Trans-scrotal Suspensory Ligament Release: A Novel Technique for Penile Length Augmentation.

IF 2 3区医学 Q2 SURGERY

Aesthetic Plastic Surgery Pub Date : 2025-07-02 DOI:10.1007/s00266-025-05053-x

Babak Karimian, Amirreza Shamshirgaran, Reza Mohammadi Farsani, Abdolreza Mohammadi, Seyed Mohammad Kazem Aghamir

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引用次数: 0

Abstract

Background: Penile size concerns are prevalent among men, often linked to self-esteem and masculinity. Alongside many pathological condition, small penis anxiety (SPA) and penile dysmorphic disorder (PDD) can also lead to dissatisfaction even in those with normal sizes. Various enlargement methods, both invasive and non-invasive, have emerged. While penile enlargement procedures aim to improve size and esthetics, they carry potential risks that require careful consideration.

Objective: We aimed to introduce a novel suspensory ligament release method by trans-scrotal approach.

Materials and methods: The study involved 21 men with concerns about penile size who underwent trans-scrotal penile enlargement surgery from February 2022 to July 2023. Patients received comprehensive evaluations, including medical history, physical exams, and psychological assessments for body dysmorphic disorders. The surgery aimed to enhance penile size using a novel trans-scrotal technique. Postoperative outcomes including flaccid penile length (FPL), stretched penile length (SPL), complications, and patient satisfaction were assessed. Patients also were provided with the Male Genital Self-Image Scale (MGSIS) and International Index of Erectile Function-5 (IIEF-5) questionnaires.

Results: This study consists of 14 body dysmorphic disorder (BDD), 2 hypospadias, and 5 micropenis patients. The average age was 38.8 years, with surgical procedures lasting about 145.7 minutes. All patients were discharged within 24 hours, with no major complications reported. There were significant increases in both flaccid and stretched penile lengths (2.6 ± 1.66 cm and 2.4 ± 0.57 cm, respectively, p < 0.05). MGSIS score significantly increased, while IIEF-5 scores showed no significant change.

Conclusion: Trans-scrotal approach for penile enlargement is a safe and effective technique that could be administered to patients seeking penile augmentation.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

查看原文本刊更多论文

经阴囊悬韧带松解术：一种延长阴茎长度的新技术。

背景：男性普遍关注阴茎的大小，通常与自尊和男子气概有关。除了许多病理情况外，小阴茎焦虑（SPA）和阴茎畸形障碍（PDD）也会导致那些正常大小的人感到不满。有创和无创的各种扩大方法已经出现。虽然阴茎扩大手术的目的是改善尺寸和美观，但它们有潜在的风险，需要仔细考虑。目的：介绍一种经阴囊入路松解悬吊韧带的新方法。材料和方法：该研究涉及21名男性，他们对阴茎大小有担忧，在2022年2月至2023年7月期间接受了经阴囊阴茎增大手术。患者接受全面的评估，包括病史、体格检查和身体畸形障碍的心理评估。该手术旨在通过一种新颖的经阴囊技术来增加阴茎的尺寸。术后结果包括松弛阴茎长度（FPL）、拉伸阴茎长度（SPL）、并发症和患者满意度。同时对患者进行男性生殖器自我形象量表（MGSIS）和国际勃起功能指数-5 （IIEF-5）问卷调查。结果：本研究包括14例体畸形障碍（BDD）， 2例尿道下裂，5例小阴茎。平均年龄为38.8岁，手术时间约为145.7分钟。所有患者均在24小时内出院，无重大并发症报告。结论：经阴囊入路行阴茎增大术是一种安全、有效的方法，可用于寻求阴茎增大术的患者。证据等级iv：本刊要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者说明www.springer.com/00266。

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来源期刊

Aesthetic Plastic Surgery 医学-外科

CiteScore

4.40

自引率

25.00%

发文量

479

审稿时长

3 months

期刊介绍： Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.