The lower level of patient satisfaction with the “natural” feel of their penis is not unexpected given the relative rigidity of the device necessary to achieve improvement of penile visibility outside the body.11 A 26-question non-validated questionnaire was created to assess the patient’s perception of the appearance and feel of their penis as well as sexual satisfaction before and after surgery. Statistical significance was defined as a p value A 26-question non-validated questionnaire was created to assess the patient’s perception of the appearance and feel of their penis as well as sexual satisfaction before and after surgery. Penile measurements of flaccid dorsal length from base of penis to meatus, stretched dorsal length from pubis to corona, and flaccid mid-shaft penile girth were taken at the preoperative evaluation and on the day of surgery. After penile implant surgery, most men experience significant improvements in their sexual function and regain control over their erections. Early published case reports of deformed penises following Penuma surgery attracted media attention.12 The explanation for the early troubles was thought to be due to attempts to preserve the Penuma in place when complications appeared. There is also a scarcity of data on the patients’ perceptions of the implant postoperatively. Most patients (75%) agreed or somewhat agreed that they would undergo surgery again. Levine et al found that some patients complain of shortening after penile prosthesis implantation but may be comparing their current size with their memory of a fully functional erection. Modern penile implants are now the standard of care, especially for those patients refractory to medical management. Recording penile dimensions in the clinic and agreeing these with patients pre-operatively may be a way of improving satisfaction levels with this surgery. Does the procedure affect my sensation or erections? Several modifications of this technique have been described regarding either the site/shape and size of tunica albuginea incisions or the closure of defects with Buck’s fascia instead of graft material 34,54,55 (techniques described in detail in Table 1).Dr. Tajkarimi is one of the top 20 surgeons in the world for performing penile implants.Most patients are cleared for sexual activity eight weeks aftertheir procedure, but individual healing time varies.In the case of the Himplant® implant, this is usually a very good thing.The consultation process is a critical step for anyone considering penile enlargement.Our private, AI-powered simulations give you a realistic preview of your Himplant® before and after—personalized, secure, and commitment-free.Every man is unique, so we tailor every enlargement plan to match individual anatomy and goals.Furthermore, patient satisfaction is uncertain, given the lack of validated questionnaires in this population seeking penile girth enhancement. The infrapubic approach is begun through a transverse 4–5 cm incision centered over the base of the penis. This study received Institutional Review Board approval from the Advarra IRB. The Penuma is an elective, purely cosmetic surgery, and there is currently only a small cohort of surgeons in the United States (US) performing this operation. The device received 510K clearance by the FDA for this purpose in May 2022. Furthermore, the lateral scrotal surgical approach appears to have a lower postoperative complication rate. We can arrange to have the medications sent to your home or hotel prior to your surgery day. In addition, your surgeon will provide you with any necessary prescriptions, such as for antibiotics and pain medication, prior to your procedure. We encourage you to think about your recovery space ahead of time to prevent unnecessary stress or difficulty after your procedure. We recommend that you bring comfortable, loose-fitting clothing that is easy to put on and take off after your procedure. You should abstain from drinking and focus on healthy eating to let your body heal after surgery. Patients are required to wear a compressive dressing (UroWrap) during any strenuous activity for 6 months after their Miami Himplant Penile Implant procedure. Patients return to our clinic for three days following surgery for dressing changes, wound checks and surgical drain removal. A surgical dressing is placed at the end of the procedure and removed in the clinic the following day. The Himplant procedure takes less than an hour and is performed under general anesthesia. The mean sub-score values on the IIEF for erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction were 27.75, 5.00, 8.25, 13.00, and 8.25, respectively (Table 2). Informed consent was obtained in writing from all patients before undergoing the procedure. Upon follow-up in 2023, the patient was pleased with both his erectile function and the appearance of his penis. This helps to better conceal the surgical incision line, promising a visually satisfying outcome after complete recovery. Typically 1-2 inches below the junction of the scrotum and the penis. The operation involves your Himplant® surgeon making an incision along the superior section of the scrotum. At Himplant®, our mission is to empower men through innovative solutions that enhance their confidence and well-being. Patient prior to undergoing Penuma implant (left) and at 1 year postoperative (right) via the infrapubic approach (top) and left lateral approach (bottom). The incidence of seroma was not significantly different based on surgical approach. Complication rates stratified by surgical approach are described in Table 1. The mean age at time of surgery was 44 years, with an age range from 21 to 66 years old. Surgical technique was performed per training by Dr. Elist and has been