Abstract: Efficacy and Safety of Penile Girth Enhancement by Two-Stage Autologous Fat Injection (TAFI) Operation (Plastic Surgery 2012)

Saturday, October 27, 2012: 11:00 AM

Dong Hyuk Kang, MD , Department of Urology, Hanyang University College of Medicine, Seoul, South Korea

Joo Yong Lee, MD , Department of Urology, Hanyang University College of Medicine, Seoul, South Korea

Jae Hoon Chung, MD , Department of Urology, Hanyang University College of Medicine, Seoul, South Korea

Jung Ki Jo, MD , Department of Urology, Hanyang University College of Medicine, Seoul, South Korea

Yong Jin Kim, MD , Gilman Urology Clinic, Seoul, South Korea

Haeng Nam Lee, MD , Gilman Urology Clinic, Seoul, South Korea

Seung Hoon Cho, MD , Gilman Urology Clinic, Seoul, South Korea

Taek Hee Chang, MD , Gilman Urology Clinic, Seoul, South Korea

Seung Wook Lee, MD , Department of Urology, Hanyang University College of Medicine, Seoul, South Korea

Presentation PDF file

Efficacy and Safety of Penile Girth Enhancement by

Two-stage Autologous Fat Injection (TAFI) operation

Introduction and Objective: To investigate the efficacy and safety of penile girth enhancement (PGE) by two-stage autologous fat injection (TAFI) operation in male patients with thin penises.

Methods: This study was conducted on 46 patients with small penile circumference who underwent TAFI operation from April 2009 to September 2010 and were followed up for more than 12 months. Patients in whom the mean thickness of the proximal 1/3 of the penis and of the distal 1/3 of the penis (G1) АТ 7.4cm were selected as subjects. TAFI operation consists of 2-stages. After thigh and/or abdominal fat suction, fat was evenly injected into the Colles' fascia (first stage). 3 months later, we thawed out the remnant frozen fat and reinjected into the Colles' fascia (second stage). The patients' ages and operation times were analyzed. The G1, stretched (L1), and flaccid length (L2) were compared between before the surgery and 3, 6 and 12 months after the first stage surgery. 5-item version of the International Index of Erectile Function (IIEF-5) were compared between before the surgery and 3 and 12 months after the surgery. Postoperative complications were surveyed.

Results: The mean patients' age was 39.4 (range, 22-55) years, and the mean operative time was 41.7 (31-49) minutes at first and 17.5 (15-20) minutes at second stage. The mean injected fat volume was 39.4 (22-50) cc at first stage, 32.1 (20-42) cc at second stage. The preoperative, postoperative 3, 6 and 12 months G1 were 7.02Б0.39, 9.26Б0.82, 10.71Б0.87 and 10.68Б0.85cm, respectively (Figure 1). The L1 and L2 were not significantly different between before the surgery and 3 and 12 months after the surgery. The IIEF-5 was 19.59Б3.61 before the surgery, 20.30Б3.32 and 20.87Б3.53 at 3 and 12 months after the surgery (P = 0.040, 3 months; P = 0.003, 12 months; P = 0.014, 3 months vs 12 months). In terms of postoperative complications, only nodular fat was observed in two cases (4.3%) at 12 months after surgery.

Conclusions: TAFI operation for PGE in male patients with thin penises were effective and safe without postoperative major complications.

20751 Efficacy and Safety of Penile Girth Enhancement by Two-Stage Autologous Fat Injection (TAFI) Operation