Abstract

Objectives: This study aimed to describe a penile girth augmentation technique using hyaluronic acid (HA) filler Introduction: The small penis syndrome (SPS) is identified by feelings of dissatisfaction despite having a normal-sized penis. Given the widespread perception of the penis as a symbol of masculinity and sexual prowess, its size holds significant importance for many men, affecting both their psychological and physical well-being. Notably, individuals seeking penile girth enhancement procedures often exhibit dissatisfaction despite having a normal-sized penis. Materials / method: Men dissatisfied with their penis size and who sought consultation at the andrology outpatient clinic of the Escola Paulista de Medicina/Unifesp underwent psychological assessments to exclude reality judgment disorders. Precise measurements and photographs of the stretched flaccid penis length and girth were taken before and after the procedure. Results: Post- procedure satisfaction levels were assessed on a scale of 0 to 10. Eight men underwent penile girth enhancement with 10 mL of HA and were reevaluated after 30 days. Each procedure was performed by different physicians.The technique involved dividing the penis into six segments and injecting 1.5 mL of HA in each segment, totaling 9 mL. The remaining 1 mL was used to correct irregularities identified immediately after the procedure. Conclusion: This penile girth augmentation technique utilizing HA has demonstrated reproducibility, yielding high satisfaction rates among patients and demonstrating no significant adverse effects.