(532) An Innovative Combination of Penile Corporeal Girth Enhancement and Erection Restoration

Abstract Introduction It has been controversial in penile venous surgery for erection restoration and enhancement across three centuries thus far. Objective Based on the De Novo fibro-vascular assembly, we report an anatomy-physiology-based combination of a physiological corporeal diameter expansion recent decades. Methods From 2012 to 2022, intractable impotence subjective micropenis prompted 23 men seek stripping (PVS) factual (TPE). All patients received dual cavernosography demonstrating anatomy veno-occlusive dysfunction. PVS entailed one deep dorsal vein two cavernosal veins after every emissary's was double ligated 0.3 cm apart closest outer tunica with 6-0 nylon suture. In addition, para-arterial were just segmentally ligated. TPE, longitudinal incision performed bilaterally over 3 9 O'clock positions along pendulous penis. Every tunic defect then water-tight sutures 7x3 rectangle stripe as inner bilaterally, subsequently covered piece wall, fascia tense lata, or controlled tissue integration material sheet surrogating layer bilaterally. On girth glans penis, measured preoperatively postoperatively six months when conducted, if available. Radio-opacity used compare femoral cortex crus preoperative postoperative cavernosography. Additionally, abridged 5-item version International Index Erectile Function (IIEF-5) score system hardness scale (EHS) confirm improvement follow-up yearly either by telephone INTERNET. Results The average period 5.3±0.8 years. operation time 7.2±1.8 hours. patches lata (n=3), Surgifrom (n=6), (n=8), internal spermatic cephalic (n=3). radiopacity unexceptionally enhanced postoperatively. significant difference between IIEF-5scores (9.7±2.8 vs. 20.8±2.3; P<0.01). EHS improved at least scale. distal shaft is increased from 2.78±0.33 3.41±0.41 (n=18) 2.98±0.32 3.49±0.31 cm, respectively. Although satisfaction rate only 70.0% (16/23), intracorporeal retention quality unexceptional. Conclusions This novel strategy factorial feasible. However, it requires more sample size longer-term follow; technology conspicuously challenging. Disclosure No