There is no well-established procedure for the management of small penis syndrome(SPS),especially when psychological interventions fail.This study aimed at systematically evaluating the physical and psychological bene...There is no well-established procedure for the management of small penis syndrome(SPS),especially when psychological interventions fail.This study aimed at systematically evaluating the physical and psychological benefits of penile augmentation(PA)using injectable hyaluronic acid(HA)gel.Thirty-eight patients receiving PA with HA gel from January 2017 to March 2020 were included and followed up for 1 year.Penile size,erectile function,and psychological burden measured by the Index of Male Genital Image(IMGI),Index of International Erectile Function(lIEF),and Beliefs about Penis Size(BPAS),respectively,were assessed at the beginning and at 1,3,6,and 12 months postinjection.The volume of HA gel injected was 21.5±3.7 ml.Compared to baseline data,flaccid penile girth and length significantly increased by 3.41±0.95 cm(P<0.01)and 2.55±0.55 cm(P<0.01)at the 1^(st)month postinjection,respectively.At the endpoint,despite attenuations,statistically significant improvements in flaccid penis size were still obtained,namely 2.44±1.14 cm in girth(P<0.01)and 1.65±0.59 cm in length(P<0.01).Similarly,erectile penile girth statistically increased by 1.32±1.02 cm(P<0.01)at the 1^(st)month but were only 0.80±0.54 cm bigger than baseline(P<O.01)at the endpoint.At the 1^(st)month,the average score of IMGI and the mean score of IIEF statistically increased by 46.2±10.5(P<0.01)and 7.6±6.2(P<0.01),respectively;the score of BAPS significantly decreased by 18.3±4.5(P<0.01).These alterations remained steady during follow-up.Considering the significant penile size improvement,lasting psychological benefit,and low complication rate,PA with HA might serve as an appropriate alternative for patients with SPS.展开更多
Hyaluronic acid injection is becoming a popular way for penile augmentation.However,only few studies and follow-ups have investigated the various complications of hyaluronic acid injection and their corresponding mana...Hyaluronic acid injection is becoming a popular way for penile augmentation.However,only few studies and follow-ups have investigated the various complications of hyaluronic acid injection and their corresponding management.In this study,a total of 230 patients who had penile augmentation with hyaluronic acid injection from January 2018 to December 2019 were examined on follow-up for penile girth,complications,and their corresponding management.At 1-month,3-month,and 6-month postoperative follow-ups,the penile circumference had increased by 2.66±1.24 cm,2.28±1.02 cm,and 1.80±0.83 cm,respectively.During the entire 6-month follow-up,4.3%had complications such as subcutaneous bleeding,subcutaneous nodules,and infection.There were no systemic or local allergic reactions among all the patients.All complications were treated accordingly,and no further deterioration or severe sequelae were observed.Although complications of hyaluronic acid injections are mild and rare,these may affect the patient's satisfaction postoperatively.Preoperative redundant prepuce may increase the incidence of penile edema or postoperative gel migration.Standardization of the surgery protocol and elucidation of the effects of other injection parameters are still lacking.Nevertheless,it still highlights the importance of preoperative preparation and surgical technique.展开更多
Background:Penile augmentation through injectable substances is becoming increasingly common.A growing number of aesthetic clinics are developing penile enlargement procedures using various injectable materials.Althou...Background:Penile augmentation through injectable substances is becoming increasingly common.A growing number of aesthetic clinics are developing penile enlargement procedures using various injectable materials.Although these procedures are now performed in more controlled and medically supervised environments,their long-term outcomes remain poorly understood.The promotion of such medical treatments contributes to an increasing interest among adult males in self-injection as a method to alleviate psychological distress associated with penile size concerns.At the same time,access to injectable substances through unofficial or unregulated sources has become increasingly easy.Tor our knowledge,we report the first documented case of self-injection with Garamycin®(gentamicin)cream,contributing to the literature on the often multidisciplinary management of penile enlargement injections,a field still lacking well-established guidelines.Case Description:This case report describes a young patient who self-injected Garamycin®into the penis for the purpose of enlargement.He presented to our urology department with worsening symptoms,including severe and poorly tolerated pain.His primary request was prompt relief of pain while preserving,as much as possible,the aesthetic appearance and functional integrity of his penis.This case required a multi-stage surgical approach to salvage the penis and preserve both its structural integrity and functional outcome.Conclusions:To our knowledge,this case report documents the first reported instance of Garamycin®injection performed for the purpose of penile enlargement.It provides insight into the clinical course of such penile cream injections,demonstrates that a two-stage scrotal flap can achieve both functional and aesthetic outcomes,and highlights the importance of comprehensive management particularly addressing the traumatic impact of penile deformity secondary to inflammation and/or infection,as well as the body dysmorphic concerns often associated with these cases.展开更多
In a comprehensive review published in Current Urology in 2025,Chen et al.[1]provided a multifaceted examination of penile enhancement modalities.This study addresses the rising prevalence of small penis anxiety and t...In a comprehensive review published in Current Urology in 2025,Chen et al.[1]provided a multifaceted examination of penile enhancement modalities.This study addresses the rising prevalence of small penis anxiety and the cultural emphasis on masculinity.[2,3]It synthesizes psychological underpinnings,nonsurgical interventions,and surgical advancements,offering valuable resources for urologists and andrologists.展开更多
An increasing number of men with healthy and normal penises want to enlarge their penis.Therefore,this review evaluated the mental health status of men who complained of a small penis and examined the state of nonsurg...An increasing number of men with healthy and normal penises want to enlarge their penis.Therefore,this review evaluated the mental health status of men who complained of a small penis and examined the state of nonsurgical and surgical treatments for male patients seeking penile enlargement,along with a risk assessment for each.Various medical,tractional,injectable,and surgical modalities have been investigated for penile augmentation.However,the development of new products and surgical techniques,such as Penuma,and tissue engineeringmay yield fewer complications,good operative effects,shorter operative times,and high patient satisfaction,bringing hope to patients interested in penile enlargement.展开更多
基金supported by grant from the Beijing Municipal Natural Science Foundation(No.7194327).
