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The effects of penile girth enhancement using injectable hyaluronic acid gel, a filler.

机译:使用可注射的透明质酸凝胶(填充剂)增强阴茎周长的效果。

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INTRODUCTION: Despites the debates on penile girth enhancement (PGE), demands for enhancement are increasing. Recently, various fillers have been widely used for soft tissue augmentation with proven efficacy and safety. AIMS: To identify the feasibility and efficacy of PGE by injection of filler. METHODS: Fifty patients with subjective small penis who visited Korea University Guro outpatient clinic were enrolled and prospectively followed. Restylane Sub-Q (Q-med, Upssala, Sweden) was injected into the fascial layer of penile body via 21G cannula with Back & Forth Technique From April 2006 to February 2008, 50 patients were enrolled and 41 patients were followed until 18 months after PGE. Changes in penile girth at midshaft were measured by tapeline at 1 and 18 months. Patient's visual estimation of residual volume (Gr 0-4), patient's satisfaction (Gr 0-4), and any adverse reactions were also evaluated. RESULTS: Mean injected volume was 20.56 cc (18-22). Compared with basal girth of 7.48 +/- 0.35 cm, maximal circumference was significantly increased to 11.41 +/- 0.34 cm at 1 month (P < 0.0001) and maintained as 11.26 +/- 0.33 cm until 18 months. In patient's visual estimation, two patients complained the decrease as Gr 3 with focal depression at 1 month. At 18 months, all patients answered as Gr 4 without asymmetry. Patient's and partner's satisfaction score was 3.71 +/- 0.46 and 3.65 +/- 0.48 at 1 month and 3.34 +/- 0.53 and 3.38 +/- 0.49 at 18 months. There were no inflammatory signs or serious adverse reactions in all cases. CONCLUSIONS: Considering the property of material, methods, and follow-up results of 18 months, PGE using filler is a very effective and safe technique for penile augmentation.
机译:引言:尽管关于阴茎周长增强(PGE)的辩论,对增强的要求不断增加。近来,各种填充剂已被广泛用于具有增强的功效和安全性的软组织增强。目的:通过注射填充剂确定PGE的可行性和有效性。方法:入选高丽大学九老门诊的五十名主观小阴茎患者,并对其进行前瞻性随访。从2006年4月至2008年2月,通过21G套管将Restylane Sub-Q(Q-med,瑞典乌普萨拉,瑞典)注射到阴茎的筋膜层中。从2006年4月至2008年2月,共有50例患者入组,随访41例,直到术后18个月PGE。在1和18个月时用带状线测量中轴阴茎围的变化。还评估了患者的视觉估计残留量(Gr 0-4),患者满意度(Gr 0-4)以及任何不良反应。结果:平均喷射量为20.56 cc(18-22)。与7.48 +/- 0.35 cm的基底周长相比,最大周长在1个月时显着增加至11.41 +/- 0.34 cm(P <0.0001),并保持为11.26 +/- 0.33 cm,直到18个月。在患者的视觉估计中,两名患者在1个月时因Gr 3伴有局灶性抑郁而抱怨减少。在18个月时,所有患者均回答为Gr 4且没有非对称性。患者和伴侣的满意度得分在1个月时为3.71 +/- 0.46和3.65 +/- 0.48,在18个月时为3.34 +/- 0.53和3.38 +/- 0.49。在所有情况下,均无炎症迹象或严重不良反应。结论:考虑到材料的性质,方法和18个月的随访结果,使用填料的PGE是一种非常有效和安全的阴茎增大技术。

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