Salkowski Morgan, Levine Laurence A
Department of Urology, Rush University Medical Center, Chicago, IL, USA.
Department of Urology, Rush University Medical Center, 1725 West Harrison Street, Suite #352, Chicago, IL 60612, USA.
Ther Adv Urol. 2024 Sep 26;16:17562872241280021. doi: 10.1177/17562872241280021. eCollection 2024 Jan-Dec.
The Penuma is a soft silicone penile implant designed for cosmetic enhancement of the flaccid penis in men who have normal erections.
The goal of this study is to report outcomes on patient satisfaction at least 6 months after Penuma subcutaneous penile implant for cosmetic enhancement of the penis, and to determine if modifications in surgical approach resulted in reduction in postoperative complications.
Penile measurements, adverse events, and patient satisfaction were compared between patients undergoing the new lateral scrotal incision versus the traditional infrapubic approach.
A retrospective chart review was performed on all patients who underwent a Penuma implant by a single surgeon from April 2019 to December 2022. A 26-item non-validated device-specific questionnaire was sent to patients at least 6 months after the date of their initial surgery.
A total of 92 cases were performed by a single surgeon. The average increase in flaccid length was 2.5 cm (±2.2), representing a 44% increase ( < 0.01). The average increase in girth was 3.1 cm (±1.8 cm), a 32% change ( < 0.01). Seroma requiring drainage occurred in 12%. 7% of patients required operative revision of the implant. When assessed by surgical approach, the revision rate was significantly higher in infrapubic patients (13% vs 2%, < 0.05). The implant removal rate was also significantly higher when the infrapubic approach was used (21% vs 6%, < 0.05). 82% of patients reported being satisfied or very satisfied with their postoperative penile appearance. 75% of patients would undergo surgery again.
The subcutaneous Penuma penile implant appears to improve satisfaction with regard to the appearance of the penis and is a viable option for men who desire to enhance flaccid penile length and girth. Furthermore, the lateral scrotal surgical approach appears to have a lower postoperative complication rate.
Penuma是一种柔软的硅胶阴茎植入物，专为改善勃起功能正常的男性疲软阴茎的外观而设计。
本研究的目的是报告Penuma皮下阴茎植入术后至少6个月患者的满意度结果，并确定手术方法的改进是否能减少术后并发症。
比较采用新的阴囊外侧切口与传统耻骨下切口的患者的阴茎测量值、不良事件和患者满意度。
对2019年4月至2022年12月由同一外科医生进行Penuma植入手术的所有患者进行回顾性病历审查。在患者初次手术后至少6个月，向他们发送一份未经验证的包含26个项目的特定器械问卷。
同一外科医生共进行了92例手术。疲软阴茎长度平均增加2.5厘米（±2.2），增幅为44%（P<0.01）。周长平均增加3.1厘米（±1.8厘米），变化率为32%（P<0.01）。12%的患者出现需要引流的血清肿。7%的患者需要对植入物进行手术修复。按手术方法评估时，耻骨下切口患者的修复率显著更高（13%对2%，P<0.05）。采用耻骨下切口时，植入物取出率也显著更高（21%对6%，P<0.05）。82%的患者报告对术后阴茎外观感到满意或非常满意。75%的患者愿意再次接受手术。
皮下Penuma阴茎植入物似乎能提高对阴茎外观的满意度，对于希望增加疲软阴茎长度和周长的男性来说是一个可行的选择。此外，阴囊外侧手术方法似乎术后并发症发生率较低。