文摘There is no well-established procedure for the management of small penis syndrome(SPS),especially when psychological interventions fail.This study aimed at systematically evaluating the physical and psychological benefits of penile augmentation(PA)using injectable hyaluronic acid(HA)gel.Thirty-eight patients receiving PA with HA gel from January 2017 to March 2020 were included and followed up for 1 year.Penile size,erectile function,and psychological burden measured by the Index of Male Genital Image(IMGI),Index of International Erectile Function(lIEF),and Beliefs about Penis Size(BPAS),respectively,were assessed at the beginning and at 1,3,6,and 12 months postinjection.The volume of HA gel injected was 21.5±3.7 ml.Compared to baseline data,flaccid penile girth and length significantly increased by 3.41±0.95 cm(P<0.01)and 2.55±0.55 cm(P<0.01)at the 1^(st)month postinjection,respectively.At the endpoint,despite attenuations,statistically significant improvements in flaccid penis size were still obtained,namely 2.44±1.14 cm in girth(P<0.01)and 1.65±0.59 cm in length(P<0.01).Similarly,erectile penile girth statistically increased by 1.32±1.02 cm(P<0.01)at the 1^(st)month but were only 0.80±0.54 cm bigger than baseline(P<O.01)at the endpoint.At the 1^(st)month,the average score of IMGI and the mean score of IIEF statistically increased by 46.2±10.5(P<0.01)and 7.6±6.2(P<0.01),respectively;the score of BAPS significantly decreased by 18.3±4.5(P<0.01).These alterations remained steady during follow-up.Considering the significant penile size improvement,lasting psychological benefit,and low complication rate,PA with HA might serve as an appropriate alternative for patients with SPS.
基金This study was supported by Beijing Municipal Natural Science Foundation(No.7194327).
文摘Hyaluronic acid injection is becoming a popular way for penile augmentation.However,only few studies and follow-ups have investigated the various complications of hyaluronic acid injection and their corresponding management.In this study,a total of 230 patients who had penile augmentation with hyaluronic acid injection from January 2018 to December 2019 were examined on follow-up for penile girth,complications,and their corresponding management.At 1-month,3-month,and 6-month postoperative follow-ups,the penile circumference had increased by 2.66±1.24 cm,2.28±1.02 cm,and 1.80±0.83 cm,respectively.During the entire 6-month follow-up,4.3%had complications such as subcutaneous bleeding,subcutaneous nodules,and infection.There were no systemic or local allergic reactions among all the patients.All complications were treated accordingly,and no further deterioration or severe sequelae were observed.Although complications of hyaluronic acid injections are mild and rare,these may affect the patient's satisfaction postoperatively.Preoperative redundant prepuce may increase the incidence of penile edema or postoperative gel migration.Standardization of the surgery protocol and elucidation of the effects of other injection parameters are still lacking.Nevertheless,it still highlights the importance of preoperative preparation and surgical technique.
文摘Background:Penile augmentation through injectable substances is becoming increasingly common.A growing number of aesthetic clinics are developing penile enlargement procedures using various injectable materials.Although these procedures are now performed in more controlled and medically supervised environments,their long-term outcomes remain poorly understood.The promotion of such medical treatments contributes to an increasing interest among adult males in self-injection as a method to alleviate psychological distress associated with penile size concerns.At the same time,access to injectable substances through unofficial or unregulated sources has become increasingly easy.Tor our knowledge,we report the first documented case of self-injection with Garamycin®(gentamicin)cream,contributing to the literature on the often multidisciplinary management of penile enlargement injections,a field still lacking well-established guidelines.Case Description:This case report describes a young patient who self-injected Garamycin®into the penis for the purpose of enlargement.He presented to our urology department with worsening symptoms,including severe and poorly tolerated pain.His primary request was prompt relief of pain while preserving,as much as possible,the aesthetic appearance and functional integrity of his penis.This case required a multi-stage surgical approach to salvage the penis and preserve both its structural integrity and functional outcome.Conclusions:To our knowledge,this case report documents the first reported instance of Garamycin®injection performed for the purpose of penile enlargement.It provides insight into the clinical course of such penile cream injections,demonstrates that a two-stage scrotal flap can achieve both functional and aesthetic outcomes,and highlights the importance of comprehensive management particularly addressing the traumatic impact of penile deformity secondary to inflammation and/or infection,as well as the body dysmorphic concerns often associated with these cases.
文摘In a comprehensive review published in Current Urology in 2025,Chen et al.[1]provided a multifaceted examination of penile enhancement modalities.This study addresses the rising prevalence of small penis anxiety and the cultural emphasis on masculinity.[2,3]It synthesizes psychological underpinnings,nonsurgical interventions,and surgical advancements,offering valuable resources for urologists and andrologists.
基金supported by theNationalNatural Science Foundation of China(82271637)the Natural Science Foundation of Shenzhen(JCYJ20220531103004008).
文摘An increasing number of men with healthy and normal penises want to enlarge their penis.Therefore,this review evaluated the mental health status of men who complained of a small penis and examined the state of nonsurgical and surgical treatments for male patients seeking penile enlargement,along with a risk assessment for each.Various medical,tractional,injectable,and surgical modalities have been investigated for penile augmentation.However,the development of new products and surgical techniques,such as Penuma,and tissue engineeringmay yield fewer complications,good operative effects,shorter operative times,and high patient satisfaction,bringing hope to patients interested in penile enlargement.
