title: Penile girth augmentation using flaps "Shaeer's augmentation phalloplasty": a case report.
abstract: BACKGROUND
  Current girth augmentation techniques rely either on liposuction/injection or on the use of dermal fat grafts. These procedures have serious disadvantages, including regression in gained size, deformities, irregular contour, and asymmetry. Ideally, the augmentation technique should ensure durability and symmetry. This case report describes the first application of a flap (superficial circumflex iliac artery island flap) in penile girth augmentation.
  
  
  METHODS
  The superficial circumflex iliac vessels were identified and the groin flap was elevated from lateral to medial, rotated toward the penis, and tunneled into a penopubic incision. It was wrapped around the penis short of the corpus spongiosum and insinuated under the glans.
  
  
  RESULTS
  Six months after surgery, the patient had an erect girth of 19.5 cm and a flaccid girth of 16.5 cm, compared with 11 cm and 7 cm, respectively, before surgery, thus maintaining the intraoperative girth gain. The outer surface felt smooth with no lobulation. The size of the glans was proportionate to the shaft's girth.
  
  
  CONCLUSIONS
  This case report shows that the application of flaps in penile girth augmentation may provide a reliable alternative to the currently applied techniques. Glans flaring promotes the aesthetic results and is applicable with other techniques of penile girth augmentation.
authors.affiliation: Department of Andrology, Faculty of Medicine, Cairo University, Egypt. dr-osama@link.net
authors.forename: Osama
authors.initials: O
authors.lastname: Shaeer
authors.forename: Kamal
authors.initials: K
authors.lastname: Shaeer
mesh_terms: D000328:Adult; D007172:Erectile Dysfunction / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000637:transplantation*; D008297:Male; D017060:Patient Satisfaction; D010413:Penis / Q000002:abnormalities / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D013521:Urologic Surgical Procedures, Male / Q000379:methods