- UAA Congress 2025

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Podium Abstract

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Presentation Date / Time

Submission Status

Submitted

Abstract

Abstract Title

Integrating Erection Restoration and Factual Penile Enhancement Through a Revolutionary Fibrovascular Approach

Presentation Type

Podium Abstract

Manuscript Type

Clinical Research

Abstract Category *

Andrology: Sexual and Erectile Dysfunction

Author's Information

Number of Authors (including submitting/presenting author) *

2

No more than 10 authors can be listed (as per the Good Publication Practice (GPP) Guidelines).
Please ensure the authors are listed in the right order.

Country

Taiwan

Co-author 1

YiY-Ying Hsieh connie830818@gmail.com National Taiwan University Hospital Urology Taipei Taiwan *

Co-author 2

Geng-Long Hsu genglonghsu@gmail.com Puli Christian Hospital Microsurgical Potency Reconstruction and Research Center Puli Taiwan -

Co-author 3

-

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Co-author 10

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Co-author 16

Co-author 17

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Co-author 19

Co-author 20

Abstract Content

Introduction

Conventional penile venous surgery and enhancement have been controversial for centuries. Recently, a de novo penile fibrovascular assembly has been extensively studied, leading to a novel strategy that has been applied for decades. This approach is based on a revolutionary understanding of penile anatomy, combining penile venous stripping surgery (PVS) with factual penile enhancement (FPE). We conducted a retrospective study to evaluate the outcomes of this innovative method.

Materials and Methods

From 2013 to 2025, patients with refractory impotence and veno-occlusive dysfunction (VOD) sought PVS and penile girth enhancement (PPGE). Eighteen men underwent PVS and FPE, with PVS involving vein stripping and FPE using a venous stripe and either autologous venous walls (AVW) or Surgiform (SF). The control group received follow-up without surgery. Penile girth and length were measured pre- and postoperatively, with intracorporeal retention assessed via radio-opaque contrast. IIEF-5 and EHS scores were evaluated annually through online follow-up.

Results

From 2013 to 2025, patients with refractory impotence and veno-occlusive dysfunction (VOD) sought penile venous stripping surgery (PVS) and penile girth enhancement (PPGE). Eighteen men underwent PVS and FPE, involving vein stripping and FPE with a venous stripe, covered with autologous venous walls (AVW) or Surgiform (SF). The control group received follow-up without surgery. Pre- and postoperative penile girth and length were measured, and intracorporeal retention was assessed using radio-opaque contrast. IIEF-5 and EHS scores were evaluated annually via internet-based follow-up.

Conclusions

This study shows that combining penile venous stripping surgery (PVS) with factual penile enhancement (FPE) effectively improves erectile function and penile girth in patients with veno-occlusive dysfunction (VOD). Significant improvements in IIEF-5 and EHS scores, along with enhanced cavernosogram radiopacity, confirm the approach's efficacy. Larger sample sizes and extended follow-up are needed for further validation.

Keywords

actual penile girth enhancement, penile fibro-vascular assembly, penile venous stripping, veno-occlusive dysfunction, erection-related veins, deep dorsal vein, cavernosal vein

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Character Count

2046

Vimeo Link

Presentation Details

Session

Free Paper Podium(16): Andrology (A) & Novel Advance (A)

Date

Aug. 16 (Sat.)

Time

14:00 -14:06

Presentation Order

6