, Christopher N. Can shoe size predict penile length? BJU Int. 2002;90(6):586–7.

    Article  CAS  PubMed  Google Scholar 

  23. Spyropoulos E, et al. Size of external genital organs and somatometric parameters among physically normal men younger than 40 years old. Urology. 2002;60(3):485–9.

    Article  PubMed  Google Scholar 

  24. Son H, et al. Studies on self-esteem of penile size in young Korean military men. Asian J Androl. 2003;5:185–9.

    PubMed  Google Scholar 

  25. Savoie M, et al. A prospective study measuring penile length in men treated with radical prostatectomy for prostate cancer. J Urol. 2003;169(4):1462–4.

    Article  PubMed  Google Scholar 

  26. Pereira NM. Estudo do tamanho do pénis na população portuguesa. Rev Int Androl. 2004;2:15–21.

    Google Scholar 

  27. Awwad Z, et al. Penile measurements in normal adult Jordanians and in patients with erectile dysfunction. Int J Impot Res. 2005;17(2):191.

    Article  CAS  PubMed  Google Scholar 

  28. Mehraban D, et al. Penile size and somatometric parameters among Iranian normal adult men. Int J Impot Res. 2007;19(3):303.

    Article  CAS  PubMed  Google Scholar 

  29. Promodu K, et al. Penile length and circumference: an Indian study. Int J Impot Res. 2007;19(6):558.

    Article  CAS  PubMed  Google Scholar 

  30. Kamel I, et al. Comparing penile measurements in normal and erectile dysfunction subjects. J Sex Med. 2009;6(8):2305–10.

    Article  PubMed  Google Scholar 

  31. Nasar TA, et al. Relationship between penile size and body measurements. Hum Androl. 2011;1(2):48–50.

    Article  Google Scholar 

  32. Khan S, et al. Establishing a reference range for penile length in Caucasian British men: a prospective study of 609 men. BJU Int. 2012;109(5):740–4.

    Article  PubMed  Google Scholar 

  33. Söylemez H, et al. Relationship between penile size and somatometric parameters in 2276 healthy young men. Int J Impot Res. 2012;24(3):126.

    Article  PubMed  Google Scholar 

  34. Chen X, et al. A comprehensive, prospective study of penile dimensions in Chinese men of multiple ethnicities. Int J Impot Res. 2014;26(5):172.

    Article  CAS  PubMed  Google Scholar 

  35. Shalaby M, et al. Penile length-somatometric parameters relationship in healthy Egyptian men. Andrologia. 2015;47(4):402–6.

    Article  CAS  PubMed  Google Scholar 

  36. Veale D, et al. Am I normal? A systematic review and construction of nomograms for flaccid and erect penis length and circumference in up to 15,521 men. BJU Int. 2015;115(6):978–86.

    Article  PubMed  Google Scholar 

  37. Habous M, et al. Erect penile dimensions in a cohort of 778 Middle Eastern men: establishment of a nomogram. J Sex Med. 2015;12(6):1402–6.

    Article  PubMed  Google Scholar 

  38. Salama N. Consultation for small-sized penis in the Egyptian males: a case control study. Am J Mens Health. 2016;10(3):220–7.

    Article  PubMed  Google Scholar 

  39. Hussein NS, et al. Reference range of flaccid and stretched penile lengths of adult males in Baghdad: a cross-sectional study. Arab J Urol. 2017;15(1):68–73.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Richters J, et al. Are condoms the right size(s)? A method for self-measurement of the erect penis. Venereology. 1995;8(2):77–81.

    Google Scholar 

  41. Bogaert AF, Hershberger S. The relation between sexual orientation and penile size. Arch Sex Behav. 1999;28(3):213–21.

    Article  CAS  PubMed  Google Scholar 

  42. Harding R, Golombok SE. Test-retest reliability of the measurement of penile dimensions in a sample of gay men. Arch Sex Behav. 2002;31(4):351–7.

    Article  PubMed  Google Scholar 

  43. Shaeer O, Shaeer K. The Global Online Sexuality Survey (GOSS): Ejaculatory function, penile anatomy, and contraceptive usage among Arabic-speaking Internet users in the Middle East. J Sex Med. 2012;9(2):425–33.

    Article  PubMed  Google Scholar 

  44. Herbenick D, et al. Erect penile length and circumference dimensions of 1661 sexually active men in the United States. J Sex Med. 2014;11(1):93–101.

    Article  PubMed  Google Scholar 

  45. Shaeer O, Shaeer KZ. The Global Online Sexuality Survey (GOSS): The United States of America in 2011 penile size and form among English speakers. Hum Androl. 2013;3(2):46–53.

    Article  Google Scholar 

  46. Alter GJ. Penile enhancement. Aesthet Surg J. 1996;16(4):226–30.

    Article  Google Scholar 

  47. Siaarti C. Raccomandazioni clinico organizzative per l'anestesia in day surgery. Minerva Anestesiol. 2000;66:915–26.

    Google Scholar 

  48. Pu LL, et al. Autologous fat grafts harvested and refined by the Coleman technique: a comparative study. Plast Reconstr Surg. 2008;122(3):932–7.

    Article  CAS  PubMed  Google Scholar 

  49. Panfilov DE. Augmentative phalloplasty. Aesthet Plast Surg. 2006;30(2):183–97.

    Article  Google Scholar 

  50. Coleman SR. Long-term survival of fat transplants: controlled demonstrations. Aesthet Plast Surg. 1995;19(5):421–5.

    Article  CAS  Google Scholar 

  51. Zeltzer AA, et al. Sharp-needle intradermal fat grafting (SNIF). Aesthet Surg J. 2012;32(5):554–61.

    Article  PubMed  Google Scholar 

  52. Illouz YG, Sterodimas A. Autologous fat transplantation to the breast: a personal technique with 25 years of experience. Aesthet Plast Surg. 2009;33(5):706–15.

