Infection of the Penuma penile implant and associated post-operative complications: A case report

Juwono, Timothy; Buscaino, Kristina; Fernandez-Crespo, Raul; Carrión, Rafael

doi:10.1016/j.eucr.2021.101846

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…While long‐term data are not available, reviews by the inventor and colleagues report minimal morbidity and good patient satisfaction. Several reports of postoperative morbidity have been presented, including infection, device migration, pain and poor cosmetic appearance 11,12 …”

Section: Surgical Proceduresmentioning

confidence: 99%

Penile enhancement: men who want more

Carson

2023

Trends Urol & Men's Health

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Penile enhancement, while indicated for men with penile abnormalities, is controversial for men who are simply dissatisfied with the size or appearance of their penis. A multidisciplinary approach to evaluate men for penile enhancement is key to appropriate management, and patients need to be made fully aware of the likely outcomes and risks of procedures on offer, not all of which are fully supported by clinical evidence.

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Section: Surgical Proceduresmentioning

confidence: 99%

Penile enhancement: men who want more

Carson

2023

Trends Urol & Men's Health

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A response to recent penile enlargement industry media report

Valenzuela

Levine

Tajkarimi³

et al. 2023

Int J Impot Res

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Outcomes and patient satisfaction after Penuma silicone implant surgery via two surgical approaches

Salkowski,

Levine

2024

Therapeutic Advances in Urology

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Background: The Penuma is a soft silicone penile implant designed for cosmetic enhancement of the flaccid penis in men who have normal erections. Objectives: The goal of this study is to report outcomes on patient satisfaction at least 6 months after Penuma subcutaneous penile implant for cosmetic enhancement of the penis, and to determine if modifications in surgical approach resulted in reduction in postoperative complications. Design: Penile measurements, adverse events, and patient satisfaction were compared between patients undergoing the new lateral scrotal incision versus the traditional infrapubic approach. Methods: A retrospective chart review was performed on all patients who underwent a Penuma implant by a single surgeon from April 2019 to December 2022. A 26-item non-validated device-specific questionnaire was sent to patients at least 6 months after the date of their initial surgery. Results: A total of 92 cases were performed by a single surgeon. The average increase in flaccid length was 2.5 cm (±2.2), representing a 44% increase ( p < 0.01). The average increase in girth was 3.1 cm (±1.8 cm), a 32% change ( p < 0.01). Seroma requiring drainage occurred in 12%. 7% of patients required operative revision of the implant. When assessed by surgical approach, the revision rate was significantly higher in infrapubic patients (13% vs 2%, p < 0.05). The implant removal rate was also significantly higher when the infrapubic approach was used (21% vs 6%, p < 0.05). 82% of patients reported being satisfied or very satisfied with their postoperative penile appearance. 75% of patients would undergo surgery again. Conclusion: The subcutaneous Penuma penile implant appears to improve satisfaction with regard to the appearance of the penis and is a viable option for men who desire to enhance flaccid penile length and girth. Furthermore, the lateral scrotal surgical approach appears to have a lower postoperative complication rate.

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Infection of the Penuma penile implant and associated post-operative complications: A case report

Cited by 3 publications

References 4 publications

Penile enhancement: men who want more

Penile enhancement: men who want more

A response to recent penile enlargement industry media report

Outcomes and patient satisfaction after Penuma silicone implant surgery via two surgical approaches

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