Alonso-Isa Dr. Manuel, García-Gómez Dr. Borja, Celada-Luis Dr. Guillermo, Fiorillo Dr. Alessandro, Tueti-Silva Dr. Daniel, García-Rojo Dr. Esther, García-Cruz Eduard, Romero-Otero Javier

(196) A MORPHOMETRIC ANALYSIS OF THE PENIS BEFORE AND AFTER PROSTAGLANDIN INJECTION: IS “SHOWER” AND “GROWER” EVEN A THING

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health

Abstract Objectives The colloquial terms “grower” and “shower” refer to those men whose penis change significantly without or with erection, and those whose penis don't. We aim to analyze the morphometric changes in the penis after prostaglandin injection, detect if there are different patterns and which factors might be related to those patterns. Methods The retrospectively review a total of 225 patients from February 2021 to October 2022 who underwent penile ultrasonography with prostaglandin injection (10 mcg). Demographic, vascular and other relevant variables were recorded for analysis. A history of Peyronie disease or penile surgery (excluding postectomy and frenuloplasty) were exclusion criteria. We measured penile length (in cm) and tunica albuginea thickness (in mm) in flaccid and erect state. Only grade 3 of Erection Hardness Score (EHS) and EHS 4 were included. Results Mean age 48 (range 17-98). Mean penis size (flaccid) 10.07cm (range 4-17). Mean SFLP (stretch flaccid penile length) 15.32 cm (range 10.4-19.7). Mean EPL (erect penile length) 14.37 cm (range 9-19.5) Median penile growth (PG) 42.6 % (range 3.57-264.1). PG has a normal distribution, based on 1 SD: PG<30.94% can be considered “shower”. PG >55.73% can be considered “grower”. Intermediate results would be the “grey area”. “Growers” have a thinner albuginea (0,9 mm; p < 0,05) and a greater albuginea reduction (28%; p < 0,05) in erection compared to “showers” (1,2 mm and 16,2%) respectively. Conclusions We have established growth ranges from which we can consider a penis grower, shower or grey zone. The size of the albuginea and its reduction during erection is related to the growth of the erect penis. Conflicts of Interest Authors have no potential conflict of interest to report.

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