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Penile Traction Therapy (Penile Lengthening Device)

Abstract

Recently, men with even normal-sized penis are increasingly interested in penile augmentation or lengthening surgery. Although these surgical procedures give additional penile length compared to original size and some satisfaction with new lengthening penis, surgical treatment can result in serious complications including troublesome anatomical deformities and erectile functional changes. Since men who are considering lengthening of the penis are concerned about postsurgical complications, it is a challenge to perform a surgical procedure. Therefore, much less invasive medical treatment such as penile traction therapy should be applied firstly than surgical modalities. Outcome of penile traction therapy using penile traction device is similar with gaining length from usual surgical procedure, but adverse events are reported nearly none except mild traction pain. Candidates for penile lengthening devices could not be listed definitely, but it might be candidates in case of shortened penis after retropubic surgery or Peyronie’s disease, before penile prosthesis reinsertion and adjuvant therapy after penile lengthening surgery. Since the research data about penile traction therapy in safety and efficacy are still insufficient at the present time, there is a need for scientific research to perform prospective randomized clinical trials on large cohorts. All of the men who applied penile traction device did not gain satisfactory penile length, but this may be helpful to the patients who want penile lengthening therapy without serious complication.

Keywords

  • Tunica Albuginea
  • Penile Prosthesis
  • Penile Length
  • Suspensory Ligament
  • Sexual Medicine

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Li CY, Kayes O, Pll K, Christopher N, Minhas S, Ralph D. Penile suspensory ligament division for penile augmentation: indications and results. Eur Urol. 2006;49:729–33.

    CrossRef  PubMed  Google Scholar 

  2. Hudson DA. Other ways to use tissue expanded flaps. Br J Plast Surg. 2004;57:336–41.

    CrossRef  PubMed  Google Scholar 

  3. Kandemir U, Yazici M, Tokgozoglu AM, Alanay A. Distraction osteogenesis (callotasis) for pelvic closure in bladder exstrophy. Clin Orthop. 2004;418:231–6.

    CrossRef  PubMed  Google Scholar 

  4. Balestrini JL, Billiar KL. Equibiaxial cyclic stretch stimulates fibroblasts to rapidly remodel fibrin. J Biomec. 2006;39:2983–90.

    CrossRef  Google Scholar 

  5. Molea G, Schonauer F, Blasi F. Progressive skin extension: clinical and histological evaluation of a modified procedure using Kirschner wires. Br J Plast Surg. 1999;52:205–8.

    CAS  CrossRef  PubMed  Google Scholar 

  6. Alenghat FJ, Ingber DE. Mechanotransduction: all signals point to cytoskeleton, matrix, and integrins. Sci STKE. 2002;119:pe6.

    Google Scholar 

  7. Tarlton JF, Meagher P, Brown RA, McGrouther DA, Bailey AJ, Afoke A. Mechanical stress in vitro induces increased expression of MMPs 2 and 9 in excised Dupuytren’s disease tissue. J Hand Surg Br. 1998;23:297–302.

    CAS  CrossRef  PubMed  Google Scholar 

  8. Brandes G, Messina A, Reale E. The palmar fascia after treatment by the continuous extension technique for Dupuytren’s contracture. J Hand Surg Br. 1994;19:528–33.

    CAS  CrossRef  PubMed  Google Scholar 

  9. Bailey AJ, Tarlton JF, Van der Stappen J, Sims TJ, Messina A. The continuous elongation technique for severe Dupuytren’s disease. A biochemical mechanism. J Hand Surg Br. 1994;19:522–7.

    CAS  CrossRef  PubMed  Google Scholar 

  10. Vardi Y, Har-Shai Y, Gil T, Gruenwald I. A critical analysis of penile enhancement procedures for patients with normal penile size: surgical techniques, success, and complications. Eur Urol. 2008;54:1042–50.

    CrossRef  PubMed  Google Scholar 

  11. Austoni E, Guarneri A, Cazzaniga A. A new technique for augmentation phalloplasty: albugineal surgery with bilateral saphenous grafts – three years of experience. Eur Urol. 2002;42:245–53.

    CAS  CrossRef  PubMed  Google Scholar 

  12. Spyropoulos E, Christoforidis C, Borousas D, Mavrikos S, Bourounis M, Athanasiadis S. Augmentation phalloplasty surgery for penile dysmorphophobia in young adults: considerations regarding patient selection, outcome evaluation and techniques applied. Eur Urol. 2005;48:121–7.

