From the Department of Plastic and Reconstructive Surgery, St. Vincent's Private Hospital.
Department of Plastic and Reconstructive Surgery, East Sydney Private Hospital.
Plast Reconstr Surg. 2023 Sep 1;152(3):434e-437e. doi: 10.1097/PRS.0000000000010313. Epub 2023 Mar 22.
Small penile size is worrying for most men and leads to poor self-esteem, anxiety, and depression. A penis can be enlarged in two ways: by increasing the length and by increasing the circumference. The purpose of this article is to present a new procedure of augmentation phalloplasty thst combines these two parts in the same operation with a new technique to fill in the dead space created by the suspensory ligament division. The lengthening of the penis is achieved with an inverted V-Y plasty followed by a division of the suspensory ligament of the penis all the way down the pubic symphysis. Two distally based fat flaps are advanced into this area to fill in the dead space. The widening of the circumference is performed with fat injections. The penile length gain postoperatively is 2 to 4 cm in the flaccid state, and the widening component with the fat grafting technique gives an approximate circumference increase of 1 cm with excellent natural results. Sexual self-esteem and functioning improvement was reported by the patients, 75 in total. Three patients returned after the operation for revision of fat injections 6 to 12 months after the operation. The literature regarding the long-term results after augmentation phalloplasty is poor, and it is difficult to compare results with other techniques. Penile enlargement, when performed for the appropriate reasons, can have a positive effect on the lives of many men. After 15 years of experience, this procedure gives very pleasing results with minimal complications.
大多数男性都对阴茎尺寸过小感到担忧，这会导致自尊心低下、焦虑和抑郁。阴茎可以通过两种方式增大：增加长度和增加周长。本文的目的是介绍一种新的阴茎增大成形术，该手术将这两个部分结合在同一操作中，并采用新技术来填充悬韧带分离所产生的死腔。阴茎的延长通过倒 V-Y 成形术实现，然后将阴茎的悬韧带沿着耻骨联合一直向下分离。将两个远端基于脂肪瓣推进到这个区域以填充死腔。周长的增宽通过脂肪注射来完成。在松弛状态下，术后阴茎长度增加 2 至 4 厘米，脂肪移植技术的增宽部分可使周长增加约 1 厘米，效果非常自然。共有 75 名患者报告了性自尊和功能改善。术后 6 至 12 个月，有 3 名患者因脂肪注射修复手术返回。关于阴茎增大成形术的长期结果的文献很少，因此很难与其他技术的结果进行比较。当出于适当的原因进行阴茎增大时，它可以对许多男性的生活产生积极影响。经过 15 年的经验，该手术的并发症最小，效果非常令人满意。