described in depth previously.6 The patient is prepared with IV antibiotics, a urethral washing with an antibiotic or antiseptic solution, and extensive chlorhexidine scrub followed by ChloraPrep™ (BD, Franklin Lakes, NJ). A successful penile implant surgery with Dr. Tajkarimi can boost your self-confidence in sexual encounters.How long does it take to see the “final product” after enlargement surgery?If you’re interested in learning more about penile enlargement and want to explore your options, schedule a consultation with Dr. Nel today.The fat suctioned with a liposuction apparatus is divided into syringes after being filtered and is then injected into the penile tissue with the assistance of a cannula, thus ensuring equal distribution.Food and Drug Administration (FDA), with indications that include cosmetic correction of penile soft tissue deformities and cosmetic enhancement of the penis .There was no evidence of erosion or infection of the cartilage used and 100% had normal erectile function, while 26.3% developed penile curvature which was treated conservatively with penile stretch and vacuum devices .Postoperative measurements were taken intraoperatively after the device had been placed, and at subsequent postoperative appointments.The operative technique and urgency of perioperative interventions have been changed over the course of this study, and though it could not be captured in this study, we believe that these adjustments will result in lower complication rates over time. It can eliminate the need for medications, external devices, or other temporary measures, providing a permanent and reliable solution for improved sexual function. With the implant in place, individuals can achieve and maintain an erection for longer periods, resulting in enhanced sexual pleasure for both partners. This transformative procedure provides individuals with the opportunity to reclaim confidence, improve sexual function, and enjoy a fulfilling sex life. Good counselling before surgery is critical for improved patient satisfaction, and the best candidate for PI surgery is a patient failed non-surgical treatments and still motivated to have surgery to improve his sexuality15 In our study, the aim was to find a valid(reference) for penile size before surgery to compare postoperatively when counselling the patient about the expected outcome. Scant literature exists on penile length loss after penile implant surgery, despite its relevant role in patient’s quality of life. Turning to girth change, over 80% of the patients who received an inflatable device witnessed an increase. After surgery, 98 patients (73.7%) had some objective increase in either length or girth. The table shows the results of the ANOVA test performed to show the difference in length and girth stratified by type of prosthesis implanted. The differential lengths and girths (length/girth post-surgery vs length/girth pre-surgery) of the two groups were compared. Using a Paired T-test, we compared post to pre-surgical stretched length and girth. Only 9 patients (7%)) had a decrease in length, all among the MPP group. Men who currently take medications for erectile dysfunction are candidates for a Penile Implant with the Himplant by Penuma. After enlargement, they may continue to take advantage of available medications for erectile dysfunction including oral medications and injections. Men who currently take medications for erectile dysfunction are candidates for a Penile Implant with Himplant. Patients are obviously concerned about any effect of the procedure on erectile function. The limitations of the current research underscore the need for more robust studies to guide clinical practice and enhance patient outcomes. In conclusion, while penile augmentation surgeries offer potential solutions for individuals concerned about genital size, they involve considerable risks and complexities. This collaboration should also be encouraged between different institutions to facilitate data-sharing and to enhance understanding of patient outcomes. Lastly, the improvement of advanced imaging modalities or simulations can assist surgeons in preoperative planning and predicting surgical outcomes. Furthermore, advancements in biomedical engineering might lead to the development of novel biomaterials or implants specifically tailored for penile augmentation, aiming for improved biocompatibility and durability. We only had patients complete the survey who were still implanted which we expect will bias results on patient satisfaction. In most cases of erosion, the device was ultimately removed, though surgical repair with extensive irrigation much like an infected penile prosthesis salvage procedure was successful in one case. This series suggests that patients are largely pleased with the outcome and do not regret undergoing implant surgery. Remember, your health and satisfaction are paramount, and choosing the right surgeon is a crucial step towards achieving the results you desire. Recovery progress varies for each individual, but having a clear understanding of what to expect can help ensure a smooth journey towards regaining sexual function and confidence. Mike, a 52-year-old, had endured emotional distress as a result of his dissatisfaction with his intimate life. These images serve as visual proof of the significant changes and improvements achieved through this surgery. The procedure also enables spontaneous erections, eliminating the need for medications or other temporary solutions. For lengthening surgery, the measurements of the flaccid, stretched, and erect penis post pharmacological stimulation are essential to obtain a quantitative idea of the possible gain for each patient. Men’s sexual function and satisfaction are affected by their