The Current State of Male Genital Cosmetic Procedures

Paul E. Perito, MD; Alfredo Suarez-Sarmiento, Jr., MD, MBA; Bernardo Cisneros, MD

Male genital cosmetics, penile enhancement, UroFill, hyaluronic acid, penile girth augmentation, cosmetic urology.

Male genital cosmetic procedures, particularly penile girth enhancement, have become increasingly sought after by men seeking both aesthetic and functional improvements. Traditionally, urological education has focused on treating pathological conditions, leaving cosmetic procedures often misunderstood or dismissed as vanity projects. However, the growing demand for these procedures necessitates a deeper understanding and reassessment by urologists. Various techniques for penile girth enhancement have been developed over the years, including free fat transfer and dermal grafts. Despite their widespread use, these methods carry significant risks such as fat embolism, granuloma formation, and severe scarring, prompting many professionals to abandon them. Non-standard materials like silicone and polymethylmethacrylate (PMMA), though initially promising with high patient satisfaction rates, have shown long-term complications including capsular contraction, tissue erosion, and irreversible damage, rendering some patients genitourinary cripples. These issues underscore the importance of moving toward safer, more reliable alternatives. Injectable hyaluronic acid, especially through the UroFill™ technique, offers a safer and more effective option. Its hydrophilic properties and tissue integration characteristics make it a favorable choice, providing a more natural feel while ensuring predictable and durable results. Clinical studies using this technique have reported a 90% retention rate over 21 months, with significantly fewer complications compared to earlier methods. Additionally, the UroFill™ technique involves precise anatomical injections, often in staged treatments, allowing for better control and patient satisfaction. For urologists, this shift toward medically supervised and standardized procedures is a critical advancement. As the demand for cosmetic genital procedures continues to rise, urologists must stay informed and prepared to offer safe, effective solutions that meet both aesthetic and functional goals while minimizing risk to the patient. Disclosures: Consultant for Coloplast and Boston Scientific, Shareholder UroFill 

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The authors have nothing to disclose