Abstract
Although xenografts and plasma gels are common devices used in cosmetic penile surgeries, no sufficient studies evaluate the patient’s expectations and satisfaction. Therefore, we conducted a study that evaluated the correlation of pre-and postoperative results between patients’ pre-and postoperative expectations and satisfaction with a novel technique called the Hardrock Sandwich Technique, which uses xenografts and plasma gel in penile enlargement surgery. We used the nonvalidated Augmentation Phalloplasty Patient Selection and Satisfaction Inventory (APPSSI).
We evaluated 740 patients who underwent elective penis enlargement surgery using Hardrock Technique between April 2022 and September 2024. Among these patients, 105 had a 1-year follow-up, so the others were excluded from the study. We used a nonvalidated Augmentation Phalloplasty Patient Selection and Satisfaction Inventory (APPSSI) to rate patients’ self-confidence, self-esteem, the impact of surgery, and satisfaction scores, respectively. We evaluated the data using Spearman’s rank correlation method. The first and second questions were evaluated preoperatively and 3-12 months postoperatively. The third question was evaluated only preoperatively, and the fourth was evaluated only 3-12 months postoperatively. The questionnaire rated the patient’s self-confidence, self-esteem, and satisfaction as very low, low, medium, high, or very high.
According to analyses, the preoperative PL and APPSSI scores have a moderately strong positive correlation (0.65), and the preoperative PC and APPSSI scores also have a moderate positive correlation (0.48). However, PL increase and postoperative APPSSI scores have a very weak positive correlation (0.04), and PC increase and APPSSI scores also have a weak positive correlation (0.28). Interestingly, Age and PL have a very weak negative correlation (-0.05), whereas age and PC increase have a weak positive correlation (0.11). Furthermore, preoperative PL and 12-month postoperative PL have a very strong positive correlation (0.94). In addition to that, preoperative PC and 12-month postoperative PC have a moderately strong correlation (0.65).
The strongest correlations are between preoperative and postoperative PL/PC measurements, indicating predictability in outcomes based on initial measurements. The other correlations, particularly with APPSSI scores, are generally weak. These results suggest that PL or PC increases do not strongly impact postoperative satisfaction.
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