Evidence map›Paper›PMID 40603773›Full record

ArticleAesthetic plastic surgery2026

Trans-scrotal Suspensory Ligament Release: A Novel Technique for Penile Length Augmentation.

Babak Karimian, Amirreza Shamshirgaran, Reza Mohammadi Farsani, Abdolreza Mohammadi, Seyed Mohammad Kazem Aghamir

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In one paragraph

Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Babak KarimianUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Amirreza ShamshirgaranUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Reza Mohammadi FarsaniUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Abdolreza MohammadiUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Mohammad Kazem AghamirUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran. mkaghamir@tums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPenile size concerns are prevalent among men, often linked to self-esteem and masculinity. Alongside many pathological condition, small penis anxiety (SPA) and penile dysmorphic disorder (PDD) can also lead to dissatisfaction even in those with normal sizes. Various enlargement methods, both invasive and non-invasive, have emerged. While penile enlargement procedures aim to improve size and esthetics, they carry potential risks that require careful consideration.

objectiveWe aimed to introduce a novel suspensory ligament release method by trans-scrotal approach. MATERIALS AND

methodsThe study involved 21 men with concerns about penile size who underwent trans-scrotal penile enlargement surgery from February 2022 to July 2023. Patients received comprehensive evaluations, including medical history, physical exams, and psychological assessments for body dysmorphic disorders. The surgery aimed to enhance penile size using a novel trans-scrotal technique. Postoperative outcomes including flaccid penile length (FPL), stretched penile length (SPL), complications, and patient satisfaction were assessed. Patients also were provided with the Male Genital Self-Image Scale (MGSIS) and International Index of Erectile Function-5 (IIEF-5) questionnaires.

resultsThis study consists of 14 body dysmorphic disorder (BDD), 2 hypospadias, and 5 micropenis patients. The average age was 38.8 years, with surgical procedures lasting about 145.7 minutes. All patients were discharged within 24 hours, with no major complications reported. There were significant increases in both flaccid and stretched penile lengths (2.6 ± 1.66 cm and 2.4 ± 0.57 cm, respectively, p < 0.05). MGSIS score significantly increased, while IIEF-5 scores showed no significant change.

conclusionTrans-scrotal approach for penile enlargement is a safe and effective technique that could be administered to patients seeking penile augmentation. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Body Dysmorphic DisordersLigamentsPenisScrotumAdultHumansMaleMiddle AgedOrgan SizePatient SatisfactionRetrospective StudiesTreatment OutcomeYoung AdultPenile augmentationPenile lengthPenile sizeSatisfactionSuspensory ligament release

Identifiers

PMID40603773

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.