In recent years, physicians have begun to use fillers in penis augmentation procedures. Restylane Sub-Q has been established as safe and effective for penile girth enhancement1. The aim of this study is to evaluate the efficacy and safety of Pluryal® CLASSIC, a highly cross-linked hyaluronic acid, in penile enlargement.
Premise: hyaluronic acid — the future of penile augmentation
An increasing number of men are requesting penile augmentation procedures but are dissatisfied with the results. Surgical correction and the use of fat are popular methods, but surgical procedures require a general anaesthetic, and complications such as fat migration, penile deformity and necrosis have been reported. Recent studies have shown that premature ejaculation can be treated by injecting hyaluronic acid (HA) into the glans penis2,3. Now physicians have begun to use HA fillers for penile augmentation in general.
Ten men were enrolled in the study, with an average age of 34 (age range 29–47). None of the group had had any previous penile procedures.
Pluryal® CLASSIC was selected because of its high elasticity, ease of injection in the sub-dermal penile skin and ease of modelling.
A very high cross-linked product was deemed unsuitable as it has been shown to cause bumps in penile skin.
The penis was thoroughly cleansed with aseptic solution, then a penile block carried out using 10ml of lidocaine 2% for additional comfort.
10ml (10 syringes) of Pluryal® CLASSIC were injected via a TSK Steriglide 25 g cannula of 50 mm length sub-dermally into the penile shaft, through a single-entry point.
The filler was distributed uniformly all the way round, avoiding the uretha and dorsal vascular complex areas.
Before the procedure, all participants signed a consent form and photos of their penis were taken.
The men were asked to refrain from sexual activity for 1 week directly afterwards and to return in 1 month for a new set of photos and to complete a satisfaction questionnaire.
After 1 month, an objective assessment using photos and penis girth diameter measurements was carried out. One hundred percent of men enrolled in the study gained a 2 cm increase in penis girth and no complications were reported.
The subjective perception of the results obtained through a post-operative questionnaire conducted after 1 month showed that:
- 80% Increase in penile length
- 80% Increase in self-confidence and self-image
- 70% Increase in sexual performance
- 90% Would repeat the procedure
- 90% Would recommend to friends.
Pluryal® CLASSIC — safe and effective, with high patient satisfaction
Male genital augmentation is in high demand and becoming an increasingly popular procedure. Fillers are an attractive choice as they can be used under local anaesthesia in the physician’s practice, without any inconvenience. This study has demonstrated that Pluryal® CLASSIC is safe and effective in penile augmentation, and provides highly satisfactory results.
- Glans penis augmentation using hyaluronic acid gel as an injectable filler. Moon et al; World J Mens Health. 2015 Aug; 33(2): 50-61
- Shaeer’s glans augmentation technique: a pilot study. Shaeer O; J Sex Med. 2012 Dec 9(12): 3264-9
- The effects of penile girth enhancement using injectable hyaluronic acid gel, a filler. Kwak et al; J Sex Med. 2011 Dec; 8(12): 3407-13