Standardization, safety, and the future of cosmetic penileenhancement: Perspective on “Cosmetic penileenhancement procedures: An SMSNA position statement”

In reading the Sexual Medicine Society of North America’s (SMSNA) position statement on cosmetic penile enhancement,1 I am struck by how far our field has come. Not long ago, these procedures lived on the fringes of sexual medicine, often marketed by unregulated providers, with results that ranged from underwhelming to catastrophic. Today, the SMSNA’s leadership has taken a major step toward bringing this conversation into the academic light, where it belongs. This position statement marks a turning point, acknowledging that while dangers remain, like anything related to surgery, a pathway forward exists, rooted in data, standardized protocols, and patient safeguards, paving the way for a safer, more thoughtful integration of male genital cosmetics into urology. This has not been the norm for urologic training to date.