Objectives:  To perform penile augmentation and lengthening procedure (PALP) for micropenis with partial minimal circumcision incision.

Material & Methods:  From 1999 to 2004, 145 patients underwent PALP with partial minimal incision, dorsal one third of circumcision incision. PALP adopted dermofat graft from gluteal region. Graft length was 11cm and width was 4cm. Lengthening procedure was done with dissection of fundiform ligament. After dissection of ligament, multiple transverse sutures were done for approximation of prepubic dead space with 3-0 chromic cat gut.

Results:  Postoperative penile length after 3 months was 7.3 ± 1.6cm compared with preoperative length 4.5 ± 1.2. Postoperative complications were seroma and inflammatory change (3.0%). Graft failure was 2 cases (1.4%).

Conclusion:  For penile augmentation and lengthening procedure, partial minimal incision on circumcision incision was effective surgical procedure with minimal complications.


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