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阴茎增粗策略:有何证据?

Penile Girth Enlargement Strategies: What's the Evidence?

机构信息

University of Washington, Department of Urology, Seattle, Washington, USA.

University of California Irvine, Department of Urology, Irvine, California, USA.

出版信息

Sex Med Rev. 2019 Jul;7(3):535-547. doi: 10.1016/j.sxmr.2018.11.003. Epub 2019 Jan 4.

DOI:10.1016/j.sxmr.2018.11.003
PMID:30612977
Abstract

INTRODUCTION

Most men seeking penile girth augmentation have physiologically normal penises but may suffer from severe preoccupation with penis size known as penile dysmorphophobic disorder.

AIM

To describe the medical, procedural, and reconstructive techniques available for penile girth enhancement and to review the success and complications of each modality.

METHODS

A comprehensive review of peer-reviewed publications on the topic was performed through a PubMed search. Key search terms included penis, enhancement, enlargement, phalloplasty, reconstruction, girth, and augmentation.

MAIN OUTCOME MEASURE

We wanted to summarize the motivations behind penile girth enhancement and review the outcomes for girth augmentation treatments.

RESULTS

Various medical, traction, injection, prosthetic, and reconstructive modalities have been studied for penile girth enhancement, with increases in girth ranging from 0-4.9 cm. Complications were reported in a minority of patients, but they may be devastating and include penile fibrosis, sexual dysfunction, device infection, and death.

CONCLUSION

A variety of penile girth augmentation techniques have been studied. Clinical guidelines are lacking, and complications of penile girth enhancement are likely underreported. Until more rigorous investigation with accurate reporting of complications is achieved, penile girth augmentation procedures should be considered experimental. Hehemann MC, Towe M, Huynh LM, et al. Penile Girth Enlargement Strategies: What's the Evidence? Sex Med 2019;7:535-547.

摘要

简介

大多数寻求阴茎周长增大的男性的阴茎在生理上是正常的,但可能患有严重的阴茎大小偏执,即阴茎畸形恐惧症障碍。

目的

描述可用于阴茎周长增大的医学、程序和重建技术,并回顾每种方法的成功率和并发症。

方法

通过 PubMed 搜索对该主题的同行评议文献进行了全面回顾。关键搜索词包括阴茎、增强、增大、阴茎成形术、重建、周长和增大。

主要观察指标

我们想总结阴茎周长增大的动机,并回顾周长增大治疗的结果。

结果

已经研究了各种医学、牵引、注射、假体和重建方法来增加阴茎周长,周长增加范围为 0-4.9 厘米。少数患者报告有并发症,但可能是毁灭性的,包括阴茎纤维化、性功能障碍、器械感染和死亡。

结论

已经研究了各种阴茎周长增大技术。缺乏临床指南,阴茎周长增大的并发症可能报告不足。在更严格的调查和准确报告并发症之前,阴茎周长增大手术应被视为实验性的。Hehemann MC, Towe M, Huynh LM, et al. 阴茎周长增大策略:有哪些证据?性医学 2019;7:535-547.

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