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

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.