{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T10:15:54Z","timestamp":1753438554636},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":409,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,11,21]],"date-time":"2021-11-21T00:00:00Z","timestamp":1637452800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T00:00:00Z","timestamp":1633996800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["smoa.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Over the years, scattered cases of acquired penile girth increase have been published with different terms, the common clinical feature being a mechanically hampered penetration.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To search for all published cases of acquired penile girth increase, and to propose a geometrically-based reduction corporoplasty.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A case of acquired penile bilateral albuginea herniation prompted us to a PubMed, EMBASE and Google Scholar literature review from 1970 to 2021, in search for similar conditions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure<\/jats:title>\n                  <jats:p>We identified 7 cases of acquired penile girth increase; the geometric approach used to surgically correct bilateral corporal herniation proved successful in our case.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In 5 of the 7 cases of acquired penile girth increase, priapistic episodes were deemed the causal factor; in the remaining 2 and in ours, a clear etiology could not be identified.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>\u201cCircumferential acquired macropenis\u201d describes the unusual syndrome of acquired penile girth increase, that encompasses 2 distinct etiologies: post-priapistic cases, characterized by penile girth increase both in flaccidity and erection, and idiopathic cases, characterized by girth increase in erection only, and at surgery by a thinned albuginea in the affected area.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.esxm.2021.100460","type":"journal-article","created":{"date-parts":[[2021,11,21]],"date-time":"2021-11-21T20:26:42Z","timestamp":1637526402000},"page":"100460-100460","update-policy":"http:\/\/dx.doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Circumferential Acquired Macropenis: Definition, Literature Review and Proposal of Geometrically-Based Reduction Corporoplasty"],"prefix":"10.1093","volume":"10","author":[{"given":"Edoardo Stefano","family":"Pescatori","sequence":"first","affiliation":[{"name":"Servizio di Andrologia \u00a0 , Modena , Italy"},{"name":"Hesperia Hospital \u00a0 , Modena , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Drei","sequence":"additional","affiliation":[{"name":"Servizio di Andrologia \u00a0 , Modena , Italy"},{"name":"Hesperia Hospital \u00a0 , Modena , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Rabito","sequence":"additional","affiliation":[{"name":"UO Urologia \u00a0 , Modena , Italy"},{"name":"Hesperia Hospital \u00a0 , Modena , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,11,21]]},"reference":[{"key":"2023012008295260100_bib1","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/S0022-5347(01)67703-6","article-title":"Spontaneous corporeal herniation of the penis: a new abnormality of the tunica albuginea?","volume":"153","author":"Watson","year":"1995","journal-title":"J Urol"},{"key":"2023012008295260100_bib2","doi-asserted-by":"crossref","DOI":"10.1016\/j.jsxm.2016.03.182","article-title":"Reduction corporoplasty for aneurysmal corporal dilatation. Is it safe or feasible?","volume":"13","author":"Dockray","year":"2016","journal-title":"J Sex Med"},{"key":"2023012008295260100_bib3","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1111\/bju.14602","article-title":"Penile traction therapy with the new device 'Penimaster PRO' is effective and safe in the stable phase of Peyronie's disease: a controlled multicentre study","volume":"123","author":"Moncada","year":"2019","journal-title":"BJU Int"},{"key":"2023012008295260100_bib4","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1016\/S0022-5347(17)58582-1","article-title":"Megalophallus in sickle cell disease","volume":"117","author":"Datta","year":"1977","journal-title":"J Urol"},{"key":"2023012008295260100_bib5","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/S0090-4295(00)00651-8","article-title":"Megalophallus as a sequela of priapism in sickle cell anemia: use of blood oxygen level-dependent magnetic resonance imaging","volume":"56","author":"Kassim","year":"2000","journal-title":"Urology"},{"key":"2023012008295260100_bib6","doi-asserted-by":"crossref","first-page":"2552","DOI":"10.1016\/S0022-5347(05)64201-2","article-title":"Treatment of recurrent idiopathic priapism with oral baclofen","volume":"168","author":"Rourke","year":"2002","journal-title":"J Urol"},{"key":"2023012008295260100_bib7","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1111\/jsm.12767","article-title":"The reduction corporoplasty: The answer to the improbable urologic question \u201cCan you make my penis smaller?\u201d","volume":"12","author":"Martinez","year":"2015","journal-title":"J Sex Med"},{"issue":"s1","key":"2023012008295260100_bib8","article-title":"Reduction phalloplasty and penile prosthesis implantation in a case of megalophallus as a consequence of neglected priapism","volume":"1","author":"Kattan","year":"2004","journal-title":"J Sex Med"},{"key":"2023012008295260100_bib9","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/S0090-4295(97)00238-0","article-title":"The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction","volume":"49","author":"Rosen","year":"1997","journal-title":"Urology"},{"key":"2023012008295260100_bib10","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1111\/bju.13010","article-title":"Am I normal? A systematic review and construction of nomograms for flaccid and erect penis length and circumference in up to 15,521 men","volume":"115","author":"Veale","year":"2015","journal-title":"BJU Int"},{"key":"2023012008295260100_bib11","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1016\/j.jsxm.2017.09.012","article-title":"How big is too big? The girth of bestselling insertive sex toys to guide maximal neophallus dimensions","volume":"14","author":"Isaacson","year":"2017","journal-title":"J Sex Med"}],"container-title":["Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2050116121001409?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2050116121001409?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/smoa\/article-pdf\/10\/1\/100460\/48792591\/smoa_10_1_100460.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/smoa\/article-pdf\/10\/1\/100460\/48792591\/smoa_10_1_100460.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T08:35:00Z","timestamp":1674203700000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/smoa\/article\/10\/1\/100460\/6956795"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,21]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,2,1]]}},"URL":"https:\/\/doi.org\/10.1016\/j.esxm.2021.100460","relation":{},"ISSN":["2050-1161"],"issn-type":[{"value":"2050-1161","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,2]]},"published":{"date-parts":[[2021,11,21]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Circumferential Acquired Macropenis: Definition, Literature Review and Proposal of Geometrically-Based Reduction Corporoplasty","name":"articletitle","label":"Article Title"},{"value":"Sexual Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.esxm.2021.100460","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2021 The Authors. Published by Elsevier Inc. on behalf of the International Society for Sexual Medicine.","name":"copyright","label":"Copyright"}]}}