Comment On: Applying Extender Devices in Patients with Penile Dysmorphophobia: Assessment of Tolerability, Efficacy, and Impact on Erectile Function

Published on May 1, 2015in The Journal of Sexual Medicine 3.34
· DOI :10.1111/jsm.12870
Marco Oderda11
Estimated H-index: 11
(University of Turin),
Paolo Gontero29
Estimated H-index: 29
(University of Turin)
Abstract
Abstract Introduction Most men seeking penile enhancement techniques have a normal penile size. They are either misinformed or suffer from penile dysmorphophobia and should be discouraged from undergoing invasive procedures. Less invasive techniques including penile extenders are not associated with major complications and may be beneficial from a psychological perspective. Aim We conducted this study to assess the efficacy and safety of AndroPenis® (Andromedical, Madrid, Spain) penile extender. Methods Between December 2010 and December 2013, 163 men presented to our institution complaining of small penile length and/or girth. All patients received structured psychosexual counseling. Fifty-four patients were willing to use the AndroPenis penile extender after counseling. Patients with major psychiatric disorders were excluded from enrollment. The patients were instructed to wear the device between 4 and 6 hours per day for 6 months. Penile dimensions including flaccid stretched and erected lengths were measured at baseline and after 1, 3, 6, and 9 months. Erectile function was assessed at baseline and 9 months after treatment using the simplified International Index of Erectile Function (IIEF-5). An institutional nonstandardized questionnaire was used to evaluate patient satisfaction at the end of study. Main Outcome Measures Penile length and girth enhancement as well as satisfaction rate and improvement in erectile function were assessed during follow-up. Results At 6-month follow-up, a mean gain of 1.7 ± 0.8, 1.3 ± 0.4, and 1.2 ± 0.4 cm was noted for the flaccid, stretched, and erected penile lengths, respectively (all P values  Conclusion Penile extender as a minimally invasive technique is safe and provides modest benefits and patient satisfaction. Nowroozi MR, Amini E, Ayati M, Jamshidian H, Radkhah K, and Amini S. Applying extender devices in patients with penile dysmorphophobia: Assessment of tolerability, efficacy, and impact on erectile function. J Sex Med 2015;12:1242–1247.
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References26
Published on Apr 1, 2002in Annals of Plastic Surgery 1.54
Mustafa Sengezer18
Estimated H-index: 18
,
Serdar Öztürk15
Estimated H-index: 15
,
Mustafa Deveci17
Estimated H-index: 17
There are only a few reports that investigate the measurement of functional penile length and compare the methods used for this purpose. The aim of this study was to determine the correlation between the measurement techniques and to determine an appropriate method that correlates the erect state most closely. Measurements of penile length in 200 healthy men were made during three different states-flaccid, erect, and stretched-of the penis. The results were evaluated using descriptive statistics...
31 Citations Source Cite
Published on Jul 1, 1994in The Journal of Urology 5.38
Ian A. Aaronson8
Estimated H-index: 8
(Medical University of South Carolina)
82 Citations Source Cite
Published on Jan 1, 2006in The Journal of Sexual Medicine 3.34
Osama Shaeer17
Estimated H-index: 17
(Cairo University),
Kamal Shaeer10
Estimated H-index: 10
(Cairo University),
Ashraf El‐Sebaie3
Estimated H-index: 3
(Cairo University)
Introduction. The technique most commonly used for penile lengthening is the release of the suspensory ligament in combination with an inverted V-Y skin plasty. This technique has drawbacks such as the possibility of reattach- ment of the penis to the pubis, a hump that forms at the base of the penis, in addition to alteration in the angle of erection. Aim. In this work, we describe a new technique that overrides these drawbacks and minimize the loss of gained length. Methods. The suspensory lig...
24 Citations Source Cite
Published on Jan 1, 2013in The Journal of Sexual Medicine 3.34
Hussein Ghanem14
Estimated H-index: 14
(Cairo University),
Sidney Glina23
Estimated H-index: 23
+ 1 AuthorsJaques Buvat32
Estimated H-index: 32
ABSTRACT Introduction With the worldwide increase in penile augmentation procedures and claims of devices designed to elongate the penis, it becomes crucial to study the scientific basis of such procedures or devices, as well as the management of a complaint of a small penis in men with a normal penile size. Aim The aim of this work is to study the scientific basis of opting to penile augmentation procedures and to develop guidelines based on the best available evidence for the management of men...
