{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:53:05Z","timestamp":1782993185808,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,4,27]],"date-time":"2015-04-27T00:00:00Z","timestamp":1430092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To present the feasibility and safety of penile length and girth restoration based on a modified \u2018sliding\u2019 technique for patients with severe erectile dysfunction (\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      ) and significant penile shortening, with or without Peyronie's disease (\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Between January 2013 and January 2014, 143 patients underwent our modified \u2018sliding\u2019 technique for penile length and girth restoration and concomitant penile prosthesis implantation. It is based on three key elements: (i) the sliding manoeuvre for penile length restoration; (ii) potential complementary longitudinal ventral and\/or dorsal tunical incisions for girth restoration; and (iii) closure of the newly created rectangular bow\u2010shaped tunical defects with Buck's fascia only.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In all, 143 patients underwent the procedure. The causes of penile shortening and narrowing were:\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      in 53.8%; severe\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      with unsuccessful intracavernosal injection therapy in 21%; post\u2010radical prostatectomy 14.7%; androgen\u2010deprivation therapy, with or without brachytherapy or external radiotherapy, for prostate cancer in 7%; post\u2010penile fracture in 2.1%; post\u2010redo\u2010hypospadias repair in 0.7%; and post\u2010priapism in 0.7%. In patients with\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      , the mean (range) deviation of the penile axis was 45\u00a0(0\u2012100)\u00b0. The mean (range) subjective penile shortening reported by patients was 3.4\u00a0(1\u20127)\u00a0cm and shaft constriction was present in 53.8%. Malleable penile prostheses were used in 133 patients and inflatable penile prostheses were inserted in 10 patients. The median (range) follow\u2010up was 9.7\u00a0(6\u201218)\u00a0months. The mean (range) penile length gain was 3.1\u00a0(2\u20127)\u00a0cm. No penile prosthesis infection caused device explantation. The average International Index of Erectile Function (\n                      <jats:styled-content style=\"fixed-case\">IIEF<\/jats:styled-content>\n                      ) score increased from 24 points at baseline to 60 points at the 6\u2010month follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Penile length and girth restoration based on our modified sliding technique is a safe and effective procedure. The elimination of grafting saves operative time and, consequently, decreases the infection risk and costs associated with surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.13065","type":"journal-article","created":{"date-parts":[[2015,1,28]],"date-time":"2015-01-28T04:53:00Z","timestamp":1422420780000},"page":"965-972","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":69,"title":["Penile lengthening and widening without grafting according to a modified \u2018sliding\u2019 technique"],"prefix":"10.1111","volume":"116","author":[{"given":"Paulo H.","family":"Egydio","sequence":"first","affiliation":[{"name":"Centre for Peyronie's Disease Reconstruction Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franklin E.","family":"Kuehhas","sequence":"additional","affiliation":[{"name":"London Andrology Institute Suite 7 Exhibition House Addison Bridge Place London 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