Micropenis

Micropenis is part of a larger group of conditions broadly known as inconspicuous penis; however, it is fundamentally different from the other diagnoses in this group, such as webbed penis and buried penis, in that the underlying problem is the size of the penis itself, not with the surrounding and...

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Main Authors: Jeremy Wiygul, Lane S. Palmer
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2011.135
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author Jeremy Wiygul
Lane S. Palmer
author_facet Jeremy Wiygul
Lane S. Palmer
author_sort Jeremy Wiygul
collection DOAJ
description Micropenis is part of a larger group of conditions broadly known as inconspicuous penis; however, it is fundamentally different from the other diagnoses in this group, such as webbed penis and buried penis, in that the underlying problem is the size of the penis itself, not with the surrounding and overlying skin. This condition is usually the result of a defect in the hypothalamic-pituitary-gonadal axis, although iatrogenic causes are identified infrequently. Management revolves around testosterone (direct administration or encouraging the patient's body to make its own), and long-term results with respect to increase in penile length are promising. Reconstructive surgery is based on the use of a vascular pedicle free flap and is reserved for patients who fail to respond to hormonal treatment. Although substantial long-term data are lacking, adult patients with micropenis appear to report dissatisfaction with penile appearance, but the majority appear to have adequate sexual function.
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publishDate 2011-01-01
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series The Scientific World Journal
spelling doaj-art-d0b344c3a7e14382ae214bf5ab2ffdf22025-02-03T01:30:33ZengWileyThe Scientific World Journal1537-744X2011-01-01111462146910.1100/tsw.2011.135MicropenisJeremy Wiygul0Lane S. Palmer1Division of Pediatric Urology, Cohen Children's Medical Center of New York of the North Shore-Long Island Jewish Health System, Long Island, NY, USADivision of Pediatric Urology, Cohen Children's Medical Center of New York of the North Shore-Long Island Jewish Health System, Long Island, NY, USAMicropenis is part of a larger group of conditions broadly known as inconspicuous penis; however, it is fundamentally different from the other diagnoses in this group, such as webbed penis and buried penis, in that the underlying problem is the size of the penis itself, not with the surrounding and overlying skin. This condition is usually the result of a defect in the hypothalamic-pituitary-gonadal axis, although iatrogenic causes are identified infrequently. Management revolves around testosterone (direct administration or encouraging the patient's body to make its own), and long-term results with respect to increase in penile length are promising. Reconstructive surgery is based on the use of a vascular pedicle free flap and is reserved for patients who fail to respond to hormonal treatment. Although substantial long-term data are lacking, adult patients with micropenis appear to report dissatisfaction with penile appearance, but the majority appear to have adequate sexual function.http://dx.doi.org/10.1100/tsw.2011.135
spellingShingle Jeremy Wiygul
Lane S. Palmer
Micropenis
The Scientific World Journal
title Micropenis
title_full Micropenis
title_fullStr Micropenis
title_full_unstemmed Micropenis
title_short Micropenis
title_sort micropenis
url http://dx.doi.org/10.1100/tsw.2011.135
work_keys_str_mv AT jeremywiygul micropenis
AT lanespalmer micropenis