27 Citations Source Cite
Published on Sep 1, 2014in The Journal of Urology 5.38
Giulio Garaffa15
Estimated H-index: 15
(University College London),
Marco Spilotros2
Estimated H-index: 2
(University College London)
+ 1 AuthorsDavid J. Ralph43
Estimated H-index: 43
(University College London)
Purpose: We report our experience with total phallic construction using the radial artery forearm free flap in patients with bladder/cloacal exstrophy and micropenis-epispadias complex.Materials and Methods: We retrospectively reviewed notes on the 16 patients with bladder/cloacal exstrophy and micropenis-epispadias complex treated with total phallic construction using the radial artery based forearm free flap between January 2003 and October 2013. Surgical outcome, phallic cosmesis, complicatio...
18 Citations Source Cite
Published on Sep 1, 2007in The Journal of Sexual Medicine 3.34
Hussein Ghanem14
Estimated H-index: 14
(Cairo University),
Rany Shamloul9
Estimated H-index: 9
(Cairo University)
+ 3 AuthorsIhab Ismail1
Estimated H-index: 1
(Queen's University)
ABSTRACT Introduction Penile augmentation surgery has become increasingly common though there is no consensus about the management strategy for men with a complaint of small penis. Aim To introduce and evaluate the outcome of a structured management and counseling protocol for patients with a complaint of a small-sized penis. Methods A structured protocol for consultation and management of (physically normal) patients with a complaint of a small penis through a descriptive study comprised of a s...
29 Citations Source Cite
Published on May 1, 2006in Urology 2.30
Rany Shamloul17
Estimated H-index: 17
(Cairo University)
Abstract Objectives To report the outcome of a sex education-integrated treatment program of men complaining of a short-sized penis. Methods This study included 92 patients presenting to our department in the past 2 years complaining of a small-sized penis. History, with particular stress on the duration of the complaint and sexual habits of the patients, was collected from all patients. All patients were asked to complete the International Index of Erectile Function short-form questionnaire. Al...
40 Citations Source Cite
Published on Sep 1, 1996in The Journal of Urology 5.38
Hunter Wessells25
Estimated H-index: 25
(San Francisco General Hospital),
Tom F. Lue76
Estimated H-index: 76
(San Francisco General Hospital),
Jack W. McAninch65
Estimated H-index: 65
(San Francisco General Hospital)
AbstractPurpose: We provide guidelines of penile length and circumference to assist in counseling patients considering penile augmentation.Materials and Methods: We prospectively measured flaccid and erect penile dimensions in 80 physically normal men before and after pharmacological erection.Results: Mean flaccid length was 8.8 cm., stretched length 12.4 cm. and erect length 12.9 cm. Neither patient age nor size of the flaccid penis accurately predicted erectile length. Stretched length most cl...
220 Citations Source Cite
Published on Jan 1, 2012in Indian Journal of Urology
Bv V. Srinivas2
Estimated H-index: 2
,
Ss S. Vasan3
Estimated H-index: 3
,
Sajid Mohammed2
Estimated H-index: 2
Surgery to augment penile length has become increasingly common. Lack of standardization of this controversial procedure has led to a wide variety of poorly documented surgical techniques, with unconvincing results. The most commonly used technique involves release of the suspensory ligament, with an advancement of an infrapubic skin flap onto the penis via a V-Y plasty. This technique has a major drawback of the possibility of reattachment of the penis to the pubis. We describe a new technique ...
4 Citations Source Cite
Published on Aug 1, 2002in International Journal of Impotence Research 1.52
Nicola Mondaini27
Estimated H-index: 27
,
Roberto Ponchietti10
Estimated H-index: 10
+ 5 AuthorsM Rizzo1
Estimated H-index: 1
Department of Urology, Messina, ItalyConcerns over penile size and a desire for a longer penis are common in the male population. Thenumber of male patients seeking an andrological consultation for the problem of ‘short penis’ isincreasing. We looked at the numbers of patients presenting to a University andrology clinic over a2-y period and correlated their perceived penis size with the accepted norms. Sixty-seven patientswere evaluated with a median age of 27 (range 16–55) complaining of ‘short...
