{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T18:19:54Z","timestamp":1788286794400,"version":"build-2803163510"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Long-term penile length data after inflatable penile prosthesis placement derive largely from small rehabilitation series. We evaluated long-term change in measured penile length and transverse width, potential predictors, and device use after primary implantation without a prescribed rehabilitation protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort analysis included 223 returning patients with a preoperative stretched-flaccid length, a fully inflated intraoperative placement-time length, and a fully inflated office length recorded at least 24\u00a0months after primary implantation. The primary outcome was the within-state placement-to-follow-up difference. Secondary analyses included the mixed-state difference from preoperative stretched-flaccid length, tape-measured mid-shaft width, exploratory predictors, device use, and prespecified subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean follow-up was 49.0\u00a0months and the mean age was 74.2\u00a0years. Long-term fully inflated length exceeded the fully inflated placement-time length by 1.28\u00a0cm (95% CI, 1.12-1.45; P\u2009&amp;lt;\u2009.0001). Using a pragmatic 0.5-cm descriptive threshold, 70.0% increased, 25.6% were stable, and 4.5% decreased. The 2.04-cm difference from preoperative stretched-flaccid length mixed different measurement states and was not interpreted as biological gain. Mean tape-measured mid-shaft width changed by 0.13\u00a0cm (95% CI, 0.08-0.17), but the method did not support mechanistic inference. In the complete 2021-2023 operative registry, 160 of 628 eligible implants (25.5%) were represented. Of 223 patients, 213 (95.5%) reported sexual activity at follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among patients who returned for long-term care, the measured fully inflated penile length was greater than the intraoperative placement-time value. The opportunistic and uncontrolled design, incomplete capture, rater-timepoint confounding, measurement limitations, and device-state differences preclude causal or mechanistic conclusions. These findings do not support prosthesis placement as a cosmetic lengthening procedure or use of the exploratory predictor for clinical decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdag254","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T12:01:31Z","timestamp":1785585691000},"source":"Crossref","is-referenced-by-count":0,"title":["Long-term change in measured penile length after primary inflatable penile prosthesis without a standardized postoperative cycling protocol: an opportunistically ascertained single-surgeon cohort of 223 returning patients"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6992-4455","authenticated-orcid":false,"given":"Edward L","family":"Gheiler","sequence":"first","affiliation":[{"name":"Urological Research Network Corp ., Miami Lakes, FL 33016 ,","place":["United States"]},{"name":"Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University , Fort Lauderdale, FL 33328 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4994-4058","authenticated-orcid":false,"given":"Boris V","family":"Klopukh","sequence":"additional","affiliation":[{"name":"Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University , Fort Lauderdale, FL 33328 ,","place":["United States"]},{"name":"Urology Specialists Group, LLC , Hialeah, FL 33016 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2051-9515","authenticated-orcid":false,"given":"Domingo","family":"Luis","sequence":"additional","affiliation":[{"name":"Urology Specialists Group, LLC , Hialeah, FL 33016 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7988-5350","authenticated-orcid":false,"given":"Brandon","family":"Arriaga","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine , Indianapolis, IN 46202 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7224-7287","authenticated-orcid":false,"given":"Emily M","family":"Luis","sequence":"additional","affiliation":[{"name":"Urological Research Network Corp ., Miami Lakes, FL 33016 ,","place":["United States"]},{"name":"Department of Biology, College of Liberal Arts and Sciences, University of Florida , Gainesville, FL 32611 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2533-5591","authenticated-orcid":false,"given":"Jorge","family":"Septien","sequence":"additional","affiliation":[{"name":"Nicole Wertheim College of Nursing and Health Sciences, Florida International University , Miami, FL 33199 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5396-8970","authenticated-orcid":false,"given":"Jennifer E","family":"Tews","sequence":"additional","affiliation":[{"name":"Department of Applied Biomedical Engineering, Johns Hopkins University Whiting School of Engineering , Baltimore, MD 21218 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7528-0460","authenticated-orcid":false,"given":"Fernando J","family":"Bianco","sequence":"additional","affiliation":[{"name":"Urological Research Network Corp ., Miami Lakes, FL 33016 ,","place":["United States"]},{"name":"Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University , Fort Lauderdale, FL 33328 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"issue":"4","key":"2026090114111897900_ref1","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1016\/j.jsxm.2016.01.017","article-title":"Penile prosthesis surgery: current recommendations from the international consultation on sexual medicine","volume":"13","author":"Levine","year":"2016","journal-title":"J Sex Med"},{"issue":"3","key":"2026090114111897900_ref2","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1016\/j.juro.2018.05.004","article-title":"Erectile dysfunction: AUA guideline","volume":"200","author":"Burnett","year":"2018","journal-title":"J Urol"},{"issue":"4","key":"2026090114111897900_ref3","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1038\/aja.2009.35","article-title":"Prospective and long-term evaluation of erect penile length obtained with inflatable penile prosthesis to that induced by intracavernosal injection","volume":"11","author":"Wang","year":"2009","journal-title":"Asian J Androl"},{"issue":"9","key":"2026090114111897900_ref4","doi-asserted-by":"publisher","first-page":"2640","DOI":"10.1111\/j.1743-6109.2011.02340.x","article-title":"Comparison of a new length measurement technique for inflatable penile prosthesis implantation to standard techniques: outcomes and patient satisfaction","volume":"8","author":"Henry","year":"2011","journal-title":"J Sex Med"},{"issue":"5","key":"2026090114111897900_ref5","doi-asserted-by":"publisher","first-page":"1298","DOI":"10.1111\/jsm.12833","article-title":"Prospective evaluation of postoperative penile rehabilitation: penile length\/girth maintenance 1 year following Coloplast Titan inflatable penile prosthesis","volume":"12","author":"Henry","year":"2015","journal-title":"J Sex Med"},{"issue":"5","key":"2026090114111897900_ref6","doi-asserted-by":"publisher","first-page":"754","DOI":"10.4103\/1008-682X.163266","article-title":"Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis","volume":"18","author":"Pryor","year":"2016","journal-title":"Asian J Androl"},{"issue":"5","key":"2026090114111897900_ref7","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1590\/s1677-5538.ibju.2016.0528","article-title":"Inflatable penile prosthesis as tissue expander: what is the evidence?","volume":"43","author":"Chung","year":"2017","journal-title":"Int Braz J Urol"},{"issue":"6","key":"2026090114111897900_ref8","doi-asserted-by":"publisher","first-page":"2189","DOI":"10.1016\/j.juro.2013.06.112","article-title":"Comparative revision rates of inflatable penile prostheses using woven Dacron fabric cylinders","volume":"190","author":"Enemchukwu","year":"2013","journal-title":"J Urol"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/23\/9\/qdag254\/70895353\/qdag254.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/23\/9\/qdag254\/70895353\/qdag254.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T18:11:26Z","timestamp":1788286286000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/doi\/10.1093\/jsxmed\/qdag254\/8778684"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,5]]},"references-count":8,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,5]]}},"URL":"https:\/\/doi.org\/10.1093\/jsxmed\/qdag254","relation":{},"ISSN":["1743-6095","1743-6109"],"issn-type":[{"value":"1743-6095","type":"print"},{"value":"1743-6109","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,5]]},"article-number":"qdag254"}}