    Article  Google Scholar 

  53. Dickinson BP. Autologous fat transfer national consensus survey: trends in techniques for harvest, preparation and application; and perception of short and long term results. Plast Reconstr Surg. 2006;119(1):323–31.

    Google Scholar 

  54. Kling RE, et al. Trends in autologous fat grafting to the breast: a national survey of the American Society of Plastic Surgeons. Plast Reconstr Surg. 2013;132(1):35–46.

    Article  CAS  PubMed  Google Scholar 

  55. Gutowski KA, Force AFGT. Current applications and safety of autologous fat grafts: a report of the ASPS fat graft task force. Plast Reconstr Surg. 2009;124(1):272–80.

    Article  CAS  PubMed  Google Scholar 

  56. Leopardi D, et al. Autologous fat transfer for breast augmentation: a systematic review. ANZ J Surg. 2014;84(4):225–30.

    Article  PubMed  Google Scholar 

  57. Claro F, et al. Applicability and safety of autologous fat for reconstruction of the breast. Br J Surg. 2012;99(6):768–80.

    Article  PubMed  Google Scholar 

  58. Villani F, et al. Current applications and safety of autologous fat grafts: a report of the ASPS Fat Graft Task Force. Plast Reconstr Surg. 2010;125(2):758–9.

    Article  CAS  PubMed  Google Scholar 

  59. Dillon B, et al. Penile size and penile enlargement surgery: a review. Int J Impot Res. 2008;20(6):519.

    Article  CAS  PubMed  Google Scholar 

  60. Austoni E, et al. A new technique for augmentation phalloplasty: albugineal surgery with bilateral saphenous grafts—3 years of experience. Eur Urol. 2002;42(3):245–53.

    Article  CAS  PubMed  Google Scholar 

  61. Perovic SV, et al. New perspectives of penile enhancement surgery: tissue engineering with biodegradable scaffolds. Eur Urol. 2006;49(1):139–47.

    Article  PubMed  Google Scholar 

  62. Shaeer O, Shaeer K. Penile girth augmentation using flaps “Shaeer’s augmentation phalloplasty”: a case report. J Sex Med. 2006;3(1):164–9.

    Article  PubMed  Google Scholar 

  63. Bin Y, et al. A comparative study on two kinds of surgical procedures of penile corpora cavernosa augmentation. J Plast Reconstr Aesthet Surg. 2009;62(3):357–64.

    Article  Google Scholar 

  64. Jin Z, et al. Tissue engineering penoplasty with biodegradable scaffold Maxpol-T cografted autologous fibroblasts for small penis syndrome. J Androl. 2011;32(5):491–5.

    Article  PubMed  Google Scholar 

  65. Alei G, et al. Original technique for penile girth augmentation through porcine dermal acellular grafts: results in a 69-patient series. J Sex Med. 2012;9(7):1945–53.

    Article  PubMed  Google Scholar 

  66. Wessells H, et al. Complications of penile lengthening and augmentation seen at 1 referral center. J Urol. 1996;155(5):1617–20.

    Article  CAS  PubMed  Google Scholar 

  67. Alter GJ. Reconstruction of deformities resulting from penile enlargement surgery. J Urol. 1997;158(6):2153–7.

    Article  CAS  PubMed  Google Scholar 

  68. Shirong L, et al. Modified penis lengthening surgery: review of 52 cases. Plast Reconstr Surg. 2000;105(2):596–9.

    Article  CAS  PubMed  Google Scholar 

  69. Spyropoulos E, et al. Augmentation phalloplasty surgery for penile dysmorphophobia in young adults: considerations regarding patient selection, outcome evaluation and techniques applied. Eur Urol. 2005;48(1):121–8.

    Article  PubMed  Google Scholar 

  70. Li C-Y, et al. Penile suspensory ligament division for penile augmentation: indications and results. Eur Urol. 2006;49(4):729–33.

    Article  PubMed  Google Scholar 

  71. Mertziotis N, et al. Is V–Y plasty necessary for penile lengthening? Girth enhancement and increased length solely through circumcision: description of a novel technique. Asian J Androl. 2013;15(6):819.

    Article  PubMed  PubMed Central  Google Scholar 

  72. Monreal J. Composite augmentation phalloplasty: personal experience after 275 patients. Plast Aesthet Res. 2015;2(1):27.

    Article  Google Scholar 

  73. Xu L, et al. Augmentation phalloplasty with autologous dermal fat graft in the treatment of “small penis”. Ann Plast Surg. 2016;77:S60–5.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Sexual Medicine Center, Blumar Medica, Milan, Italy

    Littara Alessandro Giuseppe & Melone Roberto

Authors
  1. Littara Alessandro Giuseppe
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  2. Melone Roberto
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Editor information

Editors and Affiliations

  1. Department of Plastic surgery, Plastic Surgery - University of Padova, Padova, Italy

    Alberto Di Giuseppe

  2. Univ of Padova, Plastic Surgery Clinic, Padova, Italy

    Franco Bassetto

  3. The Center for Plastic Surgery at Metroderm, Atlanta, GA, USA

    Foad Nahai

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Giuseppe, L.A., Roberto, M. (2023). Penis Enhancement and Reshaping with Autologous Fat. In: Di Giuseppe, A., Bassetto, F., Nahai, F. (eds) Fat Transfer in Plastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-10881-5_37

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  • DOI: https://doi.org/10.1007/978-3-031-10881-5_37

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-10880-8

  • Online ISBN: 978-3-031-10881-5

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