Infertility & Sexual Dysfunction(구연) (NP-037) 음경확대술에서 현수인대의 절개는 꼭 필요한 것인가?: 단일 기관연구 예작 병원 홍성우, 성병주, 심보선, 정재현, 문일 Introduction and Objective: The purpose of this is to assess the effect of the penile lengthening technique by division of the penile suspensory ligament. Materials and Methods: From September 2017 to January 2019 a total of 2328 penile augmentation surgeries were analyzed for this article. 2328 patients with a variety of etiologies were included. Of these, 1247 patients underwent division of the penile suspensory ligament in our clinic’s ingenious way, 5-points permanent fixation. According to the extent of the division of penile suspensory ligament, we classified into the four groups. The outcome was assessed objectively based on increase in flaccid penile length (FPL). Results: The post-operation mean increase in FPL of 1081 patients (group 1) without division of the penile suspensory ligament was 1.5 ± 1.2 cm (range, 0 to +4.5cm). The post operation mean increase in FPL were 3.0 ± 1.2 cm (range, 0 to +5.5cm) in group 2, 3.2 ± 1.0 cm (range, -0.5 to +7.0cm) in group 3 and 3.3 ± 1.1 cm (range, 1 to +7.0cm) in group 4, respectively (p < 0.05). The overall patient satisfaction rate was 75% and no one had other critical side effects. Conclusions: Division of the penile suspensory ligament or other augmentation techniques may increase penile length. Suspension ligament incision tends to be reluctant to be decreased angle at the time of erection, However, in this study, there was no such anxiety of the patient and it proved to be a satisfactory technique for lengthening the flaccid state of penis. keywords : Penile augmentation, suspensory ligament