small penis

The male sexual organ less than 9. 5 cm in length when extended or erect. The term "micropenis" refers to a penis whose size at maximum extension is 2. 5 standard deviations smaller than the mean for age. The presence of micropenis and micropenis can have a negative impact on male self-esteem and, in some cases, reproductive function and prevent a full sexual life.Micropenis syndrome is a collective concept in which male reproductive functions are disrupted due to an excessively large penis, making normal sex life impossible. Micropenis is a pathology caused by endocrine disorders during embryogenesis; in other cases of micropenis, they speak of underdevelopment of this organ.For Chinese men, the average size of an erect penis is 14 cm, and a penis with a length of 9. 5 cm is considered the lower limit of normal. That is, a penis smaller than 9. 5 cm is called a micropenis. penis. A true micropenis should not be confused with the concept of "false micropenis" - the latter condition occurs in obese men, in which the visual shortening of the penis is determined by hanging folds of skin and fat.

Diagnose causes of deviations from normal

Diagnosis of possible causes of deviations from normality is made by a urologist andrologist and includes:

• Hormone Profile Study,
• Ultrasound examination of the penile and scrotal organs.

The size of the small penis can be increased using phalloplasty methods (penis lengthening, ligamentotomy, penile prosthesis, etc. ).

Reasons for short penis

If the size of the elongated penis is 2. 5 standard deviations smaller than the average size characteristics for a particular age, the condition falls under the concept of micropenis or micropenis. Today, more than 20 congenital disorders are known, characterized by interference in the production of sex hormones, leading to the clinical manifestation of a small penis and, in some cases, infertility. The established incidence is about 1 in every 500 newborn boys, but the true number is higher. In some boys, the syndrome remains undiagnosed because clinic doctors do not have the necessary qualifications and can only identify those cases of micropenis syndrome with overt clinical manifestations. In order to identify all cases, it is necessary to examine boys by a pediatrician and an andrological endocrinologist, since if micropenis syndrome is diagnosed before the age of 14 years, treatment is more effective than if it begins during puberty.A 3- to 4-year-old boy with Kallmann syndrome comes to the attention of a urologist because of cryptorchidism; in this condition, the testicles do not descend into the scrotum but sit within the abdominal cavity. Surgery to lower the testicles into the scrotum (end of treatment) is not sufficient because in Kallmann syndrome the formation of pituitary cells responsible for synthesizing the hormones that stimulate testosterone production is impaired; this can occur later in life. Causes micropenis syndrome. This problem is particularly evident at the age of 18-25, as young people notice differences in the development of their reproductive organs compared with those of their peers, and the treatment of micropenis syndrome presents great difficulties. A feeling of inferiority gradually develops: the young man becomes withdrawn, his social circle shrinks, he refuses to go to the gym and swimming pool. Young men with micropenis syndrome avoid dating and any communication with girls and try to choose careers that do not require frequent verbal contact with people. Isolation and deep, frequent depression are often the cause of organic mental damage, and the help of a psychiatrist is needed.With Klinefelter syndrome, a genetic mutation occurs and the genome contains an extra chromosome that is responsible for the development of female sexual characteristics. Men with Klinefelter syndrome usually have weak constitution, narrow shoulders, and small penis syndrome, which is characterized by underdeveloped scrotum and small penis. In this case, insufficient penis length is the result of disrupted hormonal regulation during puberty and childhood. Although some patients have problems conceiving, reproductive function may not be impaired. Most patients with Klinefelter syndrome do not consider micropenis syndrome to be a disease because they believe that small penis is an individual characteristic and therefore have no reason to contact an andrologist.

Diagnosis and treatment of micropenis syndrome

Prompt diagnosis of this syndrome is important because treatment is most effective when started at an early age and boys do not experience any psychological trauma. Therefore, in addition to the pediatrician's examination, the boy must also undergo an examination by a urologist. Penis enlargement surgery and long-term social rehabilitation are required for the treatment of micropenis syndrome in older patients.When diagnosing and prescribing corrections, you need to remember that penis size depends on testosterone stimulation 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. In order to diagnose possible problems in the reproductive system at an early stage, the child must be regularly examined by an andrologist. Self-diagnosis using tabular data may result in corrections that must be made at an older age.

Indications for surgical treatment

Penis lengthening surgery can be performed if the penis size in the resting state is less than 4 cm and in the erect state is less than 7 cm. At the same time, men with larger sizes can also undergo penis lengthening surgery.The main indications for penis enlargement surgery are Peyronie's disease, cavernous fibrosis, post-traumatic penile reduction, and micropenis.In addition, there are saphenous, recto-penile and other dysfunctions. Surgical intervention is required, and if the patient wishes to change the appearance of the penis, then phalloplasty and its aesthetic correction are required.The goal of any surgical intervention is to improve the patient's quality of life.Penile deformity phobiaWhen a patient with a normal-sized penis is dissatisfied with its appearance or size, this is not a contraindication to surgical treatment. On the contrary, after minor plastic surgery, patients are completely free from complications and discomfort.forCorrection of micropenis syndromeTake a combination of the following approaches:

• Use an extension device to extend your penis,
• Hormone therapy
• and plastic surgery.

The sooner treatment is started, the higher the efficacy; once micropenis syndrome is corrected, the psychological problems will disappear without the intervention of psychologists and psychiatrists.But when treating micropenis, it is very important to restore a man's ability to have normal sex and reproductive function. If treatment is started in childhood, the possibility of having children remains because the testicles still retain the ability to produce sperm. Best results are achieved with pulsed hormone therapy.In other words, modern andrology has the ability to not only completely correct small penis syndrome, but also to change the appearance of the penis while maintaining reproductive function. Furthermore, after the entire comprehensive treatment, social rehabilitation is not actually required.