TITLE:
Surgical Treatment of Penile Deformity Due to Curvature Using a Subcutaneous Soft Silicone Implant: Case Report
AUTHORS:
James J. Elist, Vaheh Shirvanian, Gottfried Lemperle
KEYWORDS:
Penile Curvature, Peyronie’s Disease, Penile Prosthesis, Penile Shortening, Penile Length, Penile Girth, Penile Augmentation, Subcutaneous Soft Silicone Implant, Elist Silicone Implant
JOURNAL NAME:
Open Journal of Urology,
Vol.4 No.7,
July
7,
2014
ABSTRACT: Introduction: Congenital
and acquired penile curvature has a negative impact on penile aesthetics,
sexual capabilities, and male psychology. Surgical procedures yield
satisfactory correction of curvature, but are usually associated with penile
shortening and palpable suture material and nodules under the skin, resulting
in patient dissatisfaction. Aims: To present a novel technique using a
subcutaneous soft silicone implant for surgical treatment of penile soft tissue
deformities with curvature, with prevention of surgery-associated penile
shortening and subcutaneous “bumps”, and with additional gains in overall
penile length and girth. Method: 3 patients who complained about congenital,
post-traumatic, and post-penile surgery associated penile curvature, with
concerns about their penile aesthetics and associated negative psychosocial
effects, were treated with the insertion of a subcutaneous soft silicone penile
implant. Results: During a follow up period of 2 - 12 months (mean: 6.7 ± 3.6
months) all three patients expressed objective and subjective satisfaction
regarding the corrective results of the surgery. Penile length and girth
measurements during follow-up showed a mean increase in length of 4.3 cm (±1.4
cm) and a mean increase in girth of 3.0 cm (±1.0 cm). Conclusion: The insertion
of the subcutaneous soft silicone implant in addition to corporeal fibrotic
tissue removal in patients with congenital or acquired penile curvature is an
effective option that provides the patient with aesthetic improvements by
correcting penile deviation, preventing post-surgical subcutaneous nodule
formation that results from the technique and suture material used, and adding
penile length and girth. Further prospective studies are required to validate
our initial experience.