discomfort with genital size, which motivates them to seek out invasive and non-invasive penis augmentation options . The history of penile augmentation surgery dates to ancient civilizations, where the practice of enlarging the penis through various methods, such as stretching or tying weights to the penis, was reported. Finally, penile girth enhancement may be performed using soft tissue fillers, grafting procedures, biodegradable scaffolds, and Penuma®. Penile Girth Enlargement Before and After FAQs Residents in Northern VA and Greater Washington DC who struggle with severe erectile dysfunction seek Titan penile implants at our state-of-the-art medical facility to help restore their sex life. Additionally, the ideal Titan penile implant candidate is an individual who may have curvature of the penis and wishes to improve this feature. You will no longer have to plan ahead or worry about timing, as Titan implants ensure a more spur-of-the-moment sex life.Lastly, a Titan penile implant provides versatility during sexual intercourse. Titan penile implant surgery offers you the chance to regain a satisfying and fulfilling sex life. Are you contemplating the Himplant® procedure but uncertain about your eligibility? The Himplant® procedure typically spans between 45 minutes to an hour. After ensuring correct placement, the Himplant® is securely fastened with sutures right behind the glans of the penis. The design of the implant is a 270-degree wrap around the penis shaft, thus ensuring that it does not interfere with the urethra. If we decline a candidate, it’s most often because they’ve had a previous penis enhancement procedure. Discover the answers to your most pressing questions about Himplant®, the revolutionary FDA-cleared penile enhancement solution. See if you're eligible for the Himplant® male enhancement surgery. Explore careers at Himplant® and help make male penile enhancement accessible to everyone. Recovery Introduction Penis enlargement surgery can deliver life-changing results, but what really happens before and after the procedure? Many patients who view our gallery are surprised by the natural look of surgical results. Penis enlargement surgery is not about extremes—it is about safe, proportional, and natural enhancement. Browse our video library to see informative and engaging content about Himplant's® innovative solutions and client success stories. Access a variety of therapy resources designed to support your journey with Himplant®. Stay informed with our latest blog articles, featuring expert insights and updates on Himplant® solutions. Find answers to common questions about Himplant®, including product details, usage, and more. Access our community hub for more information regarding Himplant®. The Importance of Realistic Expectations Through these before and after photos and success stories, we hope to inspire and inform individuals who are considering penile implant surgery. After extensive research and consultation, he decided to undergo a penile implant procedure. The successful stories behind these images further validate the efficacy of penile implant procedures. At the time of this study’s publication, all patients reported improved erectile function, including the ability for penetrative sex, achieving and maintaining erections, and reaching orgasm. All four patients experienced measured increases in flaccid dorsal length and flaccid midshaft girth (Table 1). All four of our patients initially sought out the Himplant® procedure to augment their penis. In this study, we present four recent cases of Himplant® placement post-RP to provide penile enhancement, with the added benefit of improved erectile function. Accordingly, we suggest Himplant® placement in patients who are frustrated by their penile appearance and suffering from erectile dysfunction after radical prostatectomy. That’s why our physicians no longer perform these procedures given superior filler and fat transfer options now available. However, these dated techniques come with higher risks like implant migration/displacement and irregular contours visible under skin. It can also nicely complement filler placement for additional enhancement. By presenting a range of experiences, potential patients can better understand what to expect and feel more empowered in their decision-making process. Testimonials often highlight personal journeys, including motivations for seeking enhancement, experiences during recovery, and overall satisfaction with results. Non-surgical options, on the other hand, are less invasive and allow for quicker recovery, but may not provide the same level of enhancement. Himplant® is an innovative subcutaneous penile implant engineered to be inserted beneath the penis skin. If you’re thinking about or have had penile implant surgery, knowing what to do during recovery is essential. We can’t wait to help you reclaim your sex life and fulfill your desires with the #1 penile implant procedure. Most patients pay $10,500–$19,000, depending on location, surgeon, and add‑ons (e.g., circumcision). Each patient’s circumstances will determine the cost of the implant. Building on decades of research and development, Himplant offers men a science-backed and effective way to enhance size and confidence. "This study provides crucial, quantitative data on Himplant's effectiveness and builds upon prior research by showcasing improved effectiveness and durability," said Dr. James Elist, creator of Himplant. Notably, the study also reports a minimal need for revision surgeries, emphasizing Himplant's durability and stable results. Himplant is a pioneering FDA-cleared device designed for cosmetic penile enhancement. This enhancement in erectile function appears to contribute significantly to high