{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T21:46:06Z","timestamp":1791927966630,"version":"4.3.4"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,11,25]],"date-time":"2018-11-25T00:00:00Z","timestamp":1543104000000},"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":[[2019,5]]},"abstract":"\n Objective<\/jats:title>\n To investigate if there is a correlation between penile size measured preoperatively and erect penis after penile implant surgery (PI). A common cause of patient dissatisfaction after PI is caused by patients complaining that surgery has shortened the penis. It has been suggested that stretched penile length preoperatively is almost the same after surgery when the prosthesis is in erect status. However, no comprehensive data supports this theory. This prospective study was done to investigate this theory.<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n Standardised measurements of stretched penile length and girth were performed in theatre before PI implantation then re\u2010measured at the end of the procedure with the penis in the erect position. We recorded type of PI, cylinder lengths and malleable rod diameters. All patients had data recorded on body mass index (\n BMI<\/jats:styled-content>\n ), hypertension (\n HTN<\/jats:styled-content>\n ), glycated haemoglobin (Hb\n A1c<\/jats:sub>\n ), and Peyronie's disease (\n PD<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In all, 133 patients were assessed; 88 (66.2%) had a malleable penile prosthesis (\n MPP<\/jats:styled-content>\n ) and 45 (33.8%) an inflatable penile prosthesis (\n IPP<\/jats:styled-content>\n ). The median age and\n BMI<\/jats:styled-content>\n were 56\u00a0years and 30\u00a0kg\/m\n 2<\/jats:sup>\n , respectively. In all, 40 (30.1%) patients had HTN, 37 (27.8%) had\n PD,<\/jats:styled-content>\n and 89 (66.9%) were diabetic. The mean (SD) pre\u2010implant stretched length was 12.8\u00a0(1.8)\u00a0cm. The mean (SD) flaccid girth was 10.3\u00a0(1.2)\u00a0cm. Postoperatively, the mean (SD) erect length and girth were 13.1\u00a0(1.7)\u00a0cm and 11.3\u00a0(1.3)\u00a0cm, respectively. Overall, there was a significant (\n P\u00a0<\u00a0<\/jats:italic>\n 0.05) increase in both the mean (SD) length at +0.36\u00a0(0.63)\u00a0cm, and girth at +1.04\u00a0(1.02)\u00a0cm. Patients who had\n an IPP<\/jats:styled-content>\n , had a greater increase in both length (mean [SD] 0.62\u00a0[0.72]\u00a0cm) and girth (mean [SD] 1.7\u00a0[1.0]\u00a0cm) compared to\n those who had a MPP<\/jats:styled-content>\n (mean [SD] 0.22\u00a0[0.53]\u00a0cm and 0.7\u00a0[0.87]\u00a0cm, respectively) (\n P\u00a0<\/jats:italic>\n <\u00a00.05). We investigated correlations between pre\u2010 and postoperative outcomes related to\n BMI<\/jats:styled-content>\n ,\n HTN<\/jats:styled-content>\n , diabetes, and\n PD<\/jats:styled-content>\n . None of these variables affected outcome.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n PI surgery does not significantly decrease penile size compared to the preoperative assessment. The outcome was not affected by co\u2010morbidities. The preoperative length and girth correlated well with the immediate postoperative erect penis, although girth was not necessarily comparable in this series of patients measured under anaesthesia. Recording penile dimensions in the clinic and agreeing these with patients\u2019 preoperatively may be a way of improving satisfaction levels with this surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.14604","type":"journal-article","created":{"date-parts":[[2018,10,31]],"date-time":"2018-10-31T02:14:52Z","timestamp":1540952092000},"page":"885-890","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Penile length is preserved after implant surgery"],"prefix":"10.1111","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4867-6646","authenticated-orcid":false,"given":"Mohamad","family":"Habous","sequence":"first","affiliation":[{"name":"Department of Urology and Andrology Elaj Medical Centers Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Giona","sequence":"additional","affiliation":[{"name":"King's College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa","family":"Tealab","sequence":"additional","affiliation":[{"name":"Department of Urology Zagazig University Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Aziz","sequence":"additional","affiliation":[{"name":"Department of Urology Menoufia University Menoufia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hammoda","family":"Sherif","sequence":"additional","affiliation":[{"name":"Department of Urology Benha University Benha Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama","family":"Abdelwahab","sequence":"additional","affiliation":[{"name":"Department of Urology Benha University Benha Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saleh","family":"Binsaleh","sequence":"additional","affiliation":[{"name":"Division of Urology Department of Surgery Faculty of Medicine King Saud University Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ralph","sequence":"additional","affiliation":[{"name":"St. Peters Institute of Andrology University College London Hospitals London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Bettocchi","sequence":"additional","affiliation":[{"name":"Department of Urology, Andrology and Kidney Transplantation Unit Department of Emergency and Organ Transplantation University of Bari Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Mulhall","sequence":"additional","affiliation":[{"name":"Sexual and Reproductive Medicine Memorial Sloan\u2010Kettering Cancer Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon","family":"Muir","sequence":"additional","affiliation":[{"name":"King's College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2005.20114.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-015-1705-2"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)64835-3"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.10.026"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/aja.2009.35"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2016.01.017"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13010"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(79)90289-9"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)42064-7"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2008.11"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000020099"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2008.00819.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01499.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.4081\/aiua.2016.1.1"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2004.05025.x"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbju.14604","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.14604","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T12:52:00Z","timestamp":1761742320000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.14604"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,25]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1111\/bju.14604"],"URL":"https:\/\/doi.org\/10.1111\/bju.14604","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,25]]},"assertion":[{"value":"2018-11-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}