Augrnentatien Penoplastf with Autogenous Dermal Fat Graft / 대한비뇨기과학회지

ABSTRACT

PURPOSE: Augmentation penoplasty with autogenous dermal fat graft was determined to be able to perform for increasing the volume of penis. MATERIALS AND METHOD: Augmentation penoplasty with autogerlous dermal fat graft was performed on thirteen cases with micropenis or short penis due to concomittent urogenital conditions from Mar 1995 to Dec. 1996, and followed up their clinical courses. RESULTS: Postoperative penile girth was significantly increased comparing to penile length after 3-20 months(mean 12.6 months) of follow-up(p<0.05). Complications were seen in 7 patients(53.8%), which consisted of 1 skin necrosis as a serious complication, and 3 penile asymmetries, 2 penile edema and 1 painful nocturnal erection as a transient mild complication. Overall satisfaction was inquired on about two-third of all patients. CONCLUSIONS: Augmentation penoplasty with autogenous dermal fat graft may be helpful to enhance the penile girth if it is performed with expert surgical skill, but this procedure should be undertaken with full and frank medical approach including patient selection and postoperative reassurance.