MTP 112: Global Perspectives on Penile Enhancement

At Perito Urology, we believe education drives better outcomes — not only for our patients but for our colleagues around the world. In this special Meet the Penis: Global Edition, Dr. Paul Perito hosted an unfiltered, international conversation on penile enhancement and filler safety with two world-renowned urologists: Dr. Gabriel Veber of Brazil and Dr. Anas Hasan of Iraq.

Together, they explored the evolving field of penile girth enhancement, the global misuse of permanent fillers, and the role of fellowship-trained prosthetic urologists in keeping patients safe.

A Meeting of Minds Across Continents

“We didn’t plan this conversation — we just decided to have some fun and talk honestly about what’s happening around the world.”
— Dr. Paul Perito

From Miami to Baghdad to Porto Alegre, the three surgeons quickly discovered that while their languages and landscapes differ, their challenges are remarkably similar. Across all regions, unqualified providers are performing genital filler injections — often with dangerous, permanent substances like silicone or PMMA (bone cement).

Dr. Hasan shared his perspective from Iraq, explaining how his training led him to choose hyaluronic acid (HA) as the safest and most reversible option:

“I started using HA fillers because they’re natural, reversible, and can be done under local anesthesia. I wanted to learn from the best, and that’s why I came to Florida.”

The Hidden Dangers of Permanent Fillers

While HA fillers are biocompatible and temporary, other substances continue to circulate at med spas and underqualified clinics with devastating results.

Dr. Veber noted that in Brazil, silicone and PMMA injections are officially banned yet still used illegally by non-medical injectors such as pharmacists and dentists.

Dr. Perito echoed that the same problem exists closer to home:

“Not ten miles from us, someone is injecting silicone right now — and potentially changing a man’s life forever. Once it’s in, it’s almost impossible to remove without degloving the penis.”

The consensus: run from anything permanent. Silicone, PMMA, and fat transfers have caused life-altering complications from infections to penile deformities.

Why Prosthetic Urologists Must Lead This Field

When it comes to male enhancement, anatomical expertise matters. Dr. Hasan and Dr. Veber both emphasized that prosthetic urologists, surgeons who routinely perform penile implant procedures are uniquely qualified to perform HA injections safely.

“We understand every structure of the penis — where to inject and where to avoid,” said Dr. Hasan.

 “Most of the patients we see now are trying to fix problems caused by untrained injectors.”

Dr. Perito agreed:

“These are the guys who live and breathe andrology. They’ve held hundreds of prostheses in their hands and know the anatomy inside and out. That’s who you want working on your penis.”

A Shared Mission for Patient Safety

As UroFill® continues to expand worldwide, the goal is the same across every continent: to promote safe, reversible, and medically supervised penile enhancement using hyaluronic acid.

The roundtable ended with a message of unity — that international collaboration and honest conversation are key to protecting men everywhere from predatory or unsafe procedures.

“Different cultures, different languages — but the same mission,” Dr. Perito concluded.
“Education saves lives. And when it comes to your penis, always choose safety over shortcuts.”