Penile length restoration

Warning! This video contains highly graphic scenes of surgery.

Penile length restoration is a procedure that can be offered to selected patients simultaneously with penile prosthesis implantation.

It involves disassembling the penis into its components and restoring the length of the penis by dividing in a circumferential fashion the scarred corpora cavernosa. This will create a defect in the tunica that needs to be repaired with a graft.

This operation is very complex and allows restoring an average of 2 to 3 cm of penile length. It is called penile length restoration, as it can help to restore some of the penile length loss due to scarring, Peyronie’s Disease, priapism or trauma. This procedure does not allow gaining any extra length in patients who have not experienced penile shortening.

Even when performed by an experienced, large volume surgeon, complications are significantly higher than penile prosthesis implantation alone and are usually more severe.

This procedure should be therefore offered only to patients who have experienced such a significant loss of length to render penetrative sexual intercourse difficult or prohibitive.

Further details regarding this procedure can be found in the present article, where Mr Garaffa is one of the Authors.

BJU Int. 2016 May;117(5):814-20. doi: 10.1111/bju.13371. 
A prospective multicentric international study on the surgical outcomes and patients' satisfaction rates of the 'sliding' technique for end-stage Peyronie's  disease with severe shortening of the penis and erectile dysfunction.  Rolle L(1), Falcone M(1,)(2), Ceruti C(1), Timpano M(1), Sedigh O(1), Ralph DJ(2), Kuehhas F(3), Oderda M(1), Preto M(1), Sibona M(1), Gillo A(1), Garaffa G(2), Gontero P(1), Frea B(1).
http://www.ncbi.nlm.nih.gov/pubmed/26688436

BJU Int. 2013 Nov;112(7):1035-45​
Loreto C, Garaffa G, Dijnovic R, Barbagli G, Villa M, Sansalone S. Penile
disassembly: anatomical surgical steps. 
http://www.ncbi.nlm.nih.gov/pubmed/24118959

J Sex Med. 2012 Jul;9(7):1937-44
Sansalone S, Garaffa G, Djinovic R, Antonini G, Vespasiani G, Ieria FP, Cimino
S, Loreto C, Ralph DJ. Simultaneous total corporal reconstruction and
implantation of a penile prosthesis in patients with erectile dysfunction and
severe fibrosis of the corpora cavernosa. 
http://www.ncbi.nlm.nih.gov/pubmed/22672346

J Sex Med. 2012 Jan;9(1):316-21
Sansalone S, Garaffa G, Djinovic R, Egydio P, Vespasiani G, Miano R, Loreto C,
Ralph DJ. Simultaneous penile lengthening and penile prosthesis implantation in
patients with Peyronie's disease, refractory erectile dysfunction, and severe
penile shortening. 
http://www.ncbi.nlm.nih.gov/pubmed/22023552

Why Choose Giulio

Giulio is a veteran surgeon with 15 years of experience in the field of Andrology and Reconstruction. He is also one of the largest penile prosthesis implanters in Europe, as well as the surgeon who performs the largest number of procedures for the correction of complex cases of Peyronie's disease. He has been invited to lecture and perform surgery in 21 different countries, in 6 different continents.

130

Penile prosthesis implants last year

300

Complex Andrological procedures every year

700

Phalloplasties over his career