Small penis

Penis enlargement surgery

Male genital organs are less than 9. 5 cm in length in a tense or erect state. The term "micropenis" refers to a penis that, at greatest engorgement, is 2. 5 standard deviations smaller than the average age norm. The presence of a micropenis and micropenis negatively affects men's self-esteem and, in some cases, affects reproductive function and interferes with a full sexual life.

Micropenis syndrome is a general concept of conditions in which, due to the size of the penis, male reproductive functions are disrupted and a normal sexual life becomes impossible. Micropenis is a pathology that arises due to endocrine disorders during embryogenesis; in other cases, a small penis indicates underdevelopment of this organ.

For men in our country, the average size of the penis when erect is 14 cm. The lower limit of the standard is considered to be a penis with a length of 9. 5 cm, that is, a penis less than 9. 5 cm. cm is called a small penis. penis. A true micropenis should not be confused with the concept of "penis dildo" - the latter condition occurs in obese men, in which the shortening of the penis is determined by skin folds and protruding fat.

Diagnose the cause of deviation from the norm

Diagnosis of possible causes of deviation from the norm is carried out by a urologist-endocrinologist and includes:

  • Hormone profile studies,
  • Ultrasound of the penis and scrotal organs.

It is possible to increase the size of a small penis using phalloplasty methods (penis lengthening, ligament cutting, penile prosthesis, etc. ).

Causes of small penis

If the size of the enlarged penis is less than 2. 5 standard deviations from the average size characteristics of a particular age, then this condition falls under the concept of micropenis or micropenia. Today, more than 20 congenital pathologies are known, which are characterized by disorders of the production of sex hormones, due to which they cause the clinical picture of a small penis and in some cases infertility. The incidence has been determined to be about one case per five hundred newborn boys, but the actual number is somewhat higher. In some boys, this syndrome remains undiagnosed because doctors at the clinic do not have the necessary expertise, so they can only identify cases of micropenis syndrome with clear clinical manifestations. clear. To identify all cases, it is necessary to examine the boy by both a pediatrician and an endocrinologist-endocrinologist, because if small penis syndrome is diagnosed before the age of 14, treatment will be more effectivecompared with treatment initiated at puberty.

Boys 3-4 years old with Kallmann syndrome come to the attention of a urologist due to undescended testicles; With this disease, the testicles do not descend into the scrotum but remain in the abdominal cavity. Surgical lowering of the testicles into the scrotum, where treatment ends, is not enough, because in Kallmann's syndrome, the formation of pituitary cells, responsible for synthesizing hormones that stimulate testosterone production, is impaired; in later life this is impaired. become the cause of small penis syndrome. And at the age of 18-25, this problem arises especially clearly, since young people notice differences in the development of reproductive organs in themselves and in their peers, and treatmentSmall penis syndrome has many difficulties. An inferiority complex gradually develops: young men become withdrawn, narrow their social relationships and refuse to participate in gyms and swimming pools. Young people with small penis syndrome avoid dating and communicating with girls and try to choose a profession that does not require frequent verbal contact with people. Isolation and deep, frequent depression often become the cause of organic mental damage, which then requires the help of psychiatrists.

With Klinefelter syndrome, gene mutations occur and the genome contains an extra chromosome that is responsible for the formation of female sex characteristics. Men with Klinefelter syndrome often have a weak physique, narrow shoulders, and micropenis syndrome, which is characterized by an underdeveloped scrotum and a small penis. In this case, insufficient penis length is the result of violations of hormonal regulation in adolescence and childhood. Reproductive function may not be impaired, although some patients have difficulty conceiving. Most patients with Klinefelter syndrome do not consider micropenis syndrome a disease because they believe that a small penis is an individual trait, so there is no reason to contact an endocrinologist.

Diagnosis and treatment of small penis syndrome

It is important to diagnose this syndrome promptly, because treatment starting at an early age is most effective and the boy does not experience any psychological damage. Therefore, in addition to being examined by a pediatrician, boys must also be examined by a urologist. Because in the treatment of small penis syndrome at an older age, it is necessary to perform penis enlargement surgeries and long-term social rehabilitation.

When diagnosing and prescribing correction, you need to remember that penis size depends on both testosterone-stimulating factors and genetic factors. Assessing penis size in childhood is much more difficult because it is necessary to take into account age category, testicular size and other anthropometric data. For early diagnosis of possible problems with the reproductive system, the child must be examined regularly by an endocrinologist. Self-diagnosis using tabular data can lead to the fact that correction will have to be carried out at an older age.

Indications for surgical treatment

Penis lengthening surgery is indicated when its size in a calm state is less than 4 cm and in an erect state is less than 7 cm. At the same time, men with larger sizes can also have lengthening surgery. penis.

The main indications for penile enlargement surgery are Peyronie's disease, cavernous fibrosis, post-traumatic penile reduction, and micropenis.

There are also dysfunctions such as hidden penis and rectum. Surgical intervention is indicated and if the patient wants to change the appearance of the penis, penile cosmetic surgery and cosmetic correction will be performed.

The goal of any surgical intervention is to improve the patient's quality of life.

Penile morphological disorderWhen a patient with a normal penis size is dissatisfied with its appearance or size, this is not a contraindication to surgical treatment. On the contrary, after a minor cosmetic surgery, the patient completely gets rid of complex and uncomfortable feelings.

Becauseovercome small penis syndromeUse combined methods:

  • lengthening the penis with a stretching device,
  • hormone therapy
  • and cosmetic surgery.

The earlier treatment is started, the more effective it is; After correcting small penis syndrome, psychological problems will disappear without the intervention of psychologists or psychiatrists.

But when treating micropenis, it is important to restore both normal sexual activity and reproductive function in men. If treatment is started at an early age, the possibility of having children remains because the testicles still retain the ability to produce sperm. Best results are obtained with pulsed hormone therapy.

That is, the capabilities of modern andrology are capable not only of completely correcting small penis syndrome, while maintaining reproductive function, but also of changing the shape of the penis. Moreover, after the entire complex treatment process, actual social rehabilitation is not necessary.