postoperative satisfaction with sexual intercourse, overall satisfaction, and sexual desire. The composite scores suggest a high level of patient satisfaction in terms of erectile function, sexual desire, and intercourse, with a moderate satisfaction concerning orgasmic function. The lower sub-score for orgasmic function is linked to the responses to question 9 regarding the frequency of ejaculation during sexual activity, where three patients reported “Almost never or never” and one reported “A few times”. After his first sexual encounter following Himplant® surgery, the patient revealed that he was able to penetrate without erection or tumescence, due to the firmness of the implant. The majority of patients (56%) were satisfied postoperatively with how natural the penis felt, and 73% were satisfied with how natural the penis looked. Of note, 55% stated that they were dissatisfied with their sexual relationship prior to surgery, compared to 18% after the implant. Patients were asked to rate their feelings with regard to their penis and sexual experience before and after the implant as part of the emailed survey. Of those that underwent revision for malposition, three patients had distal flaring of the device and two patients had proximal dislodgement. The most common complication following implantation was seroma, which is consistent with what has previously been published,3,6 11 (12%) patients experienced a seroma requiring drainage under local anesthesia in the office. Re-surgery was needed for either de-bulking of the oversized flap, flap pedicle, or for donor site scar revision, while edema (resolved in 2–8 weeks) and dorsal shaft skin ulceration in overweight participants were also reported . An increase in flaccid girth from 9.3 cm to 14.5 cm was observed with additional improvement in flaccid non-stretched visible length. The superficial circumflex iliac artery island flap was used to increase penile girth for the first time. Casavantes et al. described Polymethylmethacrylate (PMMA) microsphere injections to enhance penile girth in 729 cases of men with penile girth dissatisfaction. Significant improvement in both the IIEF-5 score and intercourse satisfaction score were recorded along with a 32.2% increase in penile circumference. Titan implant before and after images depict actual results from real patients who have undergone the Coloplast Titan placement. Some of the best evidence for penile implants is Coloplast Titan before and after images. The Penuma implant (rebranded as the Himplant) is a tailorable soft silicone sleeve penile implant that has received FDA clearance for its use in the correction of soft tissue deformities.25,26 However, there are no absolute indications for Penuma. The soft tissue filling materials that have received US Food and Drug Administration (FDA) approval for cosmetic purposes since 2004 include polylactic acid, polymethylmethacrylate microspheres, hyaluronic acid (HA), and autologous fat obtained through excision or liposuction.14 The use of these fillers for penile girth enhancement is considered off-label. What Happens if Erectile Dysfunction Goes Untreated: Everything You Need to Know About the Risks Patients can expect an average increase in circumference (thickness) of nearly two inches (five centimeters) and an average increase in penile length of nearly one inch (2.2 centimeters) while flaccid. Thanks to the brilliant design of the implant, penile augmentation with the Himplant results in a bigger, thicker penis that maintains a natural look and feel. The Himplant is the world’s first FDA-cleared implant for penile enlargement. Prior to this study, seromas were reported at higher rates than we observed (4.8–27% versus 2.0%).3,5 The reduction in seroma formation may be related to progression in operative techniques such as judicious use of electrocautery and minimization of the dissection area. The penile silicone sleeve comes in multiple sizes, both in the thickness and width of the silicone sleeve (large, XL, XXL) as well as length (regular, extra-long). Erosion is the most serious complication as it necessitates explantation of the penile silicone sleeve device. Small penis anxiety (SPA) is a condition some men with normal-sized penises may experience, where they feel substantially distressed about the length of their penis . The growing demand for penile augmentation surgeries is driven by various factors such as increasing awareness about the availability of these procedures in combination with the availability of different techniques. In conclusion, while penile augmentation surgeries offer potential solutions for individuals concerned about genital size, the risks and complexities need to be accounted for. Papers discussing surgery in animal models and case reports were excluded from the present study unless further evaluated in a follow-up case series. We operate exclusively out of a world-class surgery center staffed exclusively by board-certified anesthesiologists in South Miami. Dr. De Fazio is also personally involved and available for every patient throughout the screening process, perioperative period, and recovery. After attending LSU and building businesses of my own, I trained with Dr. Loria to bring advanced male enhancement to Tampa. The recovery process following penile implant surgery may present specific challenges. The recovery timeline following penile implant surgery typically involves several stages. After undergoing penile implant surgery, it is important to understand and prepare for the recovery process. Some patients may only require a single filler or fat grafting session to accomplish targets. Whereas patients battling preoperative loose skin or more advanced aging may require touch-ups. How long does it take to see