TOPIC: Proud Urology Q&A

This thread will serve as a Questions and Answers Topic from the expert Urologists at PROUD Urology. There will be continuous submissions regarding various topics, including grafts and fillers for Girth.

Also, feel free to ask any questions you may have.

A great video explanation of their Dermal Graft procedure (similar to Surgimend or Alloderm found in the U.S.) -->

How much Girth/circumference can you achieve with Girth enhancement injections?
Below are the results you can expect after taking our 5S penis enlargement surgery:
The gain from the 5S procedure will be the following:

2.5cm increase on the Girth for both Flaccid and Erect state.
2-4cm increase on the length only for the Flaccid state.
2cm increase on the glans for both Flaccid and Erect state.
4-6 minutes (approx) increase during sexual intercourse [premature ejaculation treatment].

If the patient only wants the injection method, we can either use the Megafill option or Self-Fat Injection option.
For megafill, in order to increase the shaft patient may need up to 20cc of Megafill. This is to expect to be around 2-3cm in thickness.
And we usually recommend patient to undergo with he graft option since it doesn't move around and causes gaps or bumps in the long-run.


How long can filler injections take and what kind of anesthesia is used?
The filler injection usually takes around 30 minutes and we use sedation + local anesthesia.


How does a newly Girth enhanced penis feel?
The Girth with filler or graft feels normal as before as the material we use is human donor tissue. It will feel and look very natural overtime.


What makes a good candidate?
A good candidate for the procedure are patient who are already Circumcised and haven't done any other procedures in the past. If the patient has done certain procedures in the past, there could be a reconstruction procedure needed and will add more cost to the procedure.

How long can you wait before resuming intimacy or strenuous activity? (Please offer responses for both filler and graft surgery).
After finishing the first month of post-op, it's possible to have sexual intercourse, self-ejaculation, and exercise.


Does the Filler you inject have a risk of Migration?
Yes, it's possible to move around inside the penis so we always provide aftercare kits to press penis for curing as well as holding Megafill.


What to expect on the day of the Procedure?
Fasting would be required for sleeping anesthesia for yourself. And there will be blood testing before the consultation to check your health status in general.
Afterwards, one of the English speaker coordinators at the clinic will help out a consultation regarding the surgery and Dr. will finalize the whole surgery before the paper works.

Do you have any experience treating patients who have received silicone oil injections, as well as your thoughts on the dangers that may arise with the use of such fillers (silicone oil)?
There was one such case in Germany where silicone oil was injected into the bloodstream accidently and eventually led to infection in the body, leading to death from sepsis. Since it is illegal in Korea, all our urologists have never experienced silicone oil Removal surgery, but it is a very dangerous procedure.

Liquid silicone injected into the body intentionally causes foreign body action within the skin, stimulating the body's immune function and forming a type of lump called ‘sclerotic lipogranuloma.’ This may cause the penis to feel enlarged in size or thickness, but it also interferes with blood flow under the skin, causing inflammation and, in severe cases, Necrosis of the skin.

Q to Proud Urology -
With the lengthern procedure, would you recommend stretching and handing routine for potential Erect gain? Or have you got reports from your patients on any of the gain?

aaarthur wrote: Q to Proud Urology -
With the lengthern procedure, would you recommend stretching and handing routine for potential Erect gain? Or have you got reports from your patients on any of the gain?

Proud Urology answered with the following:

"After the lengthening surgery, massaging penis would be helpful to keep the Flaccid length, not for Erection.
The way of massaging penis is to grab the head of penis and pull it out 10 times for 5 sets when it's the 2nd month of post surgery."

Hello, I'm curious I have seen many pictures before and immediately after surgery that you provided, but do you have any after photos from 6 months or 1 year later?

Neogeo716 wrote: Hello, I'm curious I have seen many pictures before and immediately after surgery that you provided, but do you have any after photos from 6 months or 1 year later?

I can't speak on behalf of @Proud_Urology but the odds that any patient is willing to return voluntarily after 6 to 12+ months out just for a photoshoot is exceedingly rare; keep in mind most guys on this site who Progress Report tend to slow down and often retire by a year's time, since now that they've achieved their goals, they want to move on with life. I can't imagine it being any different for patients who are asked to come in a year later for photos.

Blunt-Tip Cannula vs Needle: Do your Doctors prefer a rounded blunt cannula or a conventional needle for injection of your dermal fillers?
We use blunt-tip Cannula for Megafill Injection.


Do you use Platelet Rich Plasma (PRP) to help with recovery and/or overall results of any of your Male Enhancement procedures?
Yes, that's correct.
You can learn more by visiting our YouTube Channel by searching Proud Urology Korea.

Is there any risk of erectile dysfunction with either Megafill or Megaderm?
This surgery doesn't affect erectile dysfunction at all. So we will check your Erection function through blood tests and an assessment before surgery. If you currently have ED, then there will be a higher chance to prescribe 3 months worth of Cialis 5mg daily pills that need to be taken after the first month of postoperative for Megaderm and Megafill engraftment (absorption).


Can Girth enhancement injections (Megafill) or Dermal Grafts (Megaderm) be performed on a penis that uses an inflatable implant (normally used for severe erectile dysfunction)?
We definitely don't recommend Megaderm and Megafill on top of the inflatable implant due to a higher chance of malfunction risk.

How many sessions can a patient expect to achieve an ideal result with Megafill injections?
We recommend getting it 3 to 4 times every 6 months to 1 year.


Two part-question: Discuss with us your preference with Megafill & Megaderm, what makes them the preferred choice of Proud Urology? Also, how would you recommend a patient deciding between Megafill and Megaderm, and can both be performed?
As a result of using various allogeneic dermis, Megaderm was the safest and ultimately most satisfactory dermis for patients. Due to its flat shape, you can expect a straight genital shape without any bumps, and the absorption rate is lower, so you can see a relatively greater enlargement effect. Of course, Megafill can also be used at the same time as Megaderm transplant, creating a greater magnification effect and a natural shape that can smooth out angled areas.


Are there any solutions for penile glans enlargement?
Due to safety reasons, minimal Megafill injection around the corona of glans is necessary. In addition to the external effect of enlarging the glans, the injected filler buffers the sensitive sensation of the glans, thereby reducing premature ejaculation, delaying ejaculation, and increasing sexual sensation in the partner.