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Complications of glans penis augmentation

International Journal of Impotence Research volume 31, pages 245–255 (2019)Cite this article

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Abstract

Despite the controversy regarding penile augmentation (PA), glans penis augmentation (GPA) is used in penile reconstructive surgery in selected patients with small glans penis. Since 2003, injectable hyaluronic acid (HA) gel has been used for GPA. The attractiveness of HA gel fillers and interest in this technique have led to the use of other fillers for GPA, particularly irreversible fillers that improve the longevity of HA gels. Conversely, indirect glans augmentation via implantation of dermofat grafts or scaffolds between the corpus spongiosum and the distal tip of the corpus cavernosum is used to overcome poor longevity of the gel and glans surface undulation, which are the primary limitations of GPA using HA gel. Unfortunately, these implants form hard painful lumps over time in most patients and are difficult to remove. Blunt dissection is an invasive procedure that may cause vascular compromise and consequent glans necrosis in a few patients. We present our review regarding the current status of GPA for a more comprehensive understanding of this subject. Additionally, we have discussed a few complicated cases that were referred to us.

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Authors and Affiliations

  1. Department of Urology, Korea University College of Medicine, Seoul, Republic of Korea

    Sun Tae Ahn, Tae Il Kwak, Je Jong Kim & Du Geon Moon

  2. Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea

    Kwang Sung Park

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  1. Sun Tae Ahn
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Correspondence to Du Geon Moon.

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Ahn, S.T., Il Kwak, T., Park, K.S. et al. Complications of glans penis augmentation. Int J Impot Res 31, 245–255 (2019). https://doi.org/10.1038/s41443-018-0097-4

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