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• W3152534071 abstract "Patients complaining of short length pose a challenge in urology practice. Those men who present seeking lengthening surgery usually overestimate 'normal' length, and may in often cases relate their length with the degree of masculinity and self-esteem. Penile prosthetic devices are the gold standard treatment of erectile dysfunction (ED) after failure of conservative options. Penile shortening is the most prevalent long-term complaint after successful (IPP) placement. This has a significant impact on patient's overall satisfaction and quality of life. Using PubMed, we performed a thorough literature review of the current procedures of preservation or enhancement of length as well as reported perioperative protocols in patients undergoing (PP) insertion. Keywords used were penile lengthening, penile enhancement, penile girth, inflatable prosthesis and glans augmentation. Several surgical techniques can be offered in the setting of shortening concurrently with PP insertion, e.g., sub-coronal approach of PP placement, sliding technique, modified sliding technique (MoST), multiple-slide technique (MuST), and tunica mesh expansion procedure (TMEP). Adjuvant techniques can also improve subjective length include, ventral phalloplasty, suprapubic lipectomy, suspensory ligament release and use of expanding implants. Preoperative protocols including use of a vacuum erectile device, traction therapy also seem to improve postoperative outcomes, minimizing postoperative pain, and encouraging the early device use. Currently, there is no consensus among experts on a particular lengthening procedure or when they can be performed to optimize outcomes. Furthermore, it is imperative to set proper expectations before surgery, with extensive patient and partner counseling. When used in the properly selected patient, lengthening procedures show promising results with minimal complication rates." @default.
• W3152534071 created "2021-04-26" @default.
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• W3152534071 date "2021-06-01" @default.
• W3152534071 modified "2023-10-18" @default.
• W3152534071 title "Penile shortening complaints in males with erectile dysfunction: a narrative review on penile lengthening procedures during penile prosthesis surgery" @default.
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• W3152534071 doi "https://doi.org/10.21037/tau-21-27" @default.
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