Micropenis
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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| Micropenis | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Penis significantly smaller than average |
| Complications | Infertility, Psychological distress |
| Onset | Congenital |
| Duration | Lifelong |
| Types | N/A |
| Causes | Hormonal imbalance, Genetic disorders |
| Risks | |
| Diagnosis | Physical examination, Hormone testing, Genetic testing |
| Differential diagnosis | Hypospadias, Chordee |
| Prevention | |
| Treatment | Hormone therapy, Surgery |
| Medication | Testosterone |
| Prognosis | Variable, depending on cause and treatment |
| Frequency | 0.6% of male births |
| Deaths | |
Micropenis is a medical term used to describe an abnormally small penis. It is a rare condition that affects approximately 0.6% of men worldwide[1]. Micropenis is typically defined as a penis that, when flaccid and stretched, measures more than 2.5 standard deviations below the mean for age, or a penis with an erect length of less than 7 cm (2.76 inches) for an adult male[2].
Causes
Micropenis can be the result of several factors, including genetic, hormonal, or environmental influences during fetal development. Some of the potential causes include:
- Insufficient production of testosterone or issues with testosterone receptors
- Abnormalities in the genes responsible for penis development
- Exposure to certain medications or environmental factors during pregnancy
- Conditions such as hypogonadotropic hypogonadism, Klinefelter syndrome, or androgen insensitivity syndrome
Diagnosis and Treatment
- Micropenis is usually diagnosed at birth or during childhood through a physical examination and measurement of penile length. A thorough medical history and additional tests may be performed to determine the underlying cause of the condition, such as hormone levels or genetic testing.
- Treatment for micropenis depends on the underlying cause and age of the patient. In some cases, hormone therapy with testosterone or human chorionic gonadotropin (hCG) may be effective in promoting penis growth, especially if initiated during infancy or early childhood[3]. In adult men, hormone therapy is less likely to have a significant impact on penile size.
- For some individuals, surgical options such as penile lengthening procedures or penile prostheses may be considered. However, these surgeries come with potential risks and complications, and their effectiveness varies.
- Psychological support and counseling can be beneficial for individuals with micropenis and their partners, as the condition can have a significant impact on self-esteem, body image, and sexual relationships.
See Also
References
- ↑ Schonfeld, WA, Primary and secondary sexual characteristics: Study of their development in males from birth through maturity, with biometric study of penis and testes, American Journal of Diseases of Children, Vol. 65, pp. 535-549, DOI: 10.1001/archpedi.1943.02010160001001,
- ↑ Hatipoƒülu, N, Penile Length Changes in Men Treated with Androgen Suppression Plus Radiation Therapy for Local or Locally Advanced Prostate Cancer, Journal of Urology, Vol. 189(Issue: 4), pp. 1286-1291, DOI: 10.1016/j.juro.2012.10.002,
- ↑ Bin-Abbas, B, Congenital Hypogonadotropic Hypogonadism and Micropenis: Effect of Testosterone Treatment on Adult Penile Size Why Sex Reversal Is Not Indicated, Journal of Pediatrics, Vol. 134(Issue: 5), pp. 579-583, DOI: 10.1016/S0022-3476(99)70244-7,
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Contributors: Prab R. Tumpati, MD