Modified Penile Augmentation by Dermal-Fat Graft in Post- XXXX Adults.

@entity1 @entity9132 @entity546 @entity2650
BACKGROUND: Although a considerable part of @entity1 desire further improvement in penile size after @entity2650 repairs, @entity546 is only considered in @entity1 with @entity546 or acquired penile retraction. Modified @entity546 by free dermal-fat graft is introduced to satisfy these @entity1 and improve surgical safety. METHODS: From April 2012 to December 2014, a total of 15 male adults after @entity2650 repairs, aged 18-24  years, underwent modified @entity546 which involved girth enhancement by a free dermal-fat graft and penile elongation (suprapubic skin advancement-ligamentolysis). A specially designed tunneling instrument was introduced to facilitate pericavernous thickening without degloving. Outcome evaluation was mainly based on objective penile measurements and results of the Male Genital Image Scale. RESULTS: With 6 months' follow-up, all @entity1 had achieved excellent cosmetic results, with a significant average dimensional increase of 1.53      0.23  cm in flaccid girth and 1.67      0.24  cm in flaccid length. No erection @entity9132 occurred. @entity1 ' perception of male genitalia improved postoperatively, with the average MGIS score rising from 31.73      4.86 to 40.20      4.54. CONCLUSIONS: This modified technique is safe and effective in enlarging penile size. The use of the specially designed tunneling instrument simplifies penile girth enhancement, avoiding unnecessary trauma to the neo-urethra and neurovascular bundle. It is confirmed that physical dimensional enhancement does contribute to improving their underestimation of penile size. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
