MIND & BODY
There is, um, rising demand for penis implants
New York chaps are mad for it
Penis implants are not the “new boob job for men”, but they are becoming more popular in New York, a new study shows.
The number of men getting inflatable penile transplants increased from 2,000 to 2014 in the state of New York to 14,114, says a report in the February Journal of Sexual Medicine.
But in South Africa — the country which performed the world’s first successful penis transplant in 2014 — penile implants are uncommon.
Dr Paul Porteous, former president of the South African Urological Association, said they are very expensive and he has not done one for some time.
Penile implants are used to treat intractable erectile dysfunction linked often to medical conditions such as prostrate cancer or diabetes, and restore people’s sex lives.“There has been an increasing trend in inflatable penile prosthetics surgery for the management of erectile dysfunction during the past 14 years,” the lead author of the New York study, Dr James Kashanian, found.
The rate of non-inflatable implants (1,762) dropped slightly over this period.
Socioeconomic factors, race, the surgeon and hospital surgical volume influenced the men’s choice of implants.
Dr Ana Carvalheira, lead author of a 2015 study in the Journal of Sexual Medicine, found that 79% of men who got penile implants were very satisfied. Their sexual function, desire and relationships improved after the surgical implants.
“Satisfaction related to (men) feeling positive emotions, self-esteem, confidence and enhanced male identity and self- image,” said Carvalheira.This satisfaction may be muted, however, among men who have shorter penises, or think they are shorter, after the procedure.
The International Society for Sexual Medicine therefore advised urologists to counsel patients that implants will not lengthen their penis and could have potential shortening or perceived shortening effects.
“Penis size is highly important for many men, who associate length and girth with virility and masculinity,” the society said on its website.
“Generally, penile length does not affect sexual or urinary function, but a smaller than average penis (or the perception that one’s penis is smaller) can negatively affect a man’s self-esteem.”
Penile shortening may occur after implants because of scarring, corporal fibrosis, a lack of glandular engorgement or an increase in fat tissue leading to “buried penis”.
The society said: “It’s essential for urologists to understand the importance of penile size to men and the potential for length loss from various procedures. Devastating psychological consequences could occur in patients who are not prepared.”
Studies have shown that loss in penile length is also a risk with other prostate cancer treatments.