(O-09) Penogrande – New Implant for Penile Restoration and Penile Enlargement

Abstract Background Penile size is an important factor influencing sexual function and male self esteem, creating demand for permanent enlargement methods. This study evaluates outcomes of two surgical approaches using silicone implants—solid Peniflex and inflatable extracorporeal Penogrande—combined with ligamentotomy to increase penile length and girth. Methods Between 2017 and 2025, penile enlargement procedures were performed in centers across Ukraine, Poland, Turkey, Mexico, Oman, and the UAE. A total of 232 patients received Peniflex implants and 23 patients received Penogrande implants. Postoperative stretching was recommended for two months. Outcomes were assessed at 2 and 12 months. Results Peniflex implantation resulted in high satisfaction: 90.1% of patients were satisfied, 81.4% reported improved sexual life, and 95.2% noted increased self confidence. Mean gains were 1.47 + 0.34 cm in length and 4.9 + 0.61 cm in erect circumference. Complications included implant displacement (2.15%), prolapse (0.43%), decreased erection (0.43%), and seroma formation (63.8%) -safely drained in 1 month. Penogrande, originally developed for pre reconstructive penile extension in injured soldiers, demonstrated favorable outcomes in cosmetic use. No implant removals were required. Pain during erection occurred in 8.7% of patients. Improved sexual function was reported by 91.3%, and all patients noted increased self confidence. Mean gains were 3.11 + 0.56 cm in erect length and 6.7 + 1.1 cm in circumference. Conclusions Both implants effectively increase penile dimensions and enhance sexual quality of life. Peniflex provides permanent enlargement, while Penogrande offers more physiological elongation during erection and additional rigidity for men with unstable erections.