Original Article

International Journal of Impotence Research (2014) 26, 100–104; doi:10.1038/ijir.2013.44; published online 5 December 2013

Shortened penis post penile prosthesis implantation treated with subcutaneous soft silicone penile implant: case report

V Shirvanian1, G Lemperle2, C Araujo Pinto3 and J J Elist4

  1. 1Johann Wolfgang Goethe University, Frankfurt am Main, Frankfurt, Germany
  2. 2Division of Plastic Surgery, University of California San Diego, San Diego, CA, USA
  3. 3Instituto Paulista Tratamento Disfunncao Eretil, Sau Paulo, Brazil

Correspondence: Dr JJ Elist, Attending Staff, Cedars Sinai Medical Center, 8500 Wilshire Blvd., #707, Beverly Hills 90211, CA, USA. E-mail: drelist@gmail.com

4James J Elist, MD, FACS, is a patent holder and uses the implant in his private practice.

Received 11 July 2013; Revised 11 September 2013; Accepted 21 October 2013
Advance online publication 5 December 2013



Penile prosthesis surgery for erectile dysfunction has the highest satisfaction rates among all treatment options but is often associated with subjective and objective loss of penile length and girth following surgery. To present a novel technique using a subcutaneous soft silicone implant for reversal of penile shortening and narrowing after prosthesis surgery, with additional gains in overall penile length and girth. Nine patients were treated with the insertion of a subcutaneous soft silicone penile implant. All patients had previously reported a loss in penile length (0.5–2cm), and seven of nine patients also reported a loss in penile girth (0.5–2.6cm) after penile prosthesis surgery. During a follow-up period of 4–24 months, penile length and girth measurements showed a mean increase in length of 2.4cm (±0.75cm) and a mean increase in girth of 3.4cm (±0.94cm). The additional insertion of a subcutaneous soft silicone implant in patients with decreased penile length and girth after penile prosthesis surgery is an effective treatment option that provides reversal of lost penile length and girth.


erectile dysfunction; penile augmentation; penile enlargement; penile length and girth; penile prosthesis; penile shortening

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