Cosmetic penile enhancement surgery: a 3-year single-centre retrospective clinical evaluation of 355 cases

Littara, Alessandro; Melone, Roberto; Morales‐Medina, Julio César; Iannitti, Tommaso; Palmieri, Beniamino

doi:10.1038/s41598-019-41652-w

Cited by 31 publications

(35 citation statements)

References 76 publications

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“…As a result, the American Urological Association's position is that the stretched penis length must be less than 2.95 inches (7.49 cm) to be considered for elongation surgery (Urology Care Foundation, 2019). Surgery on men with penises longer than this is viewed by many professionals as cosmetic and unnecessary, with serious ethical issues (Dillon et al, 2008;Mondaini et al, 2002;Vardi, 2006;Wylie & Eardley, 2007), yet penile enlargement surgeries for cosmetic purposes are increasing (Littara, Melone, Morales-Medina, Iannitti, & Palmieri, 2019;Wylie & Eardley, 2007). Instead of surgery, psychological counseling and sex education should be offered, with particular emphasis on educating men about the normal range of values for penis size (Dillon et al, 2008;Mondaini et al, 2002;Pastoor & Gregory, 2020;Wylie & Eardley, 2007).…”

Section: Implications For Counseling and Surgical Interventionmentioning

confidence: 99%

Average-Size Erect Penis: Fiction, Fact, and the Need for Counseling

King

2020

Journal of Sex & Marital Therapy

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Most men believe that the average length of an erect penis is greater than 6 inches (15.24 cm). This belief is due, in part, to several often-cited studies that relied on self-reported measurements, with means of about 6.2 inches (15.75 cm) for heterosexual men and even greater for gay men. These studies suffered from both volunteer bias and social desirability bias. In this review, the combined mean for 10 studies in which researchers took measurements of erect penises was 5.36 inches (13.61 cm; n ¼ 1,629). For 21 studies in which researchers measured stretched penises, the mean was approximately 5.11 inches (12.98 cm; n ¼ 13,719). Based on these studies, the average length of an erect penis is between 5.1 and 5.5 inches (12.95-13.97 cm), but after taking volunteer bias into account, it is probably toward the lower end of this range. Studies show that a majority of men wish they were larger, with some choosing penile lengthening surgery. These surgeries are considered by the American Urological Association to be risky. Most men seeking surgery have normal sized penises. Counseling with factual information about penis size might be effective in alleviating concerns for the majority of men who worry about having a small penis. Studies find that many men have concerns that their penis is not large enough and that they are smaller relative to other men (

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Section: Implications For Counseling and Surgical Interventionmentioning

confidence: 99%

Average-Size Erect Penis: Fiction, Fact, and the Need for Counseling

King

2020

Journal of Sex & Marital Therapy

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“…The length was most commonly measured on the dorsal surface from the penile base (pubo‐penile junction) to the tip of the glans (meatus), whereas girth was most commonly measured in the flaccid state at one or more levels along the penis shaft. More specifically, these two measuring methods were explicitly described in 48 [13–22,25–36,38–53,60–69] and 39 papers [13–25,27,31–42,44,48,54,60–69], respectively.…”

Section: Resultsmentioning

confidence: 99%

“…This review included a total of 57 studies [13–69] assessing interventions for penile lengthening and/or enlargement in 1764 healthy men complaining of a small penis (18 studies) [13–30] and 2587 men with concomitant penile pathologies (39 studies) [31–69] consisting mostly of PD and ED. Of the 57 studies included in the review, 25 assessed non‐invasive interventions [13,17–24,31–44,68,69] and 32 evaluated surgical procedures [14–16,25–30,45–67], for a total of 2192 and 2159 men, respectively.…”

Section: Resultsmentioning

confidence: 99%

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Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

et al. 2020

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Objective To systematically review the literature in order to investigate the efficacy and safety of surgical and non‐invasive penile enhancement procedures for aesthetic and therapeutic purposes. Methods A systematic search for papers investigating penile enhancement procedures was performed using the MEDLINE database. Articles published from January 2010 to December 2019, written in English, including >10 cases, and reporting objective length and/or girth outcomes, were included. Studies without primary data and conference abstracts were excluded. The main outcome measure was objective length and/or girth improvement. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement. Results Out of 220 unique records, a total of 57 were reviewed. Eighteen studies assessed interventions for penile enhancement in 1764 healthy men complaining of small penis. Thirty‐nine studies investigated 2587 men with concomitant pathologies consisting mostly of Peyronie's disease and erectile dysfunction. Twenty‐five studies evaluated non‐invasive interventions and 32 studies assessed surgical interventions, for a total of 2192 and 2159 men, respectively. Non‐invasive interventions, including traction therapies and injection of fillers, were safe and mostly efficacious, whereas surgical interventions were associated with minor complications and mostly increased penile dimensions and/or corrected penile curvature. Overall, the quality of studies was low, and standardized criteria to evaluate and report efficacy and safety of procedures, as well as patient satisfaction, were missing. Conclusion The quality of the studies on penile enhancement procedures published in the last decade is still low. This prevents us from establishing recommendations based on scientific evidence regarding the efficacy and safety of interventions that are performed to increase the penis size for aesthetic or therapeutic indications.

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“…Littara et al . reported their experience of cosmetic penile enhancement surgery . In that report, they summarized the global published data of the mean penile size.…”

mentioning

confidence: 99%

Editorial Comment to Penile size and stretched rate in a Japanese male population: A cross‐sectional cadaveric study

Fukuhara

2019

Int J of Urology

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Cosmetic penile enhancement surgery: a 3-year single-centre retrospective clinical evaluation of 355 cases

Cited by 31 publications

References 76 publications

Average-Size Erect Penis: Fiction, Fact, and the Need for Counseling

Average-Size Erect Penis: Fiction, Fact, and the Need for Counseling

Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

Editorial Comment to Penile size and stretched rate in a Japanese male population: A cross‐sectional cadaveric study

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