The Penuma implant is a subcutaneous device designed for the cosmetic enhancement of the penis. It is constructed from a soft, medical-grade silicone, similar to materials used in other aesthetic procedures like chin or buttock implants. The device is placed under the penile skin to increase its girth and alter its flaccid appearance. Unlike inflatable penile prostheses used to treat erectile dysfunction, the Penuma implant does not affect the mechanics of erection or urination. Its function is purely aesthetic, intended for men seeking a change in the look of their penis.
The Surgical Procedure
The surgical placement of the Penuma implant is an outpatient procedure lasting 45 to 60 minutes and performed under general anesthesia. Surgeons now prefer a small incision made on the side of the scrotum. This approach is favored because it results in a concealed scar, avoiding any visible marks on the penis shaft itself. This method has also been associated with lower rates of certain postoperative issues.
Once the incision is made, the surgeon creates a pocket in the subcutaneous plane, the layer of tissue just beneath the skin. The solid silicone sleeve is then inserted through the incision and positioned over the corpus cavernosa—the spongy tissues responsible for erection. The device is anchored in place with sutures near the base of the penile head to ensure it remains stable. The implant stretches the overlying skin and tissue, which creates the change in penile dimensions.
The Penuma implant is not a one-size-fits-all device; it is available in several sizes, such as large, extra-large, and extra-extra-large. Before the operation, the surgeon will determine the most appropriate size based on the patient’s anatomy and aesthetic goals. The soft silicone material is designed to feel natural and does not contain any liquid or gel, providing a consistent shape and texture.
Candidacy and Expected Outcomes
Determining who is a suitable candidate for the Penuma implant involves a thorough evaluation of both physical and psychological factors. Ideal candidates are men who are dissatisfied with the flaccid appearance or girth of their penis and have normal erectile function. Men diagnosed with conditions like a retractable penis or those with significant concerns about their genital appearance may also be considered. A component of the consultation process is ensuring the patient has realistic expectations about the outcomes.
Conversely, specific contraindications would make a patient ineligible for the procedure. Men with unrealistic expectations about the results are not considered good candidates. Active infections, either systemic or localized to the genital area, would postpone or prevent surgery. Furthermore, the implant is not intended to treat severe erectile dysfunction, as individuals with this condition require a different medical intervention.
The primary outcome of the Penuma procedure is an increase in penile girth, which is noticeable in both the flaccid and erect states. Patients can expect a girth increase of one to two inches. An increase in flaccid length is a common secondary effect, as the weight of the implant stretches the penile ligaments and skin. The implant does not increase erect length, as it does not alter the underlying erectile tissues.
Recovery and Potential Complications
The recovery period requires adherence to specific post-operative instructions to facilitate proper healing. Patients are advised to abstain from all sexual activity for approximately six to seven weeks. Strenuous physical activities, such as gym workouts or heavy lifting, should also be avoided for six to eight weeks to prevent stress on the surgical site. Some surgeons may place a temporary draining tube for about a week to manage fluid buildup.
Potential complications can arise. One of the more common issues is the formation of a seroma, which is a collection of fluid under the skin. Infection at the surgical site is another risk, which surgeons mitigate through sterile techniques. Smoking is a significant risk factor, and patients are strongly advised to stop smoking at least one month before and after the surgery to reduce complication rates.
Over time, a complication known as capsular contracture can occur. This is where the scar tissue that naturally forms around any implant hardens, potentially causing discomfort or an unnatural appearance. Another concern is implant malposition, where the device may shift from its intended placement. These complications may necessitate a follow-up surgery to correct the issue or require the complete removal of the implant.
Financial and Regulatory Considerations
The cost of the Penuma procedure is a significant factor for prospective patients, with prices ranging from $18,000 to $24,000 in the United States. This fee covers the surgeon’s expertise, the cost of the implant device, and the use of the surgical facility. Because the surgery is classified as a cosmetic procedure, it is not covered by health insurance plans. Patients are responsible for the full cost out-of-pocket.
From a regulatory standpoint, the Penuma implant has received 510(k) clearance from the U.S. Food and Drug Administration (FDA). This clearance designates it as a device for the cosmetic enhancement of the penis. This is a specific classification, and it is not cleared or marketed for the treatment of any medical condition, including erectile dysfunction. This distinction is an important part of the patient education and consent process.