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Sci Rep. 2019 Apr 19;9(1):6323. doi: 10.1038/s41598-019-41652-w.

Cosmetic penile enhancement surgery: a 3-year single-centre retrospective clinical evaluation of 355 cases.

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Blumar Medica, Viale Vittorio Veneto 14, Milano, Italy.
Blumar Medica, Viale Vittorio Veneto 14, Milano, Italy.
Centro de Investigación en Reproducción Animal, CINVESTAV-Universidad Autónoma de CP 90000, AP 62, Tlaxcala, Mexico.
KWS BioTest, Marine View Office Park, Portishead, BS20 7AW, United Kingdom.
Department of General Surgery and Surgical Specialties, University of Modena and Reggio Emilia Medical School, Surgical Clinic, Modena, Italy.


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 cosmetic elongation, enlargement and combined elongation and enlargement phalloplasty. We found a significant improvement in length at rest, stretched length and circumference at rest at 2, 6 and 12 months post-surgical procedure (all p < 0.0001). 5-item International Index of Erectile Function (IIEF-5) was also increased at 12 months post-surgery compared to baseline (p < 0.0001). This was consistent with an IIEF-5 improvement of 6.74% compared to baseline. This study is clinically relevant due to the large cohort of patients included and because it is the first study to use an inverse periosteal-fascial suture not described previously as part of the surgical methodology.

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