PENILE GIRTH ENHANCEMENT WITH HYALURONIC ACID INJECTION: A SINGLE-CENTER STUDY

Penile girth enhancement using hyaluronic acid (HA) fillers is a sought-after procedure for men aiming to improve penile aesthetics and self-confidence. Despite its growing popularity, there is limited comprehensive data on patient outcomes and safety profiles. This study evaluates the safety and efficacy of subcutaneous HA injections for penile girth enhancement.

A retrospective audit of patient outcomes after penile girth enhancement with subcutaneous HA filler injections conducted at one Center between January 2022 and August 2024. The following data was collected: - Pre and post-operative flaccid penile girth. - Patient reported satisfaction rates. - Complications.

The procedure was conducted under local anaesthesia and aseptic conditions. A puncture was made in the pubic hair line with an 18G spinal needle followed by the introduction of a 17G injection cannula. The HA filler was then injected dorso-laterally in a fan shapped manner in the areolar space between the dartos and Buck’s facia. The puncture site was sealed with tissue glue and a water proof dressing. Patients were instructed to massage the filler in order to maintain symmetry and to avoid intercourse for 3 weeks.

324 patients were included in this study, the mean patient age was 35 (22–65). The Mean follow up duration was 9 (2-24) months. The mean HA filler injected per patient was 15 (10-30) ml. The mean increase in flaccid girth was 2.5 (1.5-4) cm. The mean HA filler longevity was 12 (9-24) months. The patient reported satisfaction rates were 89%. No serious adverse events were encountered; the following complications were recorded: asymmetry; 20 patients (6.1%), managed by HA filler top up. Migration of HA filler in the foreskin; 25 patients (7.7%), managed by hylase injection. HA filler lumps; 15 patients (4.6%), managed by hylase injections. Infection; 5 patients (1.5%), managed with oral antibiotics. Four patients (1.2%) did not like the filler and wanted it removed which was done by hylase injections.

Penile girth enhancement by subcutaneous Hyaluronic acid injection is a safe and effective procedure which is associated with high patient-satisfaction rates.

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