Drs. Perito and Suarez-Sarmiento Discuss the UroFill™ Technique at SMSNA 2023

Dr. Paul Peritoeducation, girth enhancement

Dr. Perito SMSNA

Sexual Medicine Society of North America (SMSNA) 2023 San Diego, CA: Safety and Efficacy of Hyaluronic Acid Using the Urofill™ Technique For Penile Girth Enhancement 

Dr. Alfredo Suarez-Sarmiento started the SMSNA 2023 meeting Friday Podium Sessions with a retrospective analysis regarding the pioneering use of hyaluronic acid (HA) to achieve penile girth enhancement. Safety and efficacy data stemming from Dr. Suarez-Sarmiento’s work with Dr. Paul Perito were presented.  

The data measured the use of a standardized and reproducible technique (the Urofill™ Technique) to achieve girth enhancement – data that heretofore had not been presented in a urology setting. Dr. Perito refined the Urofill™ technique in 2014 and has presented a growing abundance of clinical data as an honored guest presenter to both aesthetics and cosmetic disciplines, providing the technique with (up to) 10 years of outcomes.  

Dr. Suarez-Sarmiento’s conclusory bullet point asserted that the Urofill™ technique should be in the hands of urologic experts for penile girth enhancement. 

Dr. Perito then committed what some may consider a slight breach of etiquette by recounting an important moment in urologic history: In 1983, Dr. Giles Brindley (a Board Certified urologist), presented his novel data regarding intracavernosal injection therapy for the treatment of erectile dysfunction (ED) at the American Urological Association’s annual convention. Having secretly injected himself just before taking the stage, urologic folklore was made when he dropped his pants and revealed his erection on stage for all to see. 

Several problems arose with how the industry adopted the urologist’s hard work as many opportunistic business entities usurped Dr. Brindley’s work and built “injection clinics” yet were incapable of handling difficult patient anatomy or complications that commonly arise.  

Many of the complications related to injection therapy for ED are life-changing and consistently leave men with permanent concerns.  Dr. Perito asked for a show of hands to reveal how many urologists have repaired “train wrecks” from these non-urologic injection clinics over the last 40 years. Dr. Perito emphasized his concerns to “not allow history to repeat itself in the field of male genital cosmetics.”  

Dr. Perito closed his remarks by reiterating that “board-certified urologists spend 10+ years honing their craft…. Board-certified urologists should rely on our long-standing scientific model of training and ongoing education.  Novices should not train experts and ALL providers should be competent enough to mend any difficult situations, if and when they occur, without consulting a ‘beautician’ or any similarly non-medically trained person[.]”  

Every patient should know that complications can occur with any treatment.  That is why a patient should choose a true Steward of the Penis Professional™.  The SMSNA is firmly committed to comprehensive research and optimal patient care.  The San Diego meeting demonstrates all urologic societies’ desire to maintain excellent outcomes in centers of excellence.  We agree!  

And thankfully, no presenter needed to drop trousers to send home Dr. Perito’s message.  

Dr. Perito SMSNA

Miami Heat vs. the Thunder Down Under Masterclass with Dr. Perito and Dr. Love on the Penile Implant Infrapubic Approach

Dr. Paul Peritoeducation, IPP Technique

Australia masterclass

Dr. Paul Perito and Dr. Christopher Love were honored to be Chairs at the 3rd Australasian Men’s Health Masterclass for the Serious Implanter sponsored by Coloplast on August 12, 2023, in Melbourne, Australia.  Dr. Perito and Dr. Love led expert discussions with key opinion leaders in penile prosthesis surgery with thirty Serious Implanters in attendance.  Prosthetic topics covered were the scratch technique, raising ED awareness/reaching patients, patient counseling, competitor differences, and Bioflex longevity.  This course was held at Holmesglen Private Hospital with a round table dinner discussion to follow the Masterclass in the city of Moorabbin.

Thank you all for those who attended and shared your passion for Prosthetics in Men’s Health.

The Sexual Medicine Society of North America Holds its First Annual Fellows Bootcamp

Dr. Paul Peritoeducation


The Sexual Medicine Society of North America, a not-for-profit organization of physicians, researchers, and other allied healthcare professionals committed to advancing the field of sexual medicine founded in 1994, held its first annual Fellows Bootcamp in Minneapolis earlier this month.

