14 March 2018

PLURYAL® CLASSIC IN PENILE AUGMENTATION, Dr Abbas KHADRA; PRIME Magazine °2-2018 ,VOL.8

Case Study directed by Dr Abbas KHADRA, Urologist and Andrologist, Beirut

 

Dr Abbas Khadra discusses the safety and efficacy of Pluryal® CLASSIC for penile enhancement.

OBJECTIVE

In recent years, physicians have begun to use fillers in penis augmentation procedures. Restylane Sub-Q has been established as safe and effective for penile girth enhancement1. The aim of this study is to evaluate the efficacy and safety of Pluryal® CLASSIC, a highly cross-linked hyaluronic acid, in penile enlargement.

 

PREMISE:  HYALURONIC ACID – THE FUTURE OF PENILE AUGMENTATION?

An increasing number of men are requesting penile augmentation procedures but are dissatisfied with the results. Surgical correction and the use of fat are popular methods, but surgical procedures require a general anesthetic, and complications such as fat migration, penile deformity and necrosis have been reported. Recent studies have shown that premature ejaculation can be treated by injecting hyaluronic acid (HA) into the glans penis*2,3. Now physicians have begun to use HA fillers for penile augmentation in general.

 

TEST AND RESULTS

► Study

10 men were enrolled in the study, with an average age of 34 (age range 29-47). None of the group had had any previous penile procedures.

Pluryal® CLASSIC was selected because of its high elasticity, ease of injection in the sub-dermal penile skin and ease of modeling.

A very high cross-linked product was deemed unsuitable as it has been shown to cause bumps in penile skin.

► Technique

The penis was thoroughly cleansed with aseptic solution, then a penile block carried out using 10ml of Lidocaine 2% for additional comfort.

10ml (10 syringes) of Pluryal® CLASSIC were injected via a TSK Steriglide 25g cannula of 50mm length sub-dermally into the penile shaft, through a single-entry point.

The filler was distributed uniformly all the way round, avoiding the uretha and dorsal vascular complex areas.

► Protocol

Before the procedure, all participants signed a consent form and photos of their penis were taken.

The men were asked to refrain from sexual activity for one week directly afterwards and to return in one month for a new set of photos and to complete a satisfaction questionnaire.

► Results

After one month, an objective assessment using photos and penis girth diameter measurements was carried out. 100% of men enrolled in the study gained a 2cm increase in penis girth and no complications were reported.

The subjective perception of the results obtained through a post-operative questionnaire conducted after 1 month showed that:

• 80% Increase in penile length
• 80% Increase in self-confidence and self-image
• 70% Increase in sexual performance
• 90% Would repeat the procedure
• 90% Would recommend to friends

►  Refer to the PDF file below for Before/ After Cases Pictures

 

CONCLUSION

PLURYAL® CLASSIC – SAFE AND EFFECTIVE, WITH HIGH PATIENT SATISFACTION

Male genital augmentation is in high demand and becoming an increasingly popular procedure. Fillers are an attractive choice as they can be used under local anesthesia in the physician’s practice, without any inconvenience. This study has demonstrated that Pluryal® CLASSIC is safe and effective in penile augmentation, and provides highly satisfactory results.

Study participants will be followed-up for a year to allow an assessment on durability of Pluryal® CLASSIC in the penis.

 

References

Glans penis augmentation using hyaluronic acid gel as an injectable filler. Moon et al; World J Mens Health. 2015 Aug; 33(2): 50-61.
Shaeer’s glans augmentation technique: a pilot study. Shaeer O; J Sex Med. 2012 Dec 9(12): 3264-9.
The effects of penile girth enhancement using injectable hyaluronic acid gel, a filler. Kwak et al; J Sex Med. 2011 Dec; 8(12): 3407-13.

 

DR ABBAS KHADRA, is a board certified urologist and andrologist. He completed his residency and subspecialty in the UK. He also completed further training in penile reconstruction and surgical correction of erectile dysfunction i.e. penile implant surgery. He has special interest in male and female genital rejuvenation.

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