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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Format: | