Korean clinical research behind modern HA penile augmentation

Korean Clinical Research Behind Modern HA Penile Augmentation

Much of the modern clinical literature on hyaluronic acid (HA) penile augmentation comes from Korean teams. The timeline below traces that work — from early feasibility studies to a randomized comparison and a regional consensus — and is followed by what it does, and does not, establish.

  1. 2003
    Early human study

    Early human HA glans studies

    Korean researchers reported early human experience using injectable HA for glans augmentation and explored anatomical feasibility.

  2. 2008
    Follow-up study

    Five-year glans follow-up

    A Korean follow-up study reported persistent effects with partial volume reduction over five years in selected patients.

  3. 2011
    Clinical study

    HA penile-shaft girth enhancement

    A Korean clinical study evaluated injectable HA for penile-shaft girth enhancement.

  4. 2018
    Physician survey

    Korean real-world practice survey

    A survey of Korean urologists described accumulated experience with 4,344 HA glans procedures for selected premature-ejaculation patients. This was a physician-recall survey, not a controlled clinical trial.

  5. 2020
    Randomized trial

    Multicenter randomized HA vs PLA trial

    A patient- and evaluator-blinded Korean randomized trial compared temporary HA and PLA penile augmentation. At 24 weeks, average girth increase was 2.1 cm for HA and 1.6 cm for PLA, with no serious adverse events reported.

  6. 2021
    Retrospective study

    Complication study

    A Korean-affiliated retrospective study described complications and management following HA penile augmentation, including nodules, bleeding, and infection.

  7. 2023
    Consensus statement

    APSSM consensus

    The Asia-Pacific Society of Sexual Medicine emphasized objective assessment, psychological and physical evaluation, realistic expectations, specialist expertise, and the lack of complete procedural standardization.

What this research supports

  • HA can temporarily increase penile girth.
  • HA is more reversible than permanent fillers.
  • Patient satisfaction can improve in selected men.
  • Technique, volume, product, and follow-up matter.

What it does not prove

  • That every patient should have treatment
  • That Korean treatment is automatically superior
  • A guaranteed number of centimetres
  • Reliable erect-length enlargement
  • Absence of serious complications
  • A single internationally standardized protocol

Sources

Titles are shown in the original language. Summaries are editorial; readers should consult the linked source. Listing a study is not an endorsement of any clinic.

  1. 01 Randomized trial

    A Comparison Between Hyaluronic Acid and Polylactic Acid Filler Injections for Temporary Penile Augmentation in Patients with Small Penis Syndrome: A Multicenter, Patient/Evaluator-Blind, Comparative, Randomized Trial.

    Yang DY, Jeong HC, Ahn ST, et al. · Journal of Sexual Medicine, 2020

    doi.org/10.1016/j.jsxm.2019.10.006
  2. 02 Clinical study

    Penile augmentation with injectable hyaluronic acid gel: an alternative choice for small penis syndrome.

    Zhang CL, Quan Y, Li H, et al. · Asian Journal of Andrology, 2022

    doi.org/10.4103/aja20223
  3. 03 Clinical study

    Glans Penis Augmentation Using Hyaluronic Acid Gel as an Injectable Filler.

    Moon DG, Kwak TI, Kim JJ. · World Journal of Men’s Health, 2015

    doi.org/10.5534/wjmh.2015.33.2.50
  4. 04 Physician survey

    Practice Patterns Among Korean Urologists for Glans Penis Augmentation Using Hyaluronic Acid Filler in the Management of Premature Ejaculation.

    Jeong HG, Ahn ST, Kim JW, et al. · Sexual Medicine, 2018

    doi.org/10.1016/j.esxm.2018.06.005
  5. 05 Consensus statement

    Clinical recommendations on penile reconstructive and prosthetic surgery: a consensus statement from the Asia-Pacific Society of Sexual Medicine.

    Chung E, Moon DG, Hui J, et al. · Sexual Medicine, 2023

    doi.org/10.1093/sexmed/qfad003
  6. 06 Clinical study

    Efficacy and safety of newly developed cross-linked dextran gel injection for glans penis augmentation with a novel technique.

    Yang DY, Ko K, Lee SH, et al. · Asian Journal of Andrology, 2018

  7. 07 Clinical study

    The effects of penile girth enhancement using injectable hyaluronic acid gel, a filler.

    Kwak TI, Oh M, Kim JJ, Moon DG. · Journal of Sexual Medicine, 2011

  8. 08 Retrospective study

    Complications and management of penile augmentation with hyaluronic acid injection.

    Quan Y, Gao ZR, Dai X, et al. · Asian Journal of Andrology, 2021