Nam Cheol Park Sae Woong Kim Du Geon Moon Editors. Penile Augmentation

Transcription

1 Penile Augmentation

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3 Nam Cheol Park Sae Woong Kim Du Geon Moon Editors Penile Augmentation

4 Editors Nam Cheol Park Pusan National University Hospital Busan South Korea Du Geon Moon Korea University Guro Hospital Seoul South Korea Sae Woong Kim Seoul St. Mary s Hospital Seoul South Korea ISBN DOI / ISBN (ebook) Library of Congress Control Number: Springer Heidelberg New York Dordrecht London Springer-Verlag Berlin Heidelberg 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag GmbH Berlin Heidelberg is part of Springer Science+Business Media (

5 Foreword Penile augmentation is an important part of penile surgery, in which nomenclature is variable like augmentation penoplasty, enhancement phalloplasty, penile lengthening and augmentation surgery, penile lengthening and girth enhancement, and penile lengthening and thickening surgery. Surgical techniques for penile augmentation have evolved continuously on the aspect of the medical demand and supply caused by men s desire to prefer larger penis as well as various social and cultural background. There are some controversies about the rationality because the surgical indication and standardization of surgical techniques have not yet been confirmed except the limited clinical situations including micropenis, concealed penis and acquired short penis due to injury or iatrogenic causes. Nevertheless, the clinical necessity of penile augmentation is beginning to be accepted like aesthetic surgery for women as the opposition theory. Penile augmentation is mainly performed by girth enhancement and lengthening. Several new techniques and modifications for penile augmentation have been introduced in the world literatures. The techniques for penile girth enhancement are consist of synthetic material injection or implantation; tissue autograft using fat, dermis or fascia; heterogenous tissue graft; and tissue engineering. The techniques for penile lengthening are consist of skin reconstruction, liposuction, ligament release and glans advancement. Finally, as a point not to be lazy, whether or not to receive the surgical procedure for penile augmentation or what surgical procedure to choose should be cautiously decided with preoperative counselling, psychological evaluation as well as neutralization of patient s overcharged expectation to surgical results. Patients with pyschologic problem like acute dysmorphic personality, dysmorphophobia, body dysmorphic disorder, locker room syndrome, body builder shower syndrome or sexual vanity syndrome should be obviously avoided to choose the surgical option. This textbook will not only introduce recent advances in the field of penile augmentation surgery but also review the bright as well as the dark side of the surgery. Obviously scientific contents of this textbook will be a great guide in clinical practice for all who are involved or interested in the penile augmentation procedure. Busan, South Korea Nam Cheol Park, MD, PhD Editor in Chief v

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7 Contents Part I General Perspective 1 Introduction Nam Cheol Park 2 History and Cultural Perspective Won Whe Kim 3 Penis Anatomy Kwangsung Park 4 Patient Selection and Counseling Ju Tae Seo and Jin Ho Choe 5 Psychosocial Perspectives on Penile Size Gahyun Youn 6 Preoperative Preparation, Postoperative Care, and Complication Management Jun Hyuk Hong Part II Penile Girth Enhancement 7 General Conception of Penile Girth Enhancement Sae Woong Kim and Mariano Rosselló Gayá 8 Penile Girth Enhancement with Dermofat Graft Nam Cheol Park 9 Penile Girth Enhancement with Autologous Fat Transfer Seung Wook Lee and Woong Hee Lee 10 Classification of Soft Tissue Filler Won Ki Lee and Dae Yul Yang 11 Penile Girth Enhancement with Allograft Gyung-woo Jung 12 Penile Girth Enhancement with Xenograft Joon Yong Kim vii

8 viii Contents 13 Penile Girth Enhancement with Injectable HA Gel Du Geon Moon and Tae Il Kwak 14 Silicone Implantation Jae Seog Hyun 15 Artificial Oil Injection: Complication and Management Jong Kwan Park and Yu Seob Shin Part III Penile Lengthening 16 General Conception of Penile Lengthening Sung Won Lee and Jung Jun Kim 17 Penile Lengthening with Ligament Release and V Y Advancement Flap Woo Sik Chung and Joon Yong Kim 18 Penile Lengthening: Z-Plasty Ki Hak Moon 19 Penile Disassembly and Glans Detachment Jin-Hong Kim 20 Penile Traction Therapy (Penile Lengthening Device) Kweon Sik Min Part IV Glans Penis Augmentation 21 General Principles of GA Du Geon Moon 22 Glans Penis Augmentation by Filler Du Geon Moon and Tae Il Kwak Part V Regenerative and Reconstructive Techniques 23 Regenerative Medicine Approaches to Repair Penile Structure and Function J. Koudy Williams, Ashley Jane Dean, and James J. Yoo 24 Modified Tissue Engineering Technique in Penile Augmentation using PLGA Scaffold Zhong Cheng Xin 25 Modified Tissue Engineering Techniques Using Stem Cells Heung Jae Park and Kyung Hyun Moon 26 Penile Reconstruction in Peyronie s Disease Ji-Kan Ryu and Jun-Kyu Suh 27 Penile Reconstruction of Amputated Penis Alexander de Heinrich, Paul I. Heidekrueger, and Milomir Ninkovic

