The Current State of Male Genital Cosmetic Procedures

madman · Saturday at 5:00 PM

VJSM - The Current State of Male Genital Cosmetic Procedures

ISSM's new Video Journal of Sexual Medicine (VJSM) is a peer-reviewed journal dedicated to publishing video content related to sexual medicine in general

www.vjsm.info

Description

Male genital cosmetic procedures, particularly penile girth enhancement, have become increasingly sought after by men seeking both aesthetic and functional improvements. Traditionally, urological education has focused on treating pathological conditions, leaving cosmetic procedures often misunderstood or dismissed as vanity projects. However, the growing demand for these procedures necessitates a deeper understanding and reassessment by urologists. Various techniques for penile girth enhancement have been developed over the years, including free fat transfer and dermal grafts. Despite their widespread use, these methods carry significant risks such as fat embolism, granuloma formation, and severe scarring, prompting many professionals to abandon them. Non-standard materials like silicone and polymethylmethacrylate (PMMA), though initially promising with high patient satisfaction rates, have shown long-term complications including capsular contraction, tissue erosion, and irreversible damage, rendering some patients genitourinary cripples. These issues underscore the importance of moving toward safer, more reliable alternatives. Injectable hyaluronic acid, especially through the UroFill™ technique, offers a safer and more effective option. Its hydrophilic properties and tissue integration characteristics make it a favorable choice, providing a more natural feel while ensuring predictable and durable results. Clinical studies using this technique have reported a 90% retention rate over 21 months, with significantly fewer complications compared to earlier methods. Additionally, the UroFill™ technique involves precise anatomical injections, often in staged treatments, allowing for better control and patient satisfaction. For urologists, this shift toward medically supervised and standardized procedures is a critical advancement. As the demand for cosmetic genital procedures continues to rise, urologists must stay informed and prepared to offer safe, effective solutions that meet both aesthetic and functional goals while minimizing risk to the patient. Disclosures: Consultant for Coloplast and Boston Scientific, Shareholder UroFill

madman · Saturday at 5:01 PM

madman · Saturday at 5:14 PM

@Nelson Vergel

Holy shit!

* your going to end up with a patient who is a complete genitary urinary cripple

* This is an example of bone cement being injected into a penis and then eroding through the skin and having to be debrided

* This is the scariest complication with a Penuma which is capsular contracture

* This is what a repair from silicone removal looks like with a graft

madman · Saturday at 5:28 PM

So why hyaluronic acid?

* In 2015 this was our first presentation on our first 130 patients utilizing the Urofill technique and when injecting at 3 and 9 o'clock we got the biggest bang for our buck because that's what gives the patient that locker room look, that look when he is walking around the bed his partner is looking at his penis thats what they so desire that's why we start at 3 and 9 o'clock for our injections

madman · Saturday at 5:28 PM

madman · Saturday at 5:31 PM

Thread 'Cosmetic penile enhancement procedures: an SMSNA position statement'

May 7, 2024

Abstract

Background

Penile cosmetic enhancement procedures have been performed for many years with varying success. However, they have historically been relegated to niche areas of sexual medicine, with limited data, and have not achieved mainstream adoption. More recently, the topic has been increasingly discussed within academic congresses due to availability of novel techniques, therapies, and procedures. Given their distinctive nature, the Sexual Medicine Society of North America (SMSNA) felt that it was pertinent to develop formal position statements to help guide both...