The bootcamp was a four-day event intended to provide valuable educational and networking opportunities for Men’s Health Fellows, with hands-on experience with industry leaders and device manufacturers including Coloplast and Boston Scientific. 

Dr. Paul Perito was on hand to lead a didactic cadaveric lab to educate the Fellows in some of the newest techniques in the field.

“Ongoing education is essential for any successful urologic surgeon, and for any specialist in the field of sexual health,” said Dr. Perito. “Thanks to all who attended!”


Dr. Paul Perito’s Transformative Trip to Brazil: Revolutionizing Penile Aesthetics in Urology

Dr. Paul Peritoeducation, girth enhancement, penile implant


In a remarkable journey that left an indelible mark on the history of Brazilian urology, Dr. Paul Perito, recently traveled to Campinas, São Paulo, Brazil. From May 18 to 20, 2023, he participated in the XVII Paulista Congress of Urology, a milestone event that solidified itself as the largest gathering of urologists in Latin America. Dr. Perito’s visit aimed to promote his groundbreaking UroFill™ patented technique for penile girth enhancement using hyaluronic acid, which is the only safe and efficacious method for such enhancements.

With an auditorium brimming with urologists, Dr. Perito took the stage and delivered three impactful presentations that captivated the attendees. The first presentation centered around sexual medicine and addressed the critical topic of managing clients’ demands regarding genital aesthetics. This discussion shed light on the importance of considering the holistic well-being of patients and their desires when addressing sexual health.

The second presentation, a lively discussion of complex cases, focused on the topic of penile prosthesis implantation and the decision-making process between malleable and inflatable options. Dr. Perito’s expertise and insights into the intricacies of penile prosthetics provided invaluable guidance to the urologists present, enabling them to make informed decisions in their practice.

Dr. Perito’s third and final presentation served as the closing highlight of the conference, titled “Penile Aesthetics in the Practice of the Urologist.” This captivating session shed light on the importance of urologists’ involvement in male aesthetics, particularly in the realm of sexual medicine. Dr. Perito’s expert perspective emphasized that specialists in urology, armed with their expertise in sexual medicine, are uniquely qualified to address the aesthetic concerns related to the male genitalia.

“What the general public does not know is that all of us who are urologists who have trained for fourteen to sixteen years to hold and take care of a penis should be the only ones who address the penis in a clinical setting… There are charlatans, beauticians, and physicians lacking proper training treating men in every count leaving a swath of misery or disappointment behind them,” said Dr. Perito. 

“My goal is to ensure that men are informed prior to seeking anything related to the penis. My good friends in Brazil are making this job a lot easier,” he added.

As Dr. Perito concluded his final presentation, his closing remarks resonated profoundly with the audience. The UroFill™ technique for penile girth enhancement, which he championed, garnered tremendous buzz and excitement among the attendees. Dr. Perito’s innovative approach and the safety and efficacy of the UroFill™ technique left a lasting impression on the urologists, sparking a revolution in the field of male aesthetics. 

‘This podcast-styled meeting combined a reconstructive pediatric urologist, a reconstructive adult urologist, and a psychiatrist. I was honored to be on the stage with all of them as we constructed, together, a platform on how to properly address the male with penile anxiety disorder, meaning 25% of men who have a normal-sized penis that would like a little more!” said Dr. Perito of the event. 

“If there is a safe and efficacious technique for penile enhancement, why not try it? The key is to inform the patient that they are normal.”

Dr. Perito’s trip to Brazil emphasized the vital role of urologists and sexual medicine experts in male aesthetics. By sharing his expertise and groundbreaking techniques, he empowered urologists to embrace this realm of practice, ensuring that patients receive comprehensive care for their sexual health needs. The integration of aesthetic considerations within the scope of urology represents a significant step forward, enabling patients to achieve optimal outcomes and enhancing their overall well-being.

“Brazilians love case presentations,” said Dr. Perito of the experience. “I think this is a brilliant way to engage the audience. Otherwise the attendees hear the same thing I presented. Great cases and better feedback from the audience and panel. Thank you!”