    CrossRef  PubMed  Google Scholar 

  13. Perovic SV, Djordjevic ML. Penile lengthening. BJU Int. 2000;86:1028–33.

    CAS  CrossRef  PubMed  Google Scholar 

  14. Levine LA, Newell M, Taylor FL. Penile traction therapy for treatment of Peyronie’s disease: a single-center pilot study. J Sex Med. 2008;5:1468–73.

    CrossRef  PubMed  Google Scholar 

  15. Gontero P, Di Marco M, Giubilei G, Bartoletti R, Pappagallo G, Tizzani A, Mondaini N. A pilot phase-II prospective study to test the “efficacy” and tolerability of a penile-extender device in the treatment of “short penis”. BJU Int. 2008;103:793–7.

    CrossRef  PubMed  Google Scholar 

  16. Nikoobakht M, Shahnazari A, Rezaeidanesh M, Mehrsai A, Pourmand G. Effect of penile-extender device in increasing penile size in men with shortened penis: Preliminary results. J Sex Med. 2011;8:3188–92.

    CrossRef  PubMed  Google Scholar 

  17. Gomez EA. Penile enlargement without surgery with the Andropenis. Hispanoamerican Sexual Education Congress 2001. Cited from Oderda M, Gontero P. Non-invasive methods of penile lengthening: fact or fiction?. BJU Int. 2011;107:1278–82.

    Google Scholar 

  18. Levine LA, Rybak J. Traction therapy for men with shortened penis prior to penile prosthesis implantation: a pilot study. J Sex Med. 2011;8:2112–7.

    CrossRef  PubMed  Google Scholar 

  19. Aghamir MK, Hosseini R, Alizadeh F. A vacuum device for penile elongation: fact or fiction? Br J Urol. 2006;97:777–8.

    CrossRef  Google Scholar 

  20. Sexual Medicine Society of North America. Position statement: penile lengthening and girth enhancement surgery. 2008. Available at: http://www.smsna.org/V1/index.php/about/position-statements. Accessed 16 Feb 2015.

  21. The American Urological Association. Policy title: penile augmentation surgery. 2008 (Revised). Available at: http://www.auanet.org/about/policy-statements/penile-augmentation-surgery.cfm. Accessed 16 Feb 2015.

  22. Savoie M, Kim SS, Soloway MS. A prospective study measuring penile length in men treated with radical prostatectomy for prostate cancer. J Urol. 2003;169:1462–4.

    CrossRef  PubMed  Google Scholar 

  23. Munding MD, Wessells HB, Dalkin BL. Pilot study of changes in stretched penile length months after radical retropubic prostatectomy. J Urol. 2001;58:567–9.

    CAS  CrossRef  Google Scholar 

  24. Gontero P, Galzerano M, Bartoletti R, Magnani C, Tizzani A, Frea B, Mondaini N. New insights into the pathogenesis of penile shortening after radical prostatectomy and the role of postoperative sexual function. J Urol. 2007;178:602–7.

    CrossRef  PubMed  Google Scholar 

  25. Schneider T, Sperling H, Schenck M, Schneider U, Rubben H. Treatment of penile curvature: how to combine the advantages of simple plication and the Nesbit-procedure by superficial excision of the tunica albuginea. World J Urol. 2003;20:350–5.

    CAS  PubMed  Google Scholar 

  26. Kalsi J, Minhas S, Christopher N, Ralph D. The results of plaque incision and venous grafting (Lue procedure) to correct the penile deformity of Peyronie’s disease. BJU Int. 2005;95:1029–33.

    CrossRef  PubMed  Google Scholar 

  27. Syed AH, Abbasi Z, Hargreave TB. Nesbit procedure for disabling Peyronie’s curvature: a median follow-up of 84 months. J Urol. 2003;61:999–1003.

    CrossRef  Google Scholar 

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Correspondence to Kweon Sik Min MD, PhD .

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Min, K.S. (2016). Penile Traction Therapy (Penile Lengthening Device). In: Park, N., Kim, S., Moon, D. (eds) Penile Augmentation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46753-4_20

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  • DOI: https://doi.org/10.1007/978-3-662-46753-4_20

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