What is it about?

This article details a surgical technique that "kills two birds with one stone." It combines the treatment of Erectile Dysfunction (ED) with physical penile reconstruction. The Problem: Many patients suffer from both ED (caused by venous leakage) and dissatisfaction with their penile size or curvature (dysmorphia). The Solution: The surgeon removes the "leaky" veins (Penile Venous Stripping) to restore erection capability. Instead of discarding these veins, they are used as "autologous grafts" (patches made of the patient's own tissue) to widen the penile tunica (the casing of the erection chambers). The Result: This creates a "Factual Penile Girth Enhancement" (FPGE)—a real structural increase in size—rather than just "camouflage" using fillers.

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Why is it important?

Natural & Safe: Unlike other methods that use artificial materials or "camouflage" techniques (which can cause a "camel's back" deformity or compromise erection quality), this method uses the patient's own body tissue. Long-Term Proven Results: Medical studies often lack long-term data. This study followed patients for an average of 5.3 years. Dual Benefit: It proves that you can fix the physiology (erection function) and the morphology (shape/size) in a single surgery. Patients saw significant improvements in erection hardness and penile dimensions.

Perspectives

The Patient's View: It offers a massive boost to self-esteem. The study noted that patients' self-esteem soared because the glans penis (head) was physiologically enlarged by at least 25%. The satisfaction rate was 81.3%. The Surgeon's View: It challenges the "controversial" view of penile augmentation. It establishes that "painstaking" microsurgery is required but yields sustainable, physiological results that superficial surgeries cannot match.

Professor Geng-Long Hsu
Microsurgical Potency Reconstruction and Research Center, Hsu’s Andrology

Read the Original

This page is a summary of: Long-Term Results of Autologous Venous Grafts for Penile Morphological Reconstruction, Journal of Andrology, September 2006, Wiley,
DOI: 10.2164/jandrol.106.000760.
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