A Improved Sexual Satisfaction Following Hyaluronic Acid Penile Filler Injection
A Case Report
Background : Sexual satisfaction is a fundamental human need, and penis size is often regarded as an important factor for sexual satisfaction among men. Research indicates that penis size can also play a significant role in sexual satisfaction for women.
Case : This case report details the experience of a 37-year-old man who felt that his genital size was inadequate, leading to dissatisfaction during sexual intercourse.The patient underwent penile filler treatment using Hyaluronic Acid (HA), receiving a total of 12 cc. Following the injection, there was an increase in the circumference of his penis by 2 cm, resulting in improved patient satisfaction. Before the HA filler injection, the patient had an Index of Male Genital Image (IMGI) score of 58. A follow-up evaluation conducted one month later revealed an increase in the IMGI score to 70.
Discussion : Non-surgical penis enlargement procedures are commonly performed because they have a lower risk compared to surgical options. The most popular method involves the injection of hyaluronic acid (HA) fillers. This procedure is effective in enhancing sexual satisfaction, as it leads to a noticeable increase in the circumference of the penis, resulting in more fulfilling sexual experiences. HA fillers are biocompatible, long-lasting, and have a low incidence of complications or serious side effects.
Conclusion : This case demonstrates that Hyaluronic Acid is effective in enhancing the diameter of the penis and improving patient satisfaction.
Pascoal PM, Narciso IDSB, Pereira NM. What is sexual satisfaction? Thematic analysis of lay people’s definitions. J Sex Res. 2014;51(1):22-30. doi:10.1080/00224499.2013.815149
López BG, Soto JMS, Reyes MM, Gúzman MC. Case Study on the Importance of Sexual Satisfaction in Married Women with Children. Br J Psychol Res. 2024;12(1):66-76. doi:10.37745/bjpr.2013/vol12n16676
Frederick DA, Lever J, Gillespie BJ, Garcia JR. What Keeps Passion Alive? Sexual Satisfaction Is Associated With Sexual Communication, Mood Setting, Sexual Variety, Oral Sex, Orgasm, and Sex Frequency in a National U.S. Study. J Sex Res. 2017;54(2):186-201. doi:10.1080/00224499.2015.1137854
Velten J, Margraf J. Satisfaction guaranteed? How individual, partner, and relationship factors impact sexual satisfaction within partnerships. PLoS One. 2017;12(2):1-17. doi:10.1371/journal.pone.0172855
Loos S, De Wil P, Delcarte L, Serefoglu EC, Van Renterghem K, Ward S. The effect of penis size on partner sexual satisfaction: a literature review. Int J Impot Res. 2023;35(6):519-522. doi:10.1038/s41443-022-00636-7
Sharp. Motivations and Psychological Characteristics of Men Seeking Penile Girth Augmentation. Aesthetic Surg J. 2022;42(11):1316-1317. doi:10.1093/asj/sjac138
Sharp G, Oates J. Nonsurgical medical penile girth augmentation: A retrospective study of psychological and psychosexual outcomes. Aesthetic Surg J. 2019;39(3):306-316. doi:10.1093/asj/sjy108
Salloum A, Bazzi N, Haber R. Nonsurgical Methods for Penile Augmentation: A Systematic Review. Dermatologic Surg. 2021;47(3):E81-E85. doi:10.1097/DSS.0000000000002816
Davis SNP, Binik YM, Amsel R, Carrier S. The index of male genital image: A new scale to assess male genital satisfaction. J Urol. 2013;190(4):1335-1339. doi:10.1016/j.juro.2013.03.121
Zhang CL, Quan Y, Li H, et al. Penile augmentation with injectable hyaluronic acid gel: an alternative choice for small penis syndrome. Asian J Androl. 2022;24(6):601-606. doi:10.4103/aja20223
Shaeer O, Shaeer K. Impact of penile size on male sexual function and role of penile augmentation surgery. Curr Urol Rep. 2012;13(4):285-289. doi:10.1007/s11934-012-0260-2
Moon DG, Kwak T Il, Kim JJ. Glans Penis Augmentation Using Hyaluronic Acid Gel as an Injectable Filler. World J Mens Health. 2015;33(2):50. doi:10.5534/wjmh.2015.33.2.50
Zucchi A, Scroppo FI, Capogrosso P, et al. Clinical use of hyaluronic acid in andrology: A review. Andrology. 2022;10(1):42-50. doi:10.1111/andr.13083
