senior research fellow and clinical psychologist Monash Alfred Psychiatry Research Centre, Monash University, Melbourne, Victoria, Australia interspecialty consulting editor for Aesthetic Surgery Journal.
Ms Fernando is a research assistant, Monash Alfred Psychiatry Research Centre, Monash University, Melbourne, Victoria, Australia.
Aesthet Surg J. 2023 Feb 3;43(2):181-191. doi: 10.1093/asj/sjac243.
The popularity of penile augmentation procedures is increasing, but investigation into men's experiences with these procedures and their impact on psychological well-being is lacking.
The aim of this study was to investigate men's experiences with nonsurgical medical penile girth augmentation and assess, based on valid psychological measures, the impacts these procedures have on psychological well-being.
Men seeking to undergo a girth augmentation (n = 19) completed an online questionnaire prior to their procedure and 6 months later that contained standardized measures assessing impacts of the procedure, penile size self-discrepancy, body dysmorphic disorder, psychological distress, self-esteem, and body image-related quality of life. Girth size was also measured preprocedure and 6 months postprocedure for a subsample of men.
Almost half of the men reported positive impacts of "increased self-confidence" and "increased sexual pleasure" after their procedure. Despite an average girth increase of 3.29 cm, the men still perceived that their penile girth and length was less than what they should be or less than the ideal size after their augmentation procedure. However, this perceived discrepancy was significantly smaller than before their procedures. Prior to the procedure, the men who met diagnostic criteria for body dysmorphic disorder according to self-reported questionnaire (11%, n = 2/19) and clinical interview (7%, n = 1/15) lost this diagnosis at 6 months. There were no changes in psychological distress, self-esteem, or body image-related quality of life from pre- to postprocedure.
Men report positive impacts on their lives after penile girth augmentation, but impacts on broader psychological well-being are mixed.
阴茎增大术的流行度正在上升，但对于男性接受这些手术的体验及其对心理健康的影响的研究却很缺乏。
本研究旨在调查男性接受非手术性医学阴茎增粗术的体验，并基于有效的心理测量工具评估这些手术对心理健康的影响。
19 名寻求进行增粗术的男性在手术前和 6 个月后完成了一份在线问卷，问卷中包含了评估手术影响、阴茎尺寸自我差异、躯体变形障碍、心理困扰、自尊和与身体形象相关的生活质量的标准化测量。一小部分男性还在手术前和 6 个月后测量了阴茎周长。
近一半的男性报告说手术后“自信心增强”和“性快感增加”。尽管平均周长增加了 3.29 厘米，但男性仍认为他们的阴茎周长和长度小于他们应该拥有的尺寸或小于理想尺寸。然而，这种感知到的差异在手术后显著减小。在手术前，根据自我报告的问卷（11%，19 人中的 2 人）和临床访谈（7%，15 人中的 1 人）符合躯体变形障碍诊断标准的男性，在 6 个月时失去了这一诊断。从术前到术后，心理困扰、自尊或与身体形象相关的生活质量均无变化。
男性报告说阴茎增粗术对他们的生活有积极影响，但对更广泛的心理健康的影响则好坏参半。