Setting the Record Straight About Penile Enhancement

Dr. Paul Peritoerectile dysfunction, girth enhancement, penile implant

Penile enhancement

Penile enhancement is a growing business (no pun intended). Unfortunately, as an industry, it is rife with unqualified providers and unsafe products that cast a shadow over legitimate, tested, and effective techniques.

I was recently quoted in an article in The New Yorker about silicon implants and other techniques that promise to enhance the length – and girth – of the penis. The overall message is that the overwhelming majority of them can lead to disfigurement, pain, numbness, infection, and a host of other side effects. 

Here are a few takeaways:

  • There is currently no safe, scientifically proven method to lengthen the penis. There would be rejoicing in the streets if there was a safe and effective method to provide men with their desired penis length. There simply isn’t a procedure that can accomplish this. What we do know, however, is that both penile length and girth diminish with erectile dysfunction, and that it’s possible to enhance girth safely when performed by a qualified provider.

  • Cosmetic practitioners aren’t always medical experts. It takes years of education and training to become a doctor. It takes even longer to become a surgeon, and even more than that to become a urologic surgeon. This experience is crucial to be able to administer any kind of procedure, cosmetic or otherwise, in a safe and effective manner.

  • Penile implants aren’t cosmetic devices. Prosthetic implants are a surgical option for men with erectile dysfunction or an inability to have a penetrating penis. Many men who find that medication isn’t sufficient to provide or restore penile function opt for implants, not out of vanity, but to be able to maintain a regular level of sexual performance. 

Perito Urology puts the health and safety of our patients as our highest priority. As the developer of the UroFill™ girth enhancement technique, I hold every one of our providers to the same standard. In an industry with far too many inexperienced providers and overblown claims, it is our goal to provide the gold standard for safe, effective penile girth enhancement. Our patients deserve nothing less. 


Hyaluronic Acid and the Penis

Dr. Paul Peritogirth enhancement

HA and the penis

Hyaluronic acid fillers are a type of dermal filler commonly used in cosmetic procedures to add volume and fullness to the skin. The filler is injected into the targeted area, and is most often used to enhance facial features, such as the cheeks or lips, or to smooth out wrinkles and fine lines.

Medical practitioners, including Dr. Paul Perito, have pioneered the use of hyaluronic acid fillers for the enhancement of the girth (width) of the penis. The procedure involves injecting the filler into the shaft of the penis to increase its circumference. Advocates of the procedure point to its ability to provide a non-invasive alternative to surgical procedures such as penile silicone implants or fat grafts while avoiding many of the side effects associated with them. In addition to its safety, the girth enhancement procedure itself is fast and produces results over a short period of time. 

While effective as a filler, hyaluronic acid for penis girth enhancement is not a permanent solution; the effects of the filler can eventually wear off as it is absorbed into the body. This means that individuals who undergo the procedure may need to have repeat injections to maintain the desired results.

When cosmetic procedures are performed by unqualified professionals or beauticians, there are potential risks associated with the lack of medical expertise. These risks include infection, bleeding and/ or scarring. Individuals who are considering this procedure should consult with a qualified medical professional and carefully weigh the potential benefits and risks before making a decision.

The UroFill™ girth enhancement technique is backed up by the longest and most exhaustive clinical trials (over eight years) compared to its competitors and is the only technique of its kind solely performed by board-certified and expert urologic surgeons. If you’re considering girth enhancement, please visit UroFill.com to see why our patented method is second to none.  

Dr. Perito Attends Coloplast 2023 Mens’ Health Masterclass

Dr. Paul Peritoeducation, erectile dysfunction, penile implant, Peyronie's Disease


Dr. Paul Perito attended the 2023 Mens’ Health Masterclass in London, UK. The event, held by Coloplast, featured experts in the field of urologic surgery who taught seminars on topics such as Peyronie’s Disease, floppy glans syndrome, and penile implant surgery.

Dr. Perito both presented at the event, giving a talk called “Midline reservoir, obturator fenestration technique and ‘scratch’ technique, and attending seminars from some of the world’s foremost experts in their fields.

The Masterclass hosted by Professor David Ralph offers the ‘experienced’ implanter a chance to be both humbled and informed.  The day you think you have it all regarding penile implantation is the day you should retire.  The nuanced procedure and the patients who receive it benefit across the globe from this meeting.  Thank all involved for their hard work,” said Dr. Perito of the experience.