Nonsurgical Correction of Secondary Contour Deformities of the Penile Girth

Background: Dealing with remaining penile deformities following surgery to correct complications after injection of nonabsorbable substances tends to be troublesome. There is a lack of adequate information regarding the options for the management of such residual irregularities. In more than 2 decades of clinical application, hyaluronic acid (HA) fillers have proved to be a safe and reliable solution for a great variety of age-related changes, tissue atrophy, and contour deformities. Objectives: This brief clinical study aimed to demonstrate the author's initial experience with the novel use of an HA-based filler for the correction of secondary deformities of penile girth. Methods: Retrospective analysis was conducted, encompassing patients who underwent correction of secondary penile deformities with HA between August 2018 and February 2020. The procedures were carried out in an ambulatory setting and a blunt cannula was used for filler infiltration. A 9-month follow-up was established. Results: Five patients aged between 29 and 44 years (average, 35.8 years) were found and included in the study. The mean volume of HA product used for the correction was 3.32 mL. An analysis of the outcomes demonstrated a high satisfaction rate among patients with no complications in the series. Conclusions: The procedure is safe, effective, and relatively simple with reproducible and reliable outcomes. Due to its excellent spreading and good tissue integration, the selected HA filler was very useful in cases where fibrosis was present because of previous surgeries.