#0879

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

Y. Hsieh¹, G. Hsu²

¹National Taiwan University Hospital, Urology, Taipei, Taiwan
²Puli Christian Hospital, Microsurgical Potency Reconstruction and Research Center, Puli, Taiwan

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.

Material 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.