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

(197) IS PENILE SIZE IN GRADE 3 ERECTION HARDNESS SCORE (EHS 3) COMPARABLE WITH EHS 4?

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health
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Abstract Objectives EHS 3 is defined like: “Penis is hard enough for penetration, but not completely hard” and EHS 4 is defined like: “Penis is completely hard and fully rigid”. In both cases we speak of penile hardness but not of penile size. We aim to analyze if there are significant differences between penile growth in ESH 3 and EHS 4 Methods We 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 the penile length (in cm) in the flaccid state. After injecting prostaglandin, penile measures were taken only EHS 3 and EHS 4 were included. Results Mean age 48 (range 17-98). Mean penis size (flaccid) 10.07cm (range 4-17). Mean erect penile length (EPL) 14.37 (range 9.0-19.5). Mean EPL (EHS 3) 14.05 (range 9.0-19.5). Mean EPL (EHS 4) 14.76 (range 11.0-19.0). Mean penile growth (EHS 3) 42.3 % (range 1.8-279.5) Mean penile growth (EHS 4) 48.5% (range 1.5-107.2). The Mann-Whitney U test indicates that the difference between penile growth in EHS 3 compared to EHS 4 is statistically significant (p < 0.05). However, difference in growth between EHS3 and EHS 4 is only 6.2%. Conclusions Differences in growth between EHS 3 and 4, although statistically significant, are not clinically relevant. Penile growth evaluation could be done together in EHS 3 and 4. Conflicts of Interest Authors have no potential conflict of interest to report.

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