Cosmetic penile enhancement surgery: a 3-year single-centre retrospective clinical evaluation of 355 cases

Sci Rep. 2019 Apr 19;9(1):6323. doi: 10.1038/s41598-019-41652-w.


Men's satisfaction and sexual function is influenced by discomfort over genital size which leads to seek surgical and non-surgical solutions for penis alteration. In this article we report the results of a retrospective study of 355 cases of cosmetic elongation, enlargement and combined elongation and enlargement phalloplasty. We found a significant improvement in length at rest, stretched length and circumference at rest at 2, 6 and 12 months post-surgical procedure (all p < 0.0001). 5-item International Index of Erectile Function (IIEF-5) was also increased at 12 months post-surgery compared to baseline (p < 0.0001). This was consistent with an IIEF-5 improvement of 6.74% compared to baseline. This study is clinically relevant due to the large cohort of patients included and because it is the first study to use an inverse periosteal-fascial suture not described previously as part of the surgical methodology.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Penis / surgery*
  • Plastic Surgery Procedures*
  • Retrospective Studies