Efficacy and safety of penile girth enhancement by autologous fat injection for patients with thin penises

Dong Hyuk Kang, Jae Hoon Chung, Yong Jin Kim, Haeng Nam Lee, Seung Hoon Cho, Taek Hee Chang, Seung Wook Lee

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background This study aimed to investigate the efficacy and safety of autologous fat injection (AFI) for penile girth enhancement (PGE) in patients with thin penises. Methods This study investigated 52 patients with a small penile circumference who underwent AFI for PGE and were followed up for more than 6 months. The patients whose proximal one third (G1) and distal one third of their penis (G2) had a mean thickness of 7.4 cm or less were selected as subjects. After fat suction using a liposuction device, fat was evenly injected into the superficial, middle, and deep layers of the Colles' fascia. Patient age and operative time were analyzed. The G1, G2, flaccid (L1), stretched length (L2), and five-item version of the International Index of Erectile Function-5 (IIEF-5) before and 6 months after the surgery were compared. Postoperative complications were surveyed. Results The patient mean age was 42.15 years (range, 22-56) years, and the operative time was 44.44 min (range, 37-49 min). The injected fat volume was 38.54 ml (range, 25-49 ml). Preoperatively, G1 was 7.01 ± 0.39 cm, and G2 was 7.06 ± 0.37 cm. Postoperatively, G1 was 9.29 ± 0.82 cm (P < 0.001), and G2 was 9.34 ± 0.86 (P < 0.001) cm 6 months after the surgery. The difference between L1 and L2 before and after the surgery was not significant. The IIEF-5 was 19.10 ± 3.22 before the surgery and 19.90 ± 3.05 after the surgery (P = 0.001). The only complication was nodular fat observed in one case (1.92 %). Conclusion The use of AFI for PGE in men with thin penises was effective and safe without major complications. Level of Evidence III 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 at www.springer.com/00266

Original languageEnglish
Pages (from-to)813-818
Number of pages6
JournalAesthetic Plastic Surgery
Volume36
Issue number4
DOIs
StatePublished - 2012 Aug 1

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Penis
Fats
Safety
Injections
Operative Time
Lipectomy
Evidence-Based Medicine
Fascia
Suction
Equipment and Supplies

Keywords

  • Penile enhancement
  • Penile girth
  • Penis
  • Phalloplasty

Cite this

Kang, Dong Hyuk ; Chung, Jae Hoon ; Kim, Yong Jin ; Lee, Haeng Nam ; Cho, Seung Hoon ; Chang, Taek Hee ; Lee, Seung Wook. / Efficacy and safety of penile girth enhancement by autologous fat injection for patients with thin penises. In: Aesthetic Plastic Surgery. 2012 ; Vol. 36, No. 4. pp. 813-818.
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abstract = "Background This study aimed to investigate the efficacy and safety of autologous fat injection (AFI) for penile girth enhancement (PGE) in patients with thin penises. Methods This study investigated 52 patients with a small penile circumference who underwent AFI for PGE and were followed up for more than 6 months. The patients whose proximal one third (G1) and distal one third of their penis (G2) had a mean thickness of 7.4 cm or less were selected as subjects. After fat suction using a liposuction device, fat was evenly injected into the superficial, middle, and deep layers of the Colles' fascia. Patient age and operative time were analyzed. The G1, G2, flaccid (L1), stretched length (L2), and five-item version of the International Index of Erectile Function-5 (IIEF-5) before and 6 months after the surgery were compared. Postoperative complications were surveyed. Results The patient mean age was 42.15 years (range, 22-56) years, and the operative time was 44.44 min (range, 37-49 min). The injected fat volume was 38.54 ml (range, 25-49 ml). Preoperatively, G1 was 7.01 ± 0.39 cm, and G2 was 7.06 ± 0.37 cm. Postoperatively, G1 was 9.29 ± 0.82 cm (P < 0.001), and G2 was 9.34 ± 0.86 (P < 0.001) cm 6 months after the surgery. The difference between L1 and L2 before and after the surgery was not significant. The IIEF-5 was 19.10 ± 3.22 before the surgery and 19.90 ± 3.05 after the surgery (P = 0.001). The only complication was nodular fat observed in one case (1.92 {\%}). Conclusion The use of AFI for PGE in men with thin penises was effective and safe without major complications. Level of Evidence III 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 at www.springer.com/00266",
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Efficacy and safety of penile girth enhancement by autologous fat injection for patients with thin penises. / Kang, Dong Hyuk; Chung, Jae Hoon; Kim, Yong Jin; Lee, Haeng Nam; Cho, Seung Hoon; Chang, Taek Hee; Lee, Seung Wook.

