Amy Pearlman
Kristen Gumpf
William Moore
Jonathan Clavell
Jagan Kansal
Fenway Milhouse
Alexander Tatem
Introduction
Limited data exist regarding safety of penile girth enhancement treatments. Reported options for girth enhancement include injections of autologous fat, liquid silicone, hyaluronic acid, or polymethyl-methacrylate, grafting with dermal fat, porcine dermal acellular matrix, or acellular collagen matrix, and surgical placement of a silicone implant.
OBJECTIVE
The purpose of our study was to retrospectively evaluate safety in a cohort of men undergoing penile girth enhancement with hyaluronic acid dermal filler at a single site by reporting on post-procedure complications.
METHODS
We performed a retrospective review of men who underwent penile girth enhancement with hyaluronic acid dermal filler from August 2020 through April 2023.
RESULTS
471 men underwent penile girth enhancement with hyaluronic acid dermal filler. Two patients experienced injection site infections related to non-compliance post treatment with infection resolution after completing a course of oral antibiotic. No patients reported erectile dysfunction or loss of sensitivity. One patient underwent reversal with hyaluronidase after his initial treatment. Three patients experienced priapism treated without long term sequelae when intracavernosal injection (ICI) therapy was used for tumescence at time of filler injection. Once ICI was no longer used, no patients reported priapism.
CONCLUSIONS\
Our study suggests that injection of hyaluronic acid dermal filler may be a safe option for men interested in penile girth enhancement.
Funding: N/A
EFFICACY OF NOVEL HYALURONIC ACID DERMAL FILLER INJECTIONS FOR PENILE GIRTH ENHANCEMENT
Benjamin Carey
Alexandra Baylor
Amy Pearlman
Kristen Gumpf
William Moore
Jonathan Clavell
Jagan Kansal
Fenwa Milhouse
Alexander Tatem
INTRODUCTION
There has been renewed public and professional interest in the topic of cosmetic penile girth enhancement. Hyaluronic acid (HA) injections have been proposed as a safer alternative to surgical options, however limited data exist regarding efficacy.
OBJECTIVE
The purpose of our study was to evaluate average girth changes and related metrics in men undergoing penile girth enhancement with sequential administration of HA dermal filler at a single site.
METHODS
We performed a retrospective review of men who underwent penile girth enhancement with HA from May 17, 2022 to April 28, 2023.
RESULTS
155 men underwent penile girth enhancement with HA filler and were instructed to follow a strict post-injection protocol. On average, men experienced a 0.633 cm increase in girth per treatment receiving an average of 12.5 total syringes over
2.2 treatments. Ultimately, all men receiving multiple treatments experienced an average girth increase of 1.8 cm as measured prior to their final treatment. 23 men who received 4 treatments or more experienced an average girth increase of 2.952 cm as measured prior to their final treatment. Of the 155 men treated, 19 (12.3%) required cosmetic correction with either hyaluronidase or abobotulinumtoxinA.
CONCLUSIONS
Our study suggests that injection of HA dermal filler is an effective option for men desiring non-surgical penile girth enhancement. Further studies are needed to better characterize outcomes and optimal treatment protocols.
FUNDING: N/A
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