Room 519-A | French Presentations Thursday, July 14, 2005 Time: 8:30 AM-10:30 AM |
Original Space Maintainer Device in Penile Lengthening, and Penile Augmentation With Dermal Graft: A New Technique and Results.
Alei, Giovanni*,1, Forleo, Romano1, Letizia, Piero1, 1 University of Rome, ROME, LAZIO, Italy
ABSTRACT- Purpose: Personal experience in the surgical treatment of severe cases of short penis is reported, we describe a new technique for penile lengthening and augmentation the results achieved. Materials and Method: Release of the suspensory ligament and advancement of the suprapubic skin with an V-Y plasty, a block of soft silicone is cut to fit the angle created by the cavernosal bodies and the pubic symphysis; the concave surface is fashioned which will come into direct contact with the convex dorsal surface of the cavernosal bodies, then the proximal convex surface is prepared to fit the concave surface, an area in which the pubic symphysis is found. Four Prolene 0 stitches are passed through the space-maintainer, 2 in the deep part, one on the left and one on the right, and 2 in the superficial part, original tecnique for penile augmentation with dermal graft is described. Results: From November 1999 and march 2003 the technique was applied in 97 patients (mean age 33 years). The increase in penile length was about 2,5 cm in flaccid state and 1,9 cm in erect state, there were no injuries of the neurovascular bundle or urethra, and not erectile dysfunction. Removal of the space-maintainer was not necessary in any of these patients. Conclusion: The suspensory ligament release and the implant of the space maintainer provides a genuine increase in penile length with satisfactory results without the most frequent being recurrence of the shortening within three months due to the adherence and subsequent scarring of the edges of the resection.
Key words: PENILE LENGTH, PENILE AUGMENTATION, PENILE SIZE, ERECTILE DYSFUNCTION