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A significant mean increase of girth of 2.4 cm for the mid-shaft of the flaccid penis was recorded, even though 52% of men experienced many irregularities and 0.4% of them required a PMMA nodule removal . Significant improvement in both the IIEF-5 score and intercourse satisfaction score were recorded along with a 32.2% increase in penile circumference. The technique is utilized in most studies for patients with severe erectile dysfunction, Peyronie’s disease, and short length either due to curvature or after treating prostate cancer (radical prostatectomy or combination of hormonal therapy and radiotherapy) [30,31,32,33]. There was no evidence of erosion or infection of the cartilage used and 100% had normal erectile function, while 26.3% developed penile curvature which was treated conservatively with penile stretch and vacuum devices . 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