In: Aesthetic Plastic Surgery, Vol. 36, No. 4, 01.08.2012, p. 813-818.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Efficacy and safety of penile girth enhancement by autologous fat injection for patients with thin penises

AU - Kang, Dong Hyuk

AU - Chung, Jae Hoon

AU - Kim, Yong Jin

AU - Lee, Haeng Nam

AU - Cho, Seung Hoon

AU - Chang, Taek Hee

AU - Lee, Seung Wook

PY - 2012/8/1

Y1 - 2012/8/1

N2 - Background This study aimed to investigate the efficacy and safety of autologous fat injection (AFI) for penile girth enhancement (PGE) in patients with thin penises. Methods This study investigated 52 patients with a small penile circumference who underwent AFI for PGE and were followed up for more than 6 months. The patients whose proximal one third (G1) and distal one third of their penis (G2) had a mean thickness of 7.4 cm or less were selected as subjects. After fat suction using a liposuction device, fat was evenly injected into the superficial, middle, and deep layers of the Colles' fascia. Patient age and operative time were analyzed. The G1, G2, flaccid (L1), stretched length (L2), and five-item version of the International Index of Erectile Function-5 (IIEF-5) before and 6 months after the surgery were compared. Postoperative complications were surveyed. Results The patient mean age was 42.15 years (range, 22-56) years, and the operative time was 44.44 min (range, 37-49 min). The injected fat volume was 38.54 ml (range, 25-49 ml). Preoperatively, G1 was 7.01 ± 0.39 cm, and G2 was 7.06 ± 0.37 cm. Postoperatively, G1 was 9.29 ± 0.82 cm (P < 0.001), and G2 was 9.34 ± 0.86 (P < 0.001) cm 6 months after the surgery. The difference between L1 and L2 before and after the surgery was not significant. The IIEF-5 was 19.10 ± 3.22 before the surgery and 19.90 ± 3.05 after the surgery (P = 0.001). The only complication was nodular fat observed in one case (1.92 %). Conclusion The use of AFI for PGE in men with thin penises was effective and safe without major complications. Level of Evidence III 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 at www.springer.com/00266

AB - Background This study aimed to investigate the efficacy and safety of autologous fat injection (AFI) for penile girth enhancement (PGE) in patients with thin penises. Methods This study investigated 52 patients with a small penile circumference who underwent AFI for PGE and were followed up for more than 6 months. The patients whose proximal one third (G1) and distal one third of their penis (G2) had a mean thickness of 7.4 cm or less were selected as subjects. After fat suction using a liposuction device, fat was evenly injected into the superficial, middle, and deep layers of the Colles' fascia. Patient age and operative time were analyzed. The G1, G2, flaccid (L1), stretched length (L2), and five-item version of the International Index of Erectile Function-5 (IIEF-5) before and 6 months after the surgery were compared. Postoperative complications were surveyed. Results The patient mean age was 42.15 years (range, 22-56) years, and the operative time was 44.44 min (range, 37-49 min). The injected fat volume was 38.54 ml (range, 25-49 ml). Preoperatively, G1 was 7.01 ± 0.39 cm, and G2 was 7.06 ± 0.37 cm. Postoperatively, G1 was 9.29 ± 0.82 cm (P < 0.001), and G2 was 9.34 ± 0.86 (P < 0.001) cm 6 months after the surgery. The difference between L1 and L2 before and after the surgery was not significant. The IIEF-5 was 19.10 ± 3.22 before the surgery and 19.90 ± 3.05 after the surgery (P = 0.001). The only complication was nodular fat observed in one case (1.92 %). Conclusion The use of AFI for PGE in men with thin penises was effective and safe without major complications. Level of Evidence III 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 at www.springer.com/00266

KW - Penile enhancement

KW - Penile girth

KW - Penis

KW - Phalloplasty

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