A 2018 study notes that the Penuma device demonstrated an average 56.7% increase in the girth of the penis, as well as high patient satisfaction and improved ratings of self-confidence and self-esteem, even after long-term follow-up.
Post-operative satisfaction was high with no serious adverse events. Austoni E, Guarneri A, Cazzaniga A. A new technique for augmentation phalloplasty: Albugineal surgery with bilateral saphenous grafts-three years of experience. Men with smaller penises may experience insecurity and low self-esteem, leading them to seek out penile enlargement procedures.

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