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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 Oderda12
Estimated H-index: 12
(University of Turin),
Paolo Gontero30
Estimated H-index: 30
(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.
  • References (26)
  • Citations (8)
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References26
Newest
Published on Sep 1, 2014in The Journal of Urology 5.38
Giulio Garaffa18
Estimated H-index: 18
(University College London),
Marco Spilotros2
Estimated H-index: 2
(University College London)
+ 1 AuthorsDavid Ralph44
Estimated H-index: 44
(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 Jan 1, 2013in The Journal of Sexual Medicine 3.34
Hussein Ghanem15
Estimated H-index: 15
(Cairo University),
Sidney Glina23
Estimated H-index: 23
+ 1 AuthorsJaques Buvat35
Estimated H-index: 35
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...
28 Citations Source Cite
Published on Dec 1, 2012in The Journal of Sexual Medicine 3.34
Rui Miguel Costa13
Estimated H-index: 13
(International Sleep Products Association),
Geoffrey P. Miller48
Estimated H-index: 48
(University of New Mexico),
Stuart Brody39
Estimated H-index: 39
(University of the West of Scotland)
Introduction. Research indicates that (i) women's orgasm during penile-vaginal intercourse (PVI) is influenced by fitness-related male partner characteristics, (ii) penis size is important for many women, and (iii) preference for a longer penis is associated with greater vaginal orgasm consistency (triggered by PVI without concurrent clitoral masturbation). Aims. To test the hypothesis that vaginal orgasm frequency is associated with women's reporting that a longer than average penis is more lik...
32 Citations Source Cite
Published on Sep 1, 2012in Nature Reviews Urology 8.09
Oliver Kayes9
Estimated H-index: 9
,
Majid Shabbir11
Estimated H-index: 11
+ 1 AuthorsSuks Minhas12
Estimated H-index: 12
In this Review, Kayes and colleagues discuss the aetiology, diagnosis and treatment options for congenital micropenis, acquired micropenis and penile dysmorphic disorder, including both nonsurgical and surgical techniques. They evaluate the role of phalloplasty and penile replacement surgery including transplantation, in this challenging clinical area.
11 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 Nov 1, 2011in The Journal of Sexual Medicine 3.34
M. Nikoobakht11
Estimated H-index: 11
(Tehran University of Medical Sciences),
Alireza Shahnazari1
Estimated H-index: 1
(Tehran University of Medical Sciences)
+ 2 AuthorsGholamreza Pourmand19
Estimated H-index: 19
(Tehran University of Medical Sciences)
ABSTRACT Introduction It has been suggested that the application of penile‐extender devices increases penile length and circumference. However, there are a few scientific studies in this field. Aims The aim of this study was to assess the efficacy of a penile‐extender (Golden Erect®, Ronas Tajhiz Teb, Tehran, Iran) in increasing penile size. Methods This prospective study was performed on subjects complaining about “short penis” who were presented to our clinic between September 15, 2008 and Dec...
19 Citations Source Cite
Published on Sep 1, 2011in Journal of Andrology 2.73
Zhe Jin4
Estimated H-index: 4
(Peking University),
Yi‐Guang Wu2
Estimated H-index: 2
(Chinese PLA General Hospital)
+ 7 AuthorsZhong-ChengXin24
Estimated H-index: 24
(Peking University)
ABSTRACT: In this study, we investigated the safety and efficacy of a poly acid-co-glycolide biodegradable scaffold (Maxpol-T) coated by autologous fibroblasts (AF) for penile girth enlargement in small penis syndrome (SPS). Eighty patients with SPS were enrolled in a clinical study at 2 medical centers; 69 patients completed the study protocol. Scrotal skin was harvested under local anesthesia, and AFs were cultured and seeded on a Maxpol-T scaffold; the cografted scaffold was implanted under t...
