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Genital Surgery Belgrade - GenitalSurgeryBelgrade.com

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October 16-20, 2011
Urethral Strictures: Three Ways to Solve Every Stricture (Penile, Panurethral, Bulbar, Traumatic)
Chair: Miroslav Djordjevic
Invited speaker: Flap Urethroplasty: Tricks and Traps!
Video Presentation: Correction of epispadias in adult after failed repair in childhood.
Poster presentations: Peyronie’s disease treatment by penile prosthesis implantation and tunica albuginea incisions without grafting.
Reconstruction of iatrogenic trapped penis by genital skin flaps.
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Penile Enhancement
Development of female cosmetic surgery followed by rising popularity of reconstructive genital surgery induced that penile lengthening and widening gained tremendous interest in male population.

Belgrade team for reconstructive surgery has great success in real penile enhancement surgery with use of biodegradable scaffolds (Dry polylacti-co-glycolic acid scaffold - PLGA) which is 50mm in length, 30mm in inner diameter and 4 mm in thickness. Our novel technique is based on the concept of tissue engineering based upon collection of autologous cells, their expansion in culture and their return to the patient in sufficient quantities for penile girth augmentation. The basic idea is to transplant autologous cells onto biocompatible and biodegradable scaffolds that will provide appropriate mechanical strength to induce three-dimensional tissue growth and consequent penile enlargement. The scaffolds have good mechanical strength and biodegradable behavior that supports the growth of new tissue with minimal inflammation during 6 to 16 weeks until scaffolds are completely degraded and absorbed in human body. This way average gain is about 30% in penile girth (mean value 3.15cm).  Further lengthening can be achieved by simultaneous ligamentolysis followed by correction of penopubic and penoscrotal angle.

Lately, we developed a novel technique which allows additional girth enhancement using PGLE scaffolds thorough another surgery. This way, the implantation of scaffolds can be easily repeated giving more gain in penile circumference.

Case 1 Girth enhancement (click image for larger view)

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Penile circumference before surgery.
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Girth gain after scaffolds insertion.
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Outcome 3 months later.


Case 2 Girth enhancement - Girth gain in erection
(click image for larger view)

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Outcome 6 months after scaffolds procedure in erect penis.
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Outcome 6 months after scaffolds procedure in erect penis.


Case 3 Girth Enhancement
(click image for larger view)

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Before surgery.
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After scaffolds insertion.
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Gain in girth 6 months later.
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Gain in girth 6 months later.


Case 4 Girth enhancementlt;/span> (click image for larger view)

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Preoperative appearance.
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Postoperative outcome.
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Penile appearance (shape and girth gain) 6 months later.
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Penile appearance (shape and girth gain) 6 months later.


Case 5 Girth
enhancement (click image for larger view)

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Preoperative appearance. Patient underwent liposuction with lipofilling procedure before.
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Preoperative appearance. Patient underwent liposuction with lipofilling procedure before.
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Insertion of the scaffolds. Remaining fatty tissue was reconfigurated.
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Appearance after surgery.
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Appearance 6 months after first scaff.procedure
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Scaffolds were placed over the new formed tissue.
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Scaffolds were placed over the new formed tissue.
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Final aspect. Scars at mons pubis region, after first surgery, were corrected.



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