the “final product” after enlargement surgery? What really matters is – how long do these penile girth gains actually last? The survey was sent via email to all patients that were at least 6 months from surgery and still had the device in place. Charts were analyzed for penile measurements, surgical incision, postoperative AE’s, and the need for additional surgery to revise or remove the device. A 26-item non-validated device-specific questionnaire was sent to patients at least 6 months after the date of their initial surgery. The journey before and after penile implant surgery extends beyond the physical aspects. While patients will immediately see an impressive increase in penis size and thickness, the complete healing process can take a few months until the final results are achieved. Following surgery, Miami Himplant patients report a massive increase in confidence that leaves an impression far beyond the bedroom. Some clinics still use liquid silicone injections or solid silicone penile implants to attempt girth enlargement. Recently published data suggested that for patients who do opt to have the device removed, a specific program of penile rehabilitation may be beneficial to restore the penis to its original appearance and function.14 While a larger, thicker penis is sure to impress, the most valuable result of penile enlargement with Himplant cannot be measured with a ruler. At our clinic, we use the right state-of-the-art girth enlargement techniques to help patients achieve realistic, customizable results. Penile girth enlargement, also called circumferential enlargement, is a technique to increase the thickness or circumference of the penis shaft. No major complications and specifically no losses of sensitivity of the penis or erection deficiencies occurred during the postoperative follow-up period and all the patients resumed their sexual activity in 4 months. Austoni et al. reported an augmentation phalloplasty with bilateral saphena grafts in a case series of 39 patients with either hypoplasia of the penis or functional penile dysmorphophobia. Correction of curvature was observed in all patients, no erectile dysfunction was reported, and satisfaction of patients ranged between 90 and 100% 30,31,32,33,34,54,55. During a follow-up of 3.3 years, authors reported a 2–3 cm increase in 13 patients and a 3–4 cm increase in 6 patients in both the flaccid and erect status. A study of 303 penile implants showed that the release of the suspensory ligament during an infrapubic insertion of an inflatable penile prosthesis may maintain or even increase penile length . Each technique is evaluated based on its clinical outcomes, durability of results, and complications. The penile length gain occurs in both flaccid and erect status and is mainly dependent on the flexibility of the NVB and urethra. A newer technique, initially described by Rolle et al. in 2012, is the sliding elongation, during which several incisions of tunica albuginea are performed and, after a sliding between the parts created in the corpora cavernosa from the tunica incisions, the penile length is increased . Our goal is to make your preparation, procedure, and recovery as easy as possible, so you can achieve your best results. As your Himplant specialist in Miami, we are here to provide you with the best overall treatment experience. During Surgery The procedure usually lasts 1–2 hours under anaesthesia. Each case is different, but all demonstrate safe, natural improvements in size and confidence. At Moorgate Andrology, we recommend fillers as a secondary or trial option, with surgery as the long-term solution. Clinical evaluation and the preliminary psychiatric evaluation can help in discerning those patients who would benefit from medical therapy or minimally invasive treatments from those who would benefit from surgery 12,15. Penile augmentation surgeries are primarily performed in men with sexual dysfunction caused by anatomical abnormalities, such as Peyronie’s Disease, or in men with true congenital micropenis (stretched penile length of less than 2.5 SD below the mean for age or stage of sexual development) . In recent years, the popularity of penile augmentation surgery has increased significantly . The increase in practices related to enhancing penile size can be attributed to the belief that an improved genital appearance contributes to a man’s virility, coupled with an altered self-perception of his body. This content is designed to help patients make informed, confident decisions based on science, transparency, and real clinical experience. Penis enlargement surgery has evolved significantly over the last two decades. When cosmetic complications occur, corrections may be completed with low risk or under local anesthesia. Specifically, the a priori power for the paired t-tests comparing preoperative and postoperative measurements for both flaccid dorsal length and midshaft girth was below 0.15, which is considered low. While Cohen’s d effect size was greater than 3, indicating a large effect, the statistical power of the study was moderate. After surgery, patient follow-up was conducted on a weekly basis for the initial two months and monthly thereafter for 13–55 months. Importantly, he reported being able to achieve and maintain erectile tumescence following penetrative stimulation. Its a great help to new patients to see just what possible either with length and girth surgery, penis lengthening surgery or penis thickening surgery. Nevertheless, patients should be appropriately counseled on the risk of implant erosion, which appears to be higher than previously reported. Not fixing the implant proximally allows it to adapt without buckling to changes in the size of the penis when erect versus flaccid. As men