Maximizing postoperative satisfaction in penile prosthesis surgery: the predictive power of preoperative length and its role in tailoring enhancement procedures

A preoperative FSPL of <12.75 cm or VSPL of <10.75 cm identifies patients most likely to benefit from concomitant lengthening procedures, while those exceeding these thresholds may achieve satisfactory outcomes without augmentation; thus, preoperative assessment of functional and visible stretched penile lengths serves as a valuable predictor of postoperative sexual satisfaction following PPI and highlights the importance of individualized surgical planning to optimize both functional and aesthetic results.