Resumen

Objectives: This presentation aims to educate practitioners on the modern approach to penile enlargement using dermal fillers, based on over 2,000 clinical cases. Learning outcomes include mastering safe and effective injection techniques, choosing the appropriate filler, managing and preventing complications, understanding when to decline treatment, and applying psychological assessment tools to ensure ethical and successful outcomes for patients. Introduction: Penile augmentation has long been surrounded by controversy, misinformation, and inconsistent outcomes. This lecture will briefly review historical and surgical methods, before focusing on the rise of non-surgical augmentation using dermal fillers. As demand grows globally, evidence-based, minimally invasive approaches such as fillers are becoming the gold standard. Our experience offers unique insight into best practices and patient satisfaction. Materials / method: A retrospective review of 2,000 penile augmentation procedures using hyaluronic acid and other CE-approved dermal fillers was conducted. A structured clinical protocol included patient screening, informed consent, psychological evaluation, procedural technique, and aftercare. Various filler types, volumes, injection planes, and cannula vs. needle techniques were compared to determine best practices and complication trends. Results: High patient satisfaction was observed, with average girth increase maintained over 12–18 months depending on filler type. Common side effects were mild and self-limiting, such as swelling or bruising. Less common complications (e.g. nodules, asymmetry, migration) were successfully managed with massage, hyaluronidase, or minor revisions. Psychological screening helped prevent dissatisfaction and reduced medico-legal risks significantly. Conclusion: Penile augmentation with dermal fillers has proven to be a safe, effective, and repeatable non-surgical procedure when performed under strict medical protocols. The key to success lies in proper patient assessment, choosing the right product, precise injection technique, and post-care monitoring. Ethical considerations and realistic expectation-setting are paramount. Our extensive case experience reinforces the value of this method in modern aesthetic urology.