get older, erectile tissue can gradually lose plasticity and collagen due to lower testosterone levels and other hormonal changes. This gives the most accurate point of comparison before undergoing any procedure. Every man is unique, so we tailor every enlargement plan to match individual anatomy and goals. Using state-of-the-art techniques, we aim to help each patient achieve realistic, proportional results. At Best Man Medical, our experienced team of surgeons has performed many related procedures. Despite being a recognised problem, there are only two papers concentrating on penile length after implant surgery.We can’t wait to help you reclaim your sex life and fulfill your desires with the #1 penile implant procedure.Dr. Taj is straightforward and takes the time to thoroughly explain everything so that the patient is confident in all the decision-making.Our goal is to make your preparation, procedure, and recovery as easy as possible, so you can achieve your best results.The superficial circumflex iliac artery island flap was used to increase penile girth for the first time.After his first sexual encounter following Himplant® surgery, the patient revealed that he was able to penetrate without erection or tumescence, due to the firmness of the implant.Edema and congestion of the penis and scrotum were observed postoperatively, along with an area of sloughing on the dorsum of the penis, which re-epithelialized spontaneously .However subjective loss of penile length or volume remains a significant patient concern. Take Control: Book Your Consultation Understanding these risks alongside the anticipated benefits can help patients make informed decisions that align with their personal goals and health considerations. It's essential for patients to have open discussions with their healthcare provider to weigh these factors carefully. With expert guidance and realistic expectations, you can make an informed choice about your path to increased confidence and satisfaction. If you’re interested in learning more about penile enlargement and want to explore your options, schedule a consultation with Dr. Nel today. Device removal occurred in 12 (3%) cases due to 4 infections, 4 implant perforations, 2 suture detachments and resultant mispositioning of implant, 1 implant fracture, and 1 hematoma. Access is via penile inversion either through an infrapubic incision or by a “concealed” lateral scrotal incision near the penoscrotal junction.27 A single center reviewed 355 cases of cosmetic elongation, enlargement, and combined elongation/enlargement phalloplasty with autologous fat obtained from liposuction. Penile Length Measurements: Access a wealth of information and resources about Himplant®, including detailed guides and expert insights. Explore our clinical research to understand the scientific foundation and efficacy of Himplant® solutions. Read our written testimonials to discover how Himplant® has positively impacted the lives of our clients. Explore our video testimonials to hear firsthand experiences from satisfied clients who have transformed their lives with Himplant®. The goal of this study is to report outcomes on patient satisfaction at least 6 months after Penuma subcutaneous penile implant for cosmetic enhancement of the penis, and to determine if modifications in surgical approach resulted in reduction in postoperative complications. Penile augmentation surgery, also known as penile enhancement or penis enlargement surgery, is a surgical procedure that aims to increase the length and/or girth of the penis. This study presents findings of high patient satisfaction, increases in flaccid penile length and girth, no incidence of adverse events, and improved erectile function following Himplant® placement post-radical prostatectomy. Our study demonstrates that at the 1-year median length of follow-up in appropriately selected patients, penile silicone sleeve implantation results in significantly increased flaccid penile length (50.0%) and girth (36.9%). A common cause of patient dissatisfaction after penile implant (PI) is caused by patients’ perception that surgery has shortened the penis. The Himplant® has been shown to enhance flaccid penile dimensions, potentially boosting self-esteem, and our study provides initial evidence of its ability to improve erectile function in men with mild-to-moderate post-RP ED. As anticipated following RP, patients reported low ejaculatory function due to anejaculation; however, other domains of sexual health, including desire, intercourse satisfaction, and overall satisfaction, aligned with scores seen in healthy individuals without ED. The primary goal was to cosmetically enhance the penis by increasing flaccid length and girth, but our findings suggest that Himplant® placement may also improve erectile function. This study evaluated the outcomes of Himplant® placement in four post-RP men desiring penile enhancement and suffering from refractory ED. It is essential that you do not engage in any sexual activity, including masturbation, until cleared by your surgeon to prevent medical or cosmetic complications. For out of town patients staying in nearby hotels, these evaluations can take place in the comfort of your hotel room. Following surgery our team will perform daily evaluations for at least three consecutive days to assess healing, change surgical dressings, and remove your surgical drain. Surgical procedures for enlargement exist, but results can be unpredictable and carry risks like infection, scarring, and nerve damage.Closely adhering to the post-operative protocol can reduce the likelihood of any complications.Flaccid length measured from the dorsal base of the penis to the meatus, SPL measured from the pubis to corona, and flaccid mid-shaft