87 Citations Source Cite
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Cited By8
Published on Nov 1, 2016in The Journal of Sexual Medicine 3.34
Landon Trost13
Estimated H-index: 13
(Mayo Clinic),
Ricardo Munarriz28
Estimated H-index: 28
(Boston University)
+ 2 AuthorsLaurence A. Levine50
Estimated H-index: 50
(Rush University Medical Center)
Abstract Introduction The field of sexual medicine is continuously advancing, with novel outcomes reported on a regular basis. Given the rapid evolution, updated guidelines are essential to inform practicing clinicians on best practices. Aim To summarize the current literature and provide clinical guidelines on penile traction therapy, vacuum erection devices, and penile revascularization. Methods A consensus panel was held with leading sexual medicine experts during the 2015 International Consu...
6 Citations Source Cite
Published on Jul 1, 2017in Sexual medicine reviews
Henry Tran1
Estimated H-index: 1
(Columbia University Medical Center),
Robert Goldfarb1
Estimated H-index: 1
(Columbia University Medical Center)
+ 1 AuthorsRobert J. Valenzuela1
Estimated H-index: 1
(Columbia University Medical Center)
Abstract Introduction Penile prosthetic devices are the gold standard treatment of medication-refractory erectile dysfunction. Inflatable penile prosthetic (IPP) devices have been available and used for more than four decades. Oftentimes, medical conditions causing erectile dysfunction also cause penile shortening, causing decreased patient quality of life. Aim To identify and review all available penile lengthening procedures that can be performed at time of IPP insertion. Methods An extensive,...
4 Citations Source Cite
Published on Dec 1, 2017in Progrès en Urologie - FMC
Resume La traction therapie est utilisee dans le cadre d’un desir d’augmentation de longueur et de diametre de verge en aussi bien en erection qu’a l’etat flaccide. La traction therapie semble egalement avoir montre une amelioration de la courbure de verge dans la maladie de Lapeyronie, cependant son interet postoperatoire apres chirurgie complexe de courbure de verge reste a demontrer.
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Published on Dec 1, 2017in Current Sexual Health Reports
M. Falcone , M. Sibona + 7 AuthorsGiulio Garaffa15
Estimated H-index: 15
(University College London)
Purpose of Review The aim of this manuscript is to systematically review the current literature on surgical management of the short penis, focusing on surgical and functional outcomes and postoperative complications.
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Published on Apr 1, 2018in Sexual medicine reviews
R. Avant2
Estimated H-index: 2
(Mayo Clinic),
Matthew J. Ziegelmann8
Estimated H-index: 8
(Mayo Clinic)
+ 3 AuthorsLandon Trost13
Estimated H-index: 13
(Mayo Clinic)
Abstract Introduction Peyronie's disease (PD) has historically been managed by at least 1 treatment, including oral supplements or medications, intralesional injections, or surgery. Adjunctive mechanical therapies also have been described, including penile traction therapy (PTT) and vacuum erection devices (VEDs), although relatively limited data are available on their use with PD. Aim To review and summarize the published literature on the role and efficacy of PTT and VED in men with PD. Method...
3 Citations Source Cite
Published on Apr 1, 2019in BJUI 4.69
Ignacio Moncada20
Estimated H-index: 20
,
Pramod Krishnappa1
Estimated H-index: 1
+ 5 AuthorsLaurence A. Levine50
Estimated H-index: 50
(Rush University Medical Center)
1 Citations Source Cite
Published on Jan 1, 2019in Sexual medicine reviews
Marah C. Hehemann (University of Washington), Maxwell Towe (University of California, Irvine)+ 2 AuthorsFaysal A. Yafi13
Estimated H-index: 13
(University of California, Irvine)
Abstract Introduction Most men seeking penile girth augmentation have physiologically normal penises but may suffer from severe preoccupation with penis size known as penile dysmorphophobic disorder . Aim To describe the medical, procedural, and reconstructive techniques available for penile girth enhancement and to review the success and complications of each modality. Methods A comprehensive review of peer-reviewed publications on the topic was performed through a PubMed search. Key search ter...
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