Schifano N, Capogrosso P, Antonini G, et al. The Application of Hyaluronic Acid Injections in Functional and Aesthetic Andrology: A Narrative Review. Gels. 2023;9(2):1-11. doi:10.3390/gels9020118
Bettocchi C, Checchia AA, Falagario UG, et al. Male esthetic genital surgery: recommendations and gaps to be filled. Int J Impot Res. 2022;34(4):392-403. doi:10.1038/s41443-022-00556-6
Abdelazeem M, esawy abdulla. Hyaluronic acid in the treatment of premature ejaculation by glans augmentation. Hum Androl. 2019;9(1):1-5. doi:10.21608/ha.2019.10587.1039
Kusumaputra A, Setiawan MR, Soebadi MA, Wirjopranoto S. Efficacy and complications of hyaluronic acid and polylactic acid for penile augmentation: a systematic review and meta-analysis. Ann Med Surg. 2023;85(9):4531-4538. doi:10.1097/ms9.0000000000001094
Ahn ST, Shim JS, Bae WJ, Kim SW, Kim JJ, Moon DG. Efficacy and safety of penile girth enhancement using hyaluronic acid filler and the clinical impact on ejaculation: A multi-center, patient/ evaluator-blinded, randomized active-controlled trial. World J Mens Health. 2021;39(2):299-307. doi:10.5534/WJMH.210007
Kim DW, Jeong HC, Ko K, et al. Which Dermal Filler is Better for Penile Augmentation for Aesthetic Purposes? A Prospective, Single-Surgeon Study Based on Real-World Experience. World J Mens Health. 2024;42:1-10. doi:10.5534/wjmh.240105
Kwak T Il, Oh M, Kim JJ, Moon DG. The Effects of Penile Girth Enhancement using Injectable Hyaluronic Acid Gel, a Filler. J Sex Med. 2011;8(12):3407-3413. doi:10.1111/j.1743-6109.2010.01748.x
Boiko et al. The Efficacy of Injection Penile Girth Enhancement as an Option for Small Penis Syndrome Management. Aesthetic Surg J. 2024;44(1):92-94. doi:10.1093/asj/sjad168
Yang DY, Ko K, Lee SH, Lee WK. A Comparison of the Efficacy and Safety Between Hyaluronic Acid and Polylactic Acid Filler Injection in Penile Augmentation: A Multicenter, Patient/Evaluator-Blinded, Randomized Trial. J Sex Med. 2019;16(4):577-585. doi:10.1016/j.jsxm.2019.01.310
Yang DY, Jeong HC, Ahn ST, et al. A Comparison Between Hyaluronic Acid and Polylactic Acid Filler Injections for Temporary Penile Augmentation in Patients with Small Penis Syndrome: A Multicenter, Patient/Evaluator-Blind, Comparative, Randomized Trial. J Sex Med. 2020;17(1):133-141. doi:10.1016/j.jsxm.2019.10.006
Yang DY, Jeong HC, Ko K, Lee SH, Lee YG, Lee WK. Comparison of clinical outcomes between hyaluronic and polylactic acid filler injections for penile augmentation in men reporting a small penis: A multicenter, patient-blinded/evaluator-blinded, non-inferiority, randomized comparative trial with 18 months. J Clin Med. 2020;9(4):1-13. doi:10.3390/jcm9041024
Mohd Hashim MH, Md Zainuddin Z, Fam XI, et al. The techniques, efficacy and safety of penile glans augmentation using hyaluronic acid for the treatment of premature ejaculation: a systematic review and meta-analysis. African J Urol. 2024;30(1). doi:10.1186/s12301-024-00464-9
Kosseifi F, Chebbi A, Raad N, et al. Glans penis augmentation using hyaluronic acid for the treatment of premature ejaculation: A narrative review. Transl Androl Urol. 2021;9(6):2814-2820. doi:10.21037/tau-20-1026
Sakr A, Elgalaly H, Seleem MM, Kamel M, El-Sakka AI, Ibrahim IM. Outcome of hyaluronic acid gel injection in glans penis for treatment of lifelong premature ejaculation: A pilot study. Arab J Urol. 2023;21(1):31-35. doi:10.1080/2090598X.2022.2100580
Quan Y et al. Complications and management of penile augmentation with hyaluronic acid injection. Asian J Androl. 2021;23(January):392-395. doi:10.4103/aja.aja
Baird Bryce A, Robertson N, Broderick Gregory A. Penile Girth Injection Complications: A Case Report. Sex Med. 2021;9(6):100445. doi:10.1016/j.esxm.2021.100445
Yordanov YP. Nonsurgical Correction of Secondary Contour Deformities of the Penile Girth. Aesthetic Surg J. 2021;41(8):944-949. doi:10.1093/asj/sjab089
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