Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

IJIR publishes special/guest-edited issues and topical collections. The peer review process for articles included in topical collections/special issues is the same as the peer review process of the journal in general. Additionally, if the Guest Editors author an article in their topical collection/special issue, they will not handle the peer review process.​

Update on the Penuma® an FDA-cleared penile implant for aesthetic enhancement of the flaccid penis

International Journal of Impotence Research volume 34, pages 369–374 (2022)Cite this article

Subjects

Abstract

The Penuma® implant is a medical-grade silicone implant surgically inserted subcutaneously to provide cosmetic improvement of the penile aesthetic. The principal author was invited to provide an update on the usage of the Penuma® implant for penile aesthetics. He collected as yet unpublished data, which is undergoing synchronous submission to Urologic meetings and peer-reviewed publications by a variety of authors for this communication. The objective of this article is to provide updated information regarding the Penuma® aesthetic penile implant. A new scrotal method of implantation named “concealed” is emerging. Through physician comparison of various factors prior to and after the scrotal method intervention, early findings suggest this approach seems to have less visible scar, is quicker and is followed by less seroma formation. As the device is now surgically implanted by surgeons other than its inventor, new developments have appeared authenticating the original published paper in 2018. Patients were contacted via phone and were asked five questions regarding satisfaction with the responses recorded. This new multicenter study shows findings of high patient and partner satisfaction coupled with acceptable adverse outcomes similar to the single-surgeon study. A new penile rehabilitation program has been developed with the aim for the penis appearance to be restored to its pre-operative state if the Penuma® is removed. 12 patients who underwent penile implant removal were followed for 6 months while participating in the penile rehabilitation program. The discipline worked in patients who desired removal for dissatisfaction and is currently under evaluation in patients who require device removal for medical reasons, e.g., infection or suture-related issues. Through new developments, the acceptance of Penuma® in the prosthetic community seems to be further solidified.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Rent or buy this article

Prices vary by article type

from$1.95

to$39.95

Learn more

Prices may be subject to local taxes which are calculated during checkout

Fig. 1
Fig. 2: Scrtotal incision technique.
Fig. 3: Post op scar for Penuma through the scrotum.
Fig. 4: Scrotal incision Penuma before and after photos.
Fig. 5: Penile appearance after removal for dissatisfaction and employment of penile rehabilitation discipline.

References

  1. Yücel ÖB, Pazır Y, Kadıoğlu A. Penile prosthesis implantation in priapism. Sex Med Rev. 2018;6:310–8.

    Article  Google Scholar 

  2. Elist JJ, Baniqued M, Hosseini A, Wilson SK. Correction of retractile penis with subcutaneous soft silicone penile implant. Int J Impot Res. 2020;32:317–22.

    Article  CAS  Google Scholar 

  3. Elist J, Valenzuela R, Hillelsohn J, Feng T, Hosseini A. A single-surgeon retrospective and preliminary evaluation of the safety and effectiveness of the penuma silicone sleeve implant for elective cosmetic correction of the flaccid penis. J Sex Med. 2018;15:1216–23.

    Article  Google Scholar 

  4. Veale D, Miles S, Read J, Troglia A, Carmona L, Fiorito C, et al. Penile dysmorphic disorder: development of a screening scale. Arch Sex Behav. 2015;44:2311–21.

    Article  Google Scholar 

  5. Randhawa K, Shukla CJ. Non-invasive treatment in the management of Peyronie’s disease. Therapeutic Adv Urol. 2019;11:1756287218823671.

    Google Scholar 

  6. Cowper MG, Burkett CB, Le TV, Scherzer N, Hellstrom WJG. Penile stretching as a treatment for Peyronie’s disease: a review. Sex Med Rev. 2019;3:508–15.

    Article  Google Scholar 

  7. Raheem AA, Garaffa G, Raheem TA, Dixon M, Kayes A, Christopher N, et al. The role of vacuum pump therapy to mechanically straighten the penis in Peyronie’s disease. BJU Int. 2010;106:1178–80.

  8. Avant RA, Zieglmann M, Nehara A, Alom M, Kohler T, Trost L. Penile reaction therapy and vacuum erection devices in Peyronie’s disease. Sex Med Rev. 2019;2:338–48.

    Article  Google Scholar 

  9. Sellers T, Dineen M, Salem EA, Wilson SK. Vacuum preparation, optimization of cylinder length and postoperative daily inflation reduces complaints of shortened penile length following implantation of inflatable penile prosthesis. Adv. Sexual Med. 2013;4:354–9.

    Google Scholar 

  10. Elist JJ, Levine L, Wang R, Wilson SK. Patient selection protocol for the Penuma® implant: suggested preoperative evaluation for aesthetic surgery of the penis. Int J Impot Res. 2020;32:149–52.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Institute for Urologic Excellence, La Quinta, CA, USA

    Steven K. Wilson

  2. Department of Urology, MEC, Beverly Hills, CA, USA

    Anton-Luigi L. Picazo

Authors
  1. Steven K. Wilson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Anton-Luigi L. Picazo
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

SKW designed the study. Under the supervision of SKW, ALLP performed the phone interviews, gathered the necessary data and demographics, and conducted descriptive analytics. ALLP wrote the manuscript. Final revisions to the manuscript were made by SKW.

Corresponding author

Correspondence to Steven K. Wilson.

Ethics declarations

Competing interests

SKW is a consultant for International Medical Devices. The other author declares no competing interest.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wilson, S.K., Picazo, AL.L. Update on the Penuma® an FDA-cleared penile implant for aesthetic enhancement of the flaccid penis. Int J Impot Res 34, 369–374 (2022). https://doi.org/10.1038/s41443-021-00510-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41443-021-00510-y

This article is cited by

Search

Advanced search

Quick links