(102) Complications of the Penuma Penile Implant for Genital Enhancement

Abstract Introduction The Penuma penile implant (PPI) is a subcutaneous silicone intended to increase length and girth. Only one case report series of four patients have been published on the complications PPIs. Objective To single center experience treating PPI both prior after removal. Methods Patients with history surgery treated at our were identified between 2012 2022. Demographic data, date, leading explant, postoperative course, functional outcomes recorded. Our protocol wait 6 months explant scar excision (SE)/revision should disabling capsular contraction develop. Results A total 13 evaluated institution. Median age time was 36 (26-54) years. median duration 3 (range days-33 months). Mean follow-up 21.6 months. most common complication distal lateral protrusion coronal margin causing patient partner discomfort which occurred in 8 patients. Other reasons for skin erosion, infection, decreased sensation, ventral curvature, shortening each occurring 1 patient. Adverse sensation changes 2 implant. Following 9 (69%) developed dorsal (62%) had shortening, (23%) infections, (15%) de novo changes, erectile dysfunction, (8%) right curvature. Curvature because capsule following explant. Of those (67%) underwent (SE), awaiting maturation SE, more considering SE has elected not undergo further surgery. In who severe scarring noted superficial neurovascular bundles. All undergone improvement curvature able erections. Conclusions cosmetic enhancement can be associated variety device Subsequent result managed successfully SE. Disclosure No