9 Contents ix Part VI Pediatric Surgery 28 Pediatric Perspective: Inconspicuous Penis Sang Don Lee 29 Webbed Penis Kang Su Cho 30 Correction of Congenital Buried Penis Seung Hyo Woo 31 Penoscrotal Transposition Hyun Jun Park

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11 Contributors Kang Su Cho Department of Urology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, South Korea Jin Ho Choe Department of Urology, Cheil General Hospital, Dankook University College of Medicine, Seoul, South Korea Woo Sik Chung, MD, PhD Department of Urology, Ewha Womans University School of Medicine, Seoul, South Korea Alexander de Heinrich, MD Department of Plastic, Reconstructive, Hand and Burn Surgery, StKM, Klinikum Bogenhausen, Academic Teaching Hospital Technical University Munich, Munich, Germany Ashley Jane Dean, BS, MBA (USA) Wake Forest Institute for Regenerative Medicine, Wake Forest Medical School, Winston-Salem, NC, USA Mariano Rosselló Gayá, MD Andrologist Department of Andrology and Sexual Medicine of Center of Urology, Andrology and Sexual Medicine, Palma de Mallorca, Mallorca, Spain Paul I. Heidekrueger, MD Department of Plastic, Reconstructive, Hand and Burn Surgery, StKM, Klinikum Bogenhausen, Academic Teaching Hospital Technical University Munich, Munich, Germany Jun Hyuk Hong, MD, PhD Department of Urology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea Jae Seog Hyun, MD, PhD Department of Urology, Gyeongsang National University Hospital, Jinju, South Korea Gyung-woo Jung, MD, PhD Department of Urology, Smile Jung s Urology Clinic, Sentum Tower Medical Center, Busan, South Korea Jin-Hong Kim, MD, PhD Department of Urology, Saint Genitourinary Reconstructive Surgery Clinic, Seoul, South Korea Joon Yong Kim, MD, PhD Department of Medicine, Philip and Paul Medical Group, Seoul, South Korea Jung Jun Kim Department of Urology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, South Korea xi

12 xii Contributors Sae Woong Kim, MD, PhD Department of Urology, The Catholic University of Korea, College of Medicine, Seoul, South Korea Won Whe Kim, MD, PhD Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Busan, South Korea Tae Il Kwak Department of Urology, Korea University College of Medicine, Guro Hospital, Seoul, South Korea Sang Don Lee, MD, PhD Department of Urology, Pusan National University School of Medicine, and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, South Korea Seung Wook Lee, MD, PhD Department of Urology, Hanyang University School of Medicine, Hanyang University Guri Medical Center, Guri, South Korea Sung Won Lee, MD, PhD Department of Urology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, South Korea Won Ki Lee Department of Urology, Chuncheon Sacred Heart Hospital, Hallym University School of Medicine, Chuncheon, South Korea Woong Hee Lee Department of Urology, LJ Genitourinary Surgery Institute, Seoul, South Korea Kweon Sik Min, MD, PhD Department of Urology, Inje University Busan Paik Hospital, Busan, South Korea Du Geon Moon, MD, PhD Department of Urology, Korea University College of Medicine, Guro Hospital, Seoul, South Korea Ki Hak Moon, MD, PhD Department of Urology, Yeungnam University, School of Medicine, Daegu, South Korea Kyung Hyun Moon Department of Urology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea Milomir Ninkovic, MD, PhD Department of Plastic, Reconstructive, Hand and Burn Surgery, StKM, Klinikum Bogenhausen, Academic Teaching Hospital Technical University Munich, Munich, Germany Heung Jae Park, MD, PhD Department of Urology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea Hyun Jun Park, MD, PhD Department of Urology, Pusan National University School of Medicine, Busan, South Korea Jong Kwan Park, MD, PhD Department of Urology, Chonbuk National University Medical School, Jeonju, South Korea Kwangsung Park, MD, PhD Department of Urology, Chonnam National University School of Medicine, Gwangju, South Korea

13 Contributors xiii Nam Cheol Park, MD, PhD Department of Urology, Pusan National University, School of Medicine, Busan, South Korea Ji-Kan Ryu, MD, PhD Department of Urology, National Research Center for Sexual Medicine, Inha Research Institute for Medical Sciences, Inha University School of Medicine, Incheon, South Korea Ju Tae Seo, MD, PhD Department of Urology, Cheil General Hospital, Dankook University College of Medicine, Seoul, South Korea Yu Seob Shin, MD Department of Urology, Chonbuk National University Medical School, Jeonju, South Korea Jun-Kyu Suh Department of Urology, National Research Center for Sexual Medicine, Inha University School of Medicine, Incheon, South Korea J. Koudy Williams, DVM (USA) Wake Forest Institute for Regenerative Medicine, Wake Forest Medical School, Winston-Salem, NC, USA Seung Hyo Woo, MD, PhD Department of Urology, Chungbuk University School of Medicine, Eulji University Hospital, Daejeon, South Korea Zhong Cheng Xin, MD, PhD Andrology Center, Peking University First Hospital, Peking University, Beijing, China Dae Yul Yang, MD, PhD Department of Urology, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, Seoul, South Korea James J. Yoo, PhD, MD, (USA) Wake Forest Institute for Regenerative Medicine, Wake Forest Medical School, Winston-Salem, NC, USA Ga Hyun Youn, PhD, Professor Department of Psychology, Chonnam National University School of Medicine, Gwangju, South Korea