Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Jun;11(2):169-73.
doi: 10.1016/j.aju.2013.02.001. Epub 2013 Mar 22.

The use of an acellular collagen matrix in penile augmentation: A pilot study in Saudi Arabia

Alaa A Tealab  1 , Aref M Maarouf  2 , Mohamed Habous  3 , David J Ralph  4 , Safwat Abohashem  2
Affiliations

The use of an acellular collagen matrix in penile augmentation: A pilot study in Saudi Arabia

Alaa A Tealab et al. Arab J Urol. 2013 Jun.

Abstract

Objectives: To assess the use of an acellular collagen matrix (Pelvicol, Bard Medical, Covington, GA, USA), a successful agent for reconstructive surgery, for enhancing penile girth.

Patients and methods: Between June and December 2011, 18 patients (mean age 24 years, range 19-38) had their penis augmented with Pelvicol; the mean (range) penile circumference was 9.2 (7-13) cm before treatment. They were divided into two groups; the first (10 patients) had a Pelvicol sheet of 8 × 12 cm inserted through a V-Y suprapubic incision and wrapped around the shaft in a bilayer under the dartos fascia, but not covering the urethra, with division of the suspensory ligament. The second group of eight patients had the Pelvicol inserted through a subcoronal degloving incision and placed in one layer. The penile circumference was measured at 6 and 12 months after surgery. Patient satisfaction at 1 year after surgery was assessed as 'poor', 'unsatisfied', 'moderately satisfied', 'highly satisfied', or 'excellent'.

Results: The mean (range) increase in girth (circumference) was 2.8 (2-3.2) cm in group 1 and 1.7 (1.2-2) cm in group 2. In group 1, two patients were highly satisfied, four moderately satisfied and four unsatisfied; in group 2, three were moderately satisfied and five unsatisfied. Complications were common in both groups, with five patients in group 1 and three in group 2 developing severe penile oedema and ischaemic shaft ulcers. Removal of the graft was required in two patients in each group.

Conclusion: This pilot study shows that Pelvicol is not an ideal option for enhancing penile girth, and the method of placement did not apparently influence the result.

Keywords: Collagen matrix; Dysmorphophobia; Penile augmentation.

PubMed Disclaimer

Figures

Figure 1
Figure 1
A, B. Surgical wound infection with a subcutaneous purulent collection and infection of the graft; this patient required immediate surgical exploration and removal of the infected graft.
Figure 2
Figure 2
Superficial wound dehiscence at the level of the subcoronal incision; this patient was managed conservatively with broad-spectrum antibiotics.
None
See this image and copyright information in PMC

References

    1. Yoram V.A., Yaron H.B., Tamir G.B., Ilan G.A.A. Critical analysis of penile enhancement procedures for patients with normal penile size. Surgical techniques, success, and complications. Eur Urol. 2008;54:1042–1050. - PubMed
    1. Alei G., Letizia P., Ricottilli F., Simone P., Alei L., Massoni F. Original technique for penile girth augmentation through porcine dermal acellular grafts: results in a 69-patient series. J Sex Med. 2012;9:1945–1953. - PubMed
    1. Austoni E., Guarneri A., Cazzaniga A. A new technique for augmentation phalloplasty. Albugineal surgery with bilateral saphenous grafts – Three years of experience. Eur Urol. 2002;42:245–253. - PubMed
    1. Alter J.G. Augmentation phalloplasty. Urol Clin North Am. 1995;22:887–902. - PubMed
    1. Alter J.G. Penile enlargement surgery. Tech Urol. 1998;4:70–76. - PubMed

LinkOut - more resources