Aim: To present a simple technique during penile prosthesis implantation that promotes the perception of increased phallic length.

Methods: The penoscrotal web is defined. A “check mark” incision is made with excision of scrotal tissue. Excellent exposure is provided for implantation of the cylinders, pump and reservoir. Wound closure is performed longitudinally.

Results: This technique is a modified extension of surgeries described in the pediatric literature for webbed penis. Loss of penile length following penile implantation surgery is worrisome for patients suffering from erectile dysfunction (ED). This technique helps with patient satisfaction, cosmetic results, and improves perception of penile length.

Conclusion: Ventral phalloplasty is a safe, technically simple procedure that may be performed in concert with penile prosthesis implantation or as a stand alone procedure under certain circumstances.

Keywords: penile implantation, impotence, phalloplasty, genital lengthening

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