Supersizing the penis upon penile prosthesis implantation by Shaeer’s dorsal phalloplasty

Abstract

PurposeBoth the true and the visible penile lengths decrease following penile prosthesis implantation, leading to dissatisfaction in some patients. This study describes ‘Shaeer’s dorsal phalloplasty’ for increasing the visible length of the penis upon implantation. Patients and methodsPenile prosthesis was implanted in two patients with refractory erectile dysfunction and buried penis. During the procedure, a tacking suture was placed to approximate the pubic skin to the symphysis pubis, defining the penopubic junction. The video for the technique is available at the Video Journal of Prosthetic Urology. ResultsIntraoperatively, dorsal phalloplasty produced a 19% increase in the visible length of the erect penis in one patient (from 10.5 to 12.5 cm) and 12% increase in the other patient (from 12.5 to 14 cm). Postoperatively, both patients reported no change in length compared with before erectile dysfunction had set in and reported full satisfaction as measured on a five-point rating scale. ConclusionShaeer’s dorsal phalloplasty is a minimally invasive and effective method for revealing the penis and preserving length upon penile prosthesis implantation, as well as preserving self-impression of length. The initial results prove efficacy and warrant further evaluation in a larger case series.