VJPU 2018; 2: 119
Title: The Penuma® Silicone Implant
A new implantable device improving penile appearance
and adding additional girth and length of penis outside the body
Authors: James Elist, MD, FACS
Key words: Penis, Implant, Silicone, Enhancement, Enlargement, Girth
This video presents an innovative, 45 to 60 minute, outpatient procedure of the insertion of a 510(k)-cleared silicone penile implant called Penuma®. The device is used for the cosmetic correction of penile soft tissue deformities. The device is made of medical-grade silicone. The implant is available in three sizes varying in length and girth and is further contoured by the physician in the operating room to ensure appropriate and safe sizing for the patient's anatomy.
The patient in the video is a 36-year-old male who has normal erections. He experienced penile dysmorphia and desired penile enhancement. The physician demonstrates the main areas of the procedure, beginning with appropriate prep of the patient followed by a ~2 inch incision in the suprapubic region. The space superior to the pubic bone is opened, and the penis is everted. The ventral/urethral area of the penis is kept intact. The distal end of the silicone implant is attached under the corona of the penis using a series of sutures. The proximal end of the implant is left un-sutured in the space created superior to the pubic bone. The penis is then examined for sizing and to ensure that suture knots are buried. The incision is then sutured and a surgical drain is left in place for ~48 to 72 hours.
Acknowledgements: We would like to thank Dr. Steven Wilson for his guidance and videography, and we would like to thank Richard Oliphant for his video editing.
Disclosure: Dr. James Elist is the Medical Director of International Medical Devices, Inc, which sponsored the development of this video.