{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:46:22Z","timestamp":1791888382370,"version":"4.3.4"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    Penile shortening after inflatable penile prosthesis (IPP) implant represents one of the most common concerns in patients. In this study, our aim is to compare both flaccid and stretched penile length before, immediately after, and up to 1 year after surgery. We prospectively collected measurements in 142 patients undergoing IPP implant. Standardized measurements of flaccid and stretched penile length were performed before IPP. Penile length measurements in erect and flaccid positions were then performed at the end of the IPP and at 6 weeks, 12 weeks, and 1 year of follow-up visits. Data concerning age, body mass index (BMI), smoking status, and comorbidities were collected. Penile length was compared using Wilcoxon-paired test, after assessing lack of normal distribution through Shapiro\u2013Wilk test. Linear regression was used to correlate comorbidities and time from erectile dysfunction diagnosis to IPP with postoperative length. Mean (standard deviation [s.d.]) of preoperative flaccid and stretched lengths was 10.3 (1.9) cm and 13.3 (1.9) cm, respectively. A statistically significant difference was shown between preoperative and postoperative stretched penile length (+0.21 cm,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001), while no difference was observed for flaccid length (+0.20 cm, 95% confidence interval [CI]: \u22120.01 to 0.08,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.1). Erect length remained stable up to 1 year after surgery, with 21% of patients showing an increase of \u22651 cm. At linear regression, a higher BMI was associated with shorter postoperative flaccid length (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.03). Erect penile length after IPP implant is shown to remain stable up to 1 year of follow-up visits. Higher BMI may negatively impact flaccid length, but no other factors were associated with changes.\n                  <\/jats:p>","DOI":"10.4103\/aja202649","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:00:27Z","timestamp":1791885627000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Penile length after inflatable penile prosthesis implant: a single-center, high-volume experience"],"prefix":"10.4103","author":[{"given":"Anna","family":"Ricapito","sequence":"first","affiliation":[{"name":"University of Foggia, Andrology Unit-Department of Urology and Renal Transplantation, Foggia 71122, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Finati","sequence":"additional","affiliation":[{"name":"University of Foggia, Andrology Unit-Department of Urology and Renal Transplantation, Foggia 71122, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piero","family":"Fischetti","sequence":"additional","affiliation":[{"name":"University of Foggia, Andrology Unit-Department of Urology and Renal Transplantation, Foggia 71122, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Rubino","sequence":"additional","affiliation":[{"name":"University of Foggia, Andrology Unit-Department of Urology and Renal Transplantation, Foggia 71122, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugo Giovanni","family":"Falagario","sequence":"additional","affiliation":[{"name":"University of Foggia, Andrology Unit-Department of Urology and Renal Transplantation, Foggia 71122, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Palumbo","sequence":"additional","affiliation":[{"name":"\u201cDi Venere\u201d Hospital, Bari 70131, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Maria","family":"Busetto","sequence":"additional","affiliation":[{"name":"University of Foggia, Andrology Unit-Department of Urology and Renal Transplantation, Foggia 71122, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Cormio","sequence":"additional","affiliation":[{"name":"University of Foggia, Andrology Unit-Department of Urology and Renal Transplantation, Foggia 71122, Italy"},{"name":"University of Foggia, Department of Urology, Bonomo Teaching Hospital, Andria (BAT) 76123, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Carrieri","sequence":"additional","affiliation":[{"name":"University of Foggia, Andrology Unit-Department of Urology and Renal Transplantation, Foggia 71122, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Bettocchi","sequence":"additional","affiliation":[{"name":"University of Foggia, Andrology Unit-Department of Urology and Renal Transplantation, Foggia 71122, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"R1-20261013","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.eururo.2021.06.007","article-title":"European Association of Urology Guidelines on sexual and reproductive health-2021 update: male sexual dysfunction","volume":"80","author":"Salonia","year":"2021","journal-title":"Eur Urol"},{"key":"R2-20261013","doi-asserted-by":"crossref","first-page":"711","DOI":"10.23736\/S2724-6051.23.05475-7","article-title":"Penoscrotal approach for inflatable penile prosthesis implant: why it should be preferred","volume":"75","author":"Ricapito","year":"2023","journal-title":"Minerva Urol 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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":"R10-20261013","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1016\/S0022-5347(01)65682-9","article-title":"Penile length in the flaccid and erect states: guidelines for penile augmentation","volume":"156","author":"Wessells","year":"1996","journal-title":"J Urol"},{"key":"R11-20261013","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.21037\/tau.2017.12.01","article-title":"Inflatable penile prosthesis implant length with baseline characteristic correlations: preliminary analysis of the PROPPER study","volume":"6","author":"Bennett","year":"2017","journal-title":"Transl Androl Urol"},{"key":"R12-20261013","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.1016\/j.jsxm.2019.08.001","article-title":"Long-term follow-up after penile prosthesis implantation-survival and quality of life outcomes","volume":"16","author":"Chierigo","year":"2019","journal-title":"J Sex Med"},{"key":"R13-20261013","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s00345-013-1102-7","article-title":"Clinical outcomes and patient satisfaction rates among elderly male aged \u226575 years with inflatable penile prosthesis implant for medically refractory erectile dysfunction","volume":"32","author":"Chung","year":"2014","journal-title":"World J Urol"},{"key":"R14-20261013","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1111\/bju.14604","article-title":"Penile length is preserved after implant surgery","volume":"123","author":"Habous","year":"2019","journal-title":"BJU Int"},{"key":"R15-20261013","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1111\/j.1743-6109.2007.00540.x","article-title":"Long-term survival of inflatable penile prostheses: single surgical group experience with 2,384 first-time implants spanning two decades","volume":"4","author":"Wilson","year":"2007","journal-title":"J Sex Med"},{"key":"R16-20261013","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1038\/ijir.2013.50","article-title":"Pharmacologically induced erect penile length and stretched penile length are both good predictors of post-inflatable prosthesis penile length","volume":"26","author":"Osterberg","year":"2014","journal-title":"Int J Impot Res"},{"key":"R17-20261013","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.urology.2008.01.059","article-title":"Modern management of adult-acquired buried penis","volume":"72","author":"Tang","year":"2008","journal-title":"Urology"},{"key":"R18-20261013","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1159\/000020099","article-title":"AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients","volume":"37","author":"Montorsi","year":"2000","journal-title":"Eur Urol"},{"key":"R19-20261013","doi-asserted-by":"crossref","first-page":"2774","DOI":"10.1111\/jsm.12311","article-title":"High patient satisfaction after inflatable penile prostheses implantation correlates with female partner satisfaction","volume":"10","author":"Vakalopoulos","year":"2013","journal-title":"J Sex Med"}],"container-title":["Asian Journal of Andrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aja202649","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:00:29Z","timestamp":1791885629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aja202649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,13]]},"references-count":19,"URL":"https:\/\/doi.org\/10.4103\/aja202649","relation":{},"ISSN":["1008-682X","1745-7262"],"issn-type":[{"value":"1008-682X","type":"print"},{"value":"1745-7262","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,13]]},"assertion":[{"value":"2025-12-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}