Outcomes of a Single Center's Initial Experience With the Penuma® Penile Implant

OBJECTIVE To provide new data, techniques, and safety and efficacy outcomes in patients undergoing Penuma penile implant surgery at a large tertiary care center.METHODS We performed a retrospective analysis of men undergoing Penuma implants between November 2020 and January 2022 with a single surgeon at a tertiary hospital. Measurements of penile length were made both pre- and postoperatively. Adverse events including infection and unsatisfactory cosmetic outcomes requiring revision were recorded. We also provide detailed technique descriptions of Penuma implantation and revision. Outcomes include measurements of incidents of peri and post-operative adverse events and penile length and girth pre- and post-operatively.RESULTS 49 male patients underwent Penuma implant surgery. Mean age was 40.2 & PLUSMN; 8.9 years. Mean BMI was 28.2 & PLUSMN; 4.5. All but 2 patients were nonsmokers and only 2 had comorbidities (diabetes). Preoperative mean flaccid length was 8.1 & PLUSMN; 1.9 cm. Postoperative mean length was 12.3 & PLUSMN; 1.9 cm. Patients added an average of 4.9 & PLUSMN; 2.9 cm to their penile length, a 52% increase (P < .01). Average follow up time was 6 months. Among the complications were 1 case of infection and 2 cases of erosion. There were 4 cases of persistent flaring of the Penuma; 3 required revision surgery, all with a good cosmetic outcome.CONCLUSION The Penuma implant can be used to safely enhance flaccid penile length and girth in patients with retractile penis or other cosmetic deformities. Should complications occur, they are mainly cosmetic and can be easily corrected with low risk. UROLOGY 171: 236-243, 2023.& COPY; 2022 Elsevier Inc.