Login to Access Video or Poster Abstract: MP79-16
Sources of Funding: none

Introduction

The objective of genital enlargement surgery is to increase length and/or girth for cosmetic reasons. These surgeries have been recently reported to be associated with only minor complications in a small percentage of patients. However, we continue to see and treat patients with major complications from these procedures and present our experience to date.

Methods

Institutional Review Board approval was obtained. We reviewed our prospectively maintained database for all patients who presented with complications of genital enlargement surgery from 2002-2016.

Results

Eight patients were identified. Mean age was 49 years (29-70). Prior procedures included subcutaneous penile and/or scrotal implants, dermal grafts, subcutaneous autologous or silicone injections, and suspensory ligament ligation. Three patients underwent multiple of these techniques. All patients who underwent subcutaneous penile implant underwent removal prior to presentation. _x000D_ _x000D_ Adverse changes included sexually disabling penile deformity, curvature, edema, subcutaneous masses, infection, non-healing wounds, and scarring. Seven patients underwent corrective surgery, with 2 requiring multiple procedures and 2 requiring split thickness skin grafting. All 7 patients had an improved cosmetic appearance. Postoperative Sexual Health Inventory for Men (SHIM) scores were available for half of these patients, with a mean of 18 (2-25). _x000D_

Conclusions

Penile and scrotal enhancement surgery can be associated with major disabling complications, leading to deformity and functional compromise in men with prior normal anatomy. Patients should be aware of these risks. According to the Sexual Medicine Society of North America, these surgeries should be considered experimental.

Funding

none