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

The Journal of Sexual Medicine
James J ElistAlireza Hosseini

Abstract

Silicone blocks and sleeves are simple devices used in cosmetic surgery. They are generally viewed as safe and effective; however, there is little information on their use in the penis. This study evaluates a large single-surgeon series using a novel silicone sleeve penile implant (Penuma) to cosmetically correct the flaccid penis. 526 patients underwent elective cosmetic penile surgery using a silicone sleeve penile implant between 2009 and 2014. Institutional Review Board approval was obtained for a retrospective analysis, and study consent was obtained from 400 patients. Penile circumference was measured before surgery, immediately after surgery, and 30-90 days after the implant surgery. Using the nonvalidated Augmentation Phalloplasty Patient Selection and Satisfaction Inventory (APPSSI), changes in self-confidence, self-esteem, and satisfaction scores were assayed 6-8 weeks postoperatively. Scores were again assayed 2-6 years postoperatively in 77% of patients. The questionnaires rated patient self-confidence, self-esteem, and satisfaction as very low, low, medium, high, or very high. Outcomes include changes in penile measurements; changes in APPSSI satisfaction, self-confidence, and self-esteem scores; and incidences of ...Continue Reading

Citations

Aug 7, 2019·International Journal of Impotence Research·James J ElistSteven K Wilson
Feb 2, 2019·International Journal of Impotence Research·Patrick Whelan, Laurence A Levine
Nov 3, 2020·Plastic and Reconstructive Surgery·Krishna S VyasOscar Manrique
May 29, 2021·International Journal of Impotence Research·Nicolò SchifanoGiulio Garaffa
Jul 15, 2021·International Journal of Impotence Research·Celeste ManfrediRados Djinovic

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