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Review
. 2017 Feb;6(1):69-78.
doi: 10.21037/tau.2016.11.19.

A Review of Penile Elongation Surgery

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Free PMC article
Review

A Review of Penile Elongation Surgery

Jeffrey Campbell et al. Transl Androl Urol. .
Free PMC article

Abstract

Penile elongation surgery is less commonly performed in the public sector, but involves a collaborative approach between urology and plastic surgery. Congenital and acquired micropenis are the classic surgical indications for penile elongation surgery. The goal of intervention in these patients is to restore a functional penis size in order to allow normal standing micturition, enable satisfying sexual intercourse and improve patient quality of life. Many men seeking elongation actually have normal length penises, but perceive themselves to be small, a psychologic condition termed 'penile dysmorphophobia'. This paper will review the anatomy and embryology of congenital micropenis and discuss both conservative and surgical management options for men seeking penile elongation therapy.

Keywords: Micropenis; dysmorphophobia; elongation; surgery.

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Penile elongation using the V-Y advancement technique with a dorsal inverted V-shaped incision closed as a “Y” to obtain length of the dorsal skin. An additional suspensory ligament release and partial release of the corpora cavernosa is depicted.
Figure 2
Figure 2
Penile elongation using the “sliding elongation” technique. (A) The penis is degloved and the neurovascular bundle and corpus spongiosum are separated; (B) Longitudinal incisions are made at the 3 and 9 o’clock positions, along with an incision proximal-dorsal and distal-ventral; (C) Traction is applied to slide the distal penis from the proximal shaft, the limit of which is the length of the urethra and neurovascular bundles. A prosthesis is inserted into the tunical defects that are created by this technique.
Figure 3
Figure 3
Penile elongation using the “penile disassembly” technique. (A) The penis is degloved and the neurovascular bundle and corpus spongiosum are separated from the corpora cavernosa; (B) the glans cap is separated from the tip of the corpora cavernosa, and a space is created between these structures; (C) an autologous rib cartilage graft is placed, between the tip of the corpora cavernosa and the glans cap and the penis is reassembled.
Figure 4
Figure 4
Penile elongation using laterally based local rhomboid flaps to obtain length of the dorsal skin, as described by Kramer and Jackson, 1986. This technique is used if there is a need for further dorsal tissue after an inverted V-shaped incision is performed. An additional suspensory ligament release and partial release of the corpora cavernosa is depicted.

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References

    1. Cimador M, Catalano P, Ortolano R, et al. The inconspicuous penis in children. Nat Rev Urol 2015;12:205-15. 10.1038/nrurol.2015.49 - DOI - PubMed
    1. Kureel SN, Gupta A, Sunil K, et al. Surgical anatomy of the penis in hypospadias: magnetic resonance imaging study of the tissue planes, vessels, and collaterals. Urology 2015;85:1173-8. 10.1016/j.urology.2015.02.017 - DOI - PubMed
    1. Johnson P, Maxwell D. Fetal penile length. Ultrasound Obstet Gynecol 2000;15:308-10. 10.1046/j.1469-0705.2000.00090.x - DOI - PubMed
    1. Zalel Y, Pinhas-Hamiel O, Lipitz S, et al. The development of the fetal penis--an in utero sonographic evaluation. Ultrasound Obstet Gynecol 2001;17:129-31. 10.1046/j.1469-0705.2001.00216.x - DOI - PubMed
    1. Hughes IA. The testes: disorders of sexual differentiation and puberty in the male. In: Sperling MA. editor. Pediatric Endocrinology. 3rd edition. Philadelphia, PA: Saunders; 2008; 662-85.
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