Department of Urology, University Of California-Irvine, Orange, CA, USA.
Georgia Urology, Atlanta, GA, USA.
J Sex Med. 2018 Dec;15(12):1811-1817. doi: 10.1016/j.jsxm.2018.10.007. Epub 2018 Nov 13.
The objective of genital enlargement surgery is to increase length and/or girth for cosmetic reasons; however, newer techniques have been recently reported to be associated with only minor complications in a small percentage of patients.
We aim to report the severe complications of penile augmentation surgery seen at a referral center and describe their subsequent management.
Institutional review board approval was obtained. We reviewed our prospectively collected database for all patients who presented with complications of genital enlargement surgery from 2002-2016.
Interventions following complications of genital enlargement surgery.
11 Patients were identified. Mean age was 47 (21-77) years. Prior procedures included subcutaneous injection of silicone outside a medical setting, girth enhancement procedures involving the subcutaneous placement or injection of substances including fat, other substances, or subcutaneous silicone implants. All patients who underwent subcutaneous penile implant underwent removal prior to presentation. Adverse changes included sexually disabling penile deformity and severe shortening, curvature, edema, subcutaneous masses, infection, non-healing wounds, and sexual dysfunction. 10 patients underwent corrective surgery, with 2 requiring multiple procedures and 3 requiring split-thickness skin grafting. All 10 patients had an improved cosmetic appearance and those who had disabling shortening had significantly improved functional length.
Report of such adverse events should assist in appropriate perioperative counseling prior to genital enhancement surgery.
STRENGTH & LIMITATIONS: Few reports of debilitating complications of penile enlargement exist in literature. However, without knowing the overall number of procedures performed, the true complication incidence is not known.
Penile and scrotal enhancement surgery can be associated with major disabling complications, leading to deformity and functional compromise in men with prior normal anatomy and function. Patients should be aware of these risks. Furr J, Hebert K, Wisenbaugh E, et al. Complications of Genital Enlargement Surgery. J Sex Med 2018;15:1811-1817.
生殖器增大手术的目的是为了美观而增加长度和/或周长；然而，最近报道的新技术在一小部分患者中仅与轻微并发症相关。
我们旨在报告在转诊中心看到的阴茎增大手术的严重并发症，并描述其后续管理。
获得机构审查委员会批准。我们回顾了我们从 2002 年至 2016 年期间所有因生殖器增大手术并发症就诊的患者的前瞻性收集数据库。
生殖器增大手术后并发症的干预措施。
确定了 11 例患者。平均年龄为 47 岁（21-77 岁）。先前的手术包括在医疗环境之外皮下注射硅胶、涉及皮下放置或注射物质（包括脂肪、其他物质或皮下硅胶植入物）以增加周长的手术。所有接受皮下阴茎植入物的患者在就诊前均进行了切除。不良变化包括导致性功能障碍的严重阴茎畸形和缩短、弯曲、水肿、皮下肿块、感染、伤口不愈合和性功能障碍。10 例患者接受了矫正手术，其中 2 例需要多次手术，3 例需要进行断层皮片移植。所有 10 例患者的外观均得到改善，那些有严重缩短的患者的功能长度明显改善。
报告这些不良事件应有助于在生殖器增强手术前进行适当的围手术期咨询。
文献中很少有关于阴茎增大术导致严重并发症的报道。然而，由于不知道进行的手术总数，因此不知道真正的并发症发生率。
阴茎和阴囊增强手术可能会导致严重的致残并发症，导致先前正常解剖和功能的男性出现畸形和功能障碍。患者应了解这些风险。