7 Citations Source Cite
Published on Apr 1, 2011in BJUI 4.69
Marco Oderda12
Estimated H-index: 12
(University of Turin),
Paolo Gontero30
Estimated H-index: 30
(University of Turin)
What's known on the subject? and What does the study add? Penile lengthening methods remain a controversial issue. Surgical procedures of “lengthening phalloplasty” are characterized by poorly defined indications and an unacceptably high rate of complications, as recently outlined by a literature review, while non-surgical techniques are largely popularized by the media but often lack scientific evidence. In the literature we found only ten articles/abstracts of studies pertaining to the topic o...
15 Citations Source Cite
Published on Mar 1, 2009in BJUI 4.69
Paolo Gontero30
Estimated H-index: 30
(University of Turin),
Massimiliano Di Marco3
Estimated H-index: 3
(University of Turin)
+ 4 AuthorsNicola Mondaini27
Estimated H-index: 27
(University of Turin)
OBJECTIVE To assess a commonly marketed brand of penile extender, the Andro-Penis® (Andromedical, Madrid, Spain), widely used devices which aim to increase penile size, in a phase II single-arm study powered to detect significant changes in penile size, as despite their widespread use, there is little scientific evidence to support their potential clinical utility in the treatment of patients with inadequate penile dimensions. PATIENTS AND METHODS Fifteen patients were required to test the effic...
32 Citations Source Cite
Published on Feb 1, 2009in The Journal of Sexual Medicine 3.34
P. Gontero8
Estimated H-index: 8
(University of Turin),
Massimiliano Di Marco3
Estimated H-index: 3
+ 4 AuthorsNicola Mondaini27
Estimated H-index: 27
(University of Florence)
Introduction. Pilot experiences have suggested that tension forces exerted by a penile extender may reduce penile curvature as a result of Peyronie's disease. Aim. To test this hypothesis in a Phase II study using a commonly marketed brand of penile extender. Methods. Peyronie's disease patients with a curvature not exceeding 50° with mild or no erectile dysfunction (ED) were eligible. Fifteen patients were required to test the efficacy of the device assuming an effect size of >0.8, consistent w...
84 Citations Source Cite
Cited By8
Newest
Published on Apr 1, 2019in BJUI 4.69
Ignacio Moncada21
Estimated H-index: 21
,
P. Krishnappa1
Estimated H-index: 1
+ 5 AuthorsLaurence A. Levine50
Estimated H-index: 50
(Rush University Medical Center)
3 Citations Source Cite
Published on Apr 1, 2019in Sexual medicine reviews
R. Avant2
Estimated H-index: 2
(Mayo Clinic),
Matthew J. Ziegelmann9
Estimated H-index: 9
(Mayo Clinic)
+ 3 AuthorsLandon Trost14
Estimated H-index: 14
(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 Jan 1, 2019in Sexual medicine reviews
Marah C. Hehemann (University of Washington), Maxwell Towe (University of California, Irvine)+ 2 AuthorsFaysal A. Yafi14
Estimated H-index: 14
(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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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
Marco Falcone7
Estimated H-index: 7
,
M. Sibona3
Estimated H-index: 3
+ 7 AuthorsGiulio Garaffa18
Estimated H-index: 18
(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 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,...
5 Citations Source Cite
Published on Jan 1, 2017
John P. Mulhall54
Estimated H-index: 54
(Memorial Sloan Kettering Cancer Center),
L. Jenkins2
Estimated H-index: 2
(Memorial Sloan Kettering Cancer Center)
Penile traction has been adapted from use in other specialties like orthopedics and plastic surgery as a tool to increase or regain penile length. Small studies on the use of traction in Peyronie’s patients have shown modest improvements in curvature and stretched flaccid length. Changes in stretched flaccid penile length have been reported to range from 0.5 to 2 cm.
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Published on Nov 1, 2016in The Journal of Sexual Medicine 3.34
Landon Trost14
Estimated H-index: 14
(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