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<p>Glans hypermobility is a rare complication of penile implant surgery. There is a paucity of available literature on glanspexy treatment as a definitive solution and patients’ post-operative satisfaction. We conducted a retrospective review of patients who underwent glanspexy for real glans hypermobility (RGH) following penile implant insertion at a quaternary referral centre in 2012–2024. Demographic features, surgical techniques and post-operative outcomes were logged. We contacted patients via telephone to conduct a modified Erectile Dysfunction Inventory of Treatment Satisfaction questionnaire. Out of 3210 patients who underwent penile prosthesis insertion from 2012–2024, 40 underwent glanspexy. Glanspexy was performed at the time of primary implantation in 22.5% patients and as a secondary procedure in 77.5%. 67.65% of patients were satisfied and 77.78% felt erection shape was better post glanspexy. 76.47% felt the treatment met their expectations. 94.12% of patients agreed they would still choose to undergo the surgery again. Glanspexy done as a secondary procedure, in comorbid patients, after multiple implant revisions or genital/pelvic surgeries results in lower satisfaction. For the small cohort who experience RGH, glanspexy represents a unique opportunity to achieve restorative function of their penile prosthesis with satisfactory outcomes.</p>

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Glanspexy for real glans hypermobility after penile prosthesis surgery: a retrospective review and patient satisfaction analysis

  • 期刊论文

  • 发表日期：

    2026年4月10日

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  • Isabel Dighero,
  • Mohammed Shah,
  • Wai Gin Lee,
  • Angelo di Giovanni,
  • David Ralph,
  • Marta Skrodzka

摘要

Glans hypermobility is a rare complication of penile implant surgery. There is a paucity of available literature on glanspexy treatment as a definitive solution and patients’ post-operative satisfaction. We conducted a retrospective review of patients who underwent glanspexy for real glans hypermobility (RGH) following penile implant insertion at a quaternary referral centre in 2012–2024. Demographic features, surgical techniques and post-operative outcomes were logged. We contacted patients via telephone to conduct a modified Erectile Dysfunction Inventory of Treatment Satisfaction questionnaire. Out of 3210 patients who underwent penile prosthesis insertion from 2012–2024, 40 underwent glanspexy. Glanspexy was performed at the time of primary implantation in 22.5% patients and as a secondary procedure in 77.5%. 67.65% of patients were satisfied and 77.78% felt erection shape was better post glanspexy. 76.47% felt the treatment met their expectations. 94.12% of patients agreed they would still choose to undergo the surgery again. Glanspexy done as a secondary procedure, in comorbid patients, after multiple implant revisions or genital/pelvic surgeries results in lower satisfaction. For the small cohort who experience RGH, glanspexy represents a unique opportunity to achieve restorative function of their penile prosthesis with satisfactory outcomes.