girth were recorded.A recently developed penile implant made of silicone is a Penuma® implant and can be inserted to increase penile length in flaccid status 37,65.As emotional intimacy improves, so can relationship satisfaction.Rigorous research, standardized protocols, and advancements in surgical techniques are imperative to ensure optimal outcomes and patient satisfaction.Techniques may include ligament release for length and fat transfer for girth enhancement. The pre and post photo should feature identical clinical lighting, megapixels, and camera distance for accurate size comparisons. However, when permitted by the patient, we display select anonymous pre-op and post-op photos. At our practice, we adhere to strict plastic surgery society guidelines for visual media. This longevity chart summarizes typical durability timeframes once optimal enlargement is achieved. After enlargement, they may continue to take advantage of available medications for erectile dysfunction including oral medications and injections.Written informed consent for participation in the study was obtained from all participants.The Himplant® implant is designed not to interfere with the erectile body of the penis.Unlike other temporary methods, such as pills or injections, the implant is always ready to use.For those struggling with erectile dysfunction (ED), penile implants can provide both functional and aesthetic enhancement.The increased prevalence and early detection of prostate cancer in modern times have contributed to a higher proportion of young RP cases, highlighting the need for post-RP ED treatment.This flexibility gives you more control over your sexual experiences and fulfills your desires.Preoperative measurements included flaccid penile length (from pubis to glans) and flaccid girth (at mid-shaft). Upon creating the initial access, the Himplant® is placed under the skin of the penis. His staff is equally impressive in welcoming and providing follow-up to patients.” Spontaneous sexual intercourse is another way the Titan implant can help improve your sex life. Increased sexual satisfaction can positively impact your relationship with your partner. We recorded type of penile implant, cylinder lengths and malleable rod diameters. This prospective study aimed to investigate penile size measured preoperatively and erect postoperatively. The potential complications, risks, benefits, and alternatives, including no surgery, will be discussed with you at length before proceeding with any procedure. Importantly, the use of bipolar electrocautery has been also significantly limited only to obtain pinpoint hemostasis on the penile shaft and not used at all on the skin or dartos side of the dissection. This is also reflected in the change from the infrapubic to lateral scrotal approach, which not only offers an improved cosmetic result but also appears to demonstrate superior clinical safety outcomes. Our infection rate was 3%, which is comparable to what has been reported by other centers.3,6 Of note, the majority of infections occurred at the beginning of the surgeon’s experience, suggesting improvement with the expected learning curve as well as ongoing adaptations to the intraoperative medication protocol. Our data on one surgeon’s experience with postoperative complications over the course of 3 years are like what has been previously published.3,6 Although our seroma rate of 12% is higher than the 5% previously described,3 all seromas resolved with drainage (1–3 times) in the office with no instances of infection. 63% were satisfied or very satisfied with their ability to climax prior to surgery compared to 71% after surgery. By carefully considering these factors, you can make an informed decision and find the best penile implant surgeon near you. The visible improvements achieved by these patients are a testament to the success of this procedure in enhancing both physical and emotional well-being. Penile implant surgery offers a long-term solution for individuals who have struggled with sexual dysfunction. The capsule can add additional girth that provides a protective layer over the sutures, which can help with the durability of the implant and help create a more natural feel to the touch. The Himplant® surgery can be performed usually weeks after the circumcision, or upon complete healing of the skin. Due to these safety concerns, uncircumcised men must undergo circumcision prior to the Himplant® procedure. Patient stories highlight the potential benefits of penile surgery, particularly for treating ED. Selecting a board-certified surgeon with extensive experience in penile surgery is critical. Before any penile surgery, a thorough consultation with a qualified surgeon is essential. If ED is your primary concern, explore both surgical implants and less invasive options like medication. The penis may look shorter after the procedure due to the fact the girth has increased, and the perception of the length has changed. Some patients have reported both increased and decreased sensitivity. Himplant®, developer of the FDA‑cleared penile implant for cosmetic enhancement, today announced the launch of Himplant POV App, an AI‑powered mobile ... Patients must meet the age requirement and must be circumcised before receiving the implant. Most importantly, alcohol can decrease the efficacy of the medications prescribed to achieve optimal recovery and may cause further complications. Consumption of alcohol is generally not recommended during the recovery period following a medical procedure. The formation of the capsule can help the aesthetic result of the procedure. At ACIBADEM Healthcare Group, we are committed to healthcare excellence and providing world-class healthcare services to our patients.Our patient