CONTEXT Penis size is a great concern for men in many cultures. Despite the great variety of methods for penile augmentation, none has gained unanimous acceptance among experts in the field. However, in this era of minimally invasive procedure, injection therapy for penile augmentation has become more popular. Here we report a case of methacrylate injection in the penis that evolved with penile deformity and sexual dysfunction. This work also reviews the investigation and management of this pathological condition. CASE REPORT A 36-year-old male sought medical care with a complaint of penile deformity and sexual dysfunction after methacrylate injection. The treatment administered was surgical removal. Satisfactory cosmetic and functional results were reached after two months. CONCLUSIONS There is a need for better structured scientific research to evaluate the outcomes and complication rates from all penile augmentation procedures.


Penis length surgery involves cutting the ligament with which the penis is attached to the pubic bone and grafting added skin to the base to increase length. This will increase the size of the flaccid penis by up to 2cm, but it doesn’t affect the size of the erect penis. The cut ligament may also not provide the support it originally did, which means that you might find your erections less satisfactory as a result. There is also a risk that this type of surgery may cause the side effect of pain during sex.

SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine. Laurence A. Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago. Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor. Richard, New York. Bob, New Jersey. WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned."
• Forget surgery. The full monty, lengthening and girth enhancement, is expensive (around $15,000) and problematic. Lengthening surgery cuts the ligament that makes an erection stand up. This adds an inch, but erections no longer salute. They just hang between your legs and must be manually directed into erotic openings. Girth enhancement takes fat from the buttocks and injects it under the penis skin. Sounds good, but quite often, the result is a lumpy, deformed-looking penis.
Berkeley Nutraceuticals entered bankruptcy as a result of the investigation, but it was rescued by its local landlord, Pristine Bay, which said it didn't want to lose an anchor tenant. Berkeley's name was changed to Vianda. The company now sells a "new" Enzyte blend that includes horny goat weed, ginseng, and ginkgo biloba — though it says it has ditched the shady sales practices. As for Smilin' Bob, he's still smiling his way through TV commercials; devotees can even order "Livin' Large" T-shirts adorned with the character's face.
Morganstern Medical is the longest-running, most recognized and most innovative men's health clinic in America. Founding physician and best-selling author Dr. Steven L. Morganstern was on the forefront of men's sexual health long before others even talked about it - he continues to transform treatment solutions that change the industry and improve patient outcomes.
Then, in the back of a weightlifting magazine, he saw an ad for the FastSize Extender, a device that claims to make the penis longer and fatter through traction. Richard began wearing the device almost eight hours a day, every day. He was shocked to notice a difference within a few days. After four months of wearing the device, he says his flaccid penis has stretched from 3 inches to over 5 inches; erect, he has gone from less than 6 inches to over 7 inches. The device cost $298, but Richard says the effect on his self-confidence has been priceless: "It made a world of difference to me."
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