population had minimal comorbidities (5% hyperlipidemia, 2% smokers, 2% cardiovascular disease, and 1% diabetes).At our center, surgeons who specialize in genital aesthetics often will perform girth enlargement first via our ENDURAFIL dermal filler.A 60-year-old man with a history of prostate cancer underwent RP in 2009 and presented to our clinic in 2019 for penile enhancement.This is a single-center case series discussing the outcomes of Himplant® placement in four patients with post-RP ED who sought cosmetic enhancement of the penis.The desire for a larger penis is common, fueled by societal pressures and unrealistic expectations.Unlike fat injections, penile filler gains maintain volume and feel natural long-term. We performed a retrospective analysis of men undergoing penile silicone sleeve implants between November 2020 and November 2022 with four surgeons, each from a separate institution. They primarily treat erectile dysfunction (ED) by delivering medication that increases blood flow for a temporary erection. Penile injections are not a method for permanent penis enlargement. Consulting a qualified urologist is essential for anyone considering penis enlargement. Focusing on a fulfilling sex life rather than solely on size can lead to greater satisfaction. The degree of girth enhancement possible depends on factors like your chosen technique and number of treatments. After processing, a surgical team strategically re-injects these fat cells under the penile skin. Men with a past history of erectile dysfunction can sometimes have mild-to-moderate scar tissue build up inside the penis. Some men naturally have more “dense” penile tissue and more superficial vessels that increase visible width. Just like height or shoe size, the natural girth someone is born with varies. In those who had an IPP, the measurement was performed after full inflation of the device. Penile circumference was measured with a tape at the base of the penile shaft. The first measurement was performed under spinal or general anaesthesia prior to surgery. Moreover, none required additional ED treatments, including oral PDE-5i, post-surgery. No long-term adverse effects were reported among the participants in follow-up as long as 55 months. Despite limited success with tadalafil (20 mg and 40 mg) and Trimix injections, he declined IPP and opted for Himplant® which was performed on November 15, 2022. Postoperatively, he resumed sexual activity within two months. These rates of complication are comparable to experiences in other esthetic procedures, such as breast and gluteal implant augmentation.7,8 There were no complications related to hypertrophic scarring or changes in erectile, orgasmic, or ejaculatory function. Preoperative imaging shows persistent flaring of the penile silicone sleeve at the coronal sulcus (a and b), and postoperative imaging shows surgically corrected flaring (c–e). You will need to wear a compressive garment called a UroWrap during any strenuous exercise for six months after your Himplant placement. You should take your prescription medications as directed to prevent complications and minimize discomfort. Following surgery you will need to have someone drive you home and initially help care for you. Your doctor will advise you if there are any medications you should stop taking before the procedure. Clearly the perfect study would involve measuring men in full erection before they had ED, but this would be virtually impossible as it would mean predicting men who would need penile implants years in the future. Stretched flaccid penile measurements were performed immediately before the surgery under anaesthesia and then at 1 and 6 months after the implant operation. 5% of patients reported of being dissatisfied with length or girth postoperatively 14. In this section, we will provide a comprehensive overview of the penile implant process. By sharing these testimonials, we aim to provide firsthand insights into the emotional and physical benefits of penile implants. These personal stories serve as powerful evidence of the positive impact of penile implants, both on individuals and their relationships. By examining different patient cases, we aim to showcase the range of results that can be achieved and help individuals make informed decisions about their own journey to penile enhancement. Of course, if a surgeon is happy with penis size but the patient is not the operation is hardly an unqualified success. Despite the absence of statistically significant length changes, 71% of patients had subjective penile length shortening although only 43% had an objective reduction. Despite being a recognised problem, there are only two papers concentrating on penile length after implant surgery. They mentioned that 8% of the patients were dissatisfied; among the reasons included insufficient rigidity and penile length for normal intercourse13. Reasons for patients’ complaints included postoperative penile shortening in 60 (30%) cases and poor glandular engorgement in 40 (20%) cases. Fortunately, patients should expect complete preservation of erectile function following penile enlargement with Himplant in Miami. Dr. De Fazio will assess your penis at the time of surgery to determine the perfect penile implant size (Large, Extra Large, or Extra Extra Large) to achieve a careful balance between maximum size and a natural appearance. The implant is composed of a soft, silicone sheath that is surgically inserted under the penile skin to provide an impressive and immediate increase in penis size. All participants were informed that they were part of a research study on the outcomes of the Penuma implant procedure prior to the surgery, and this was rediscussed at the time of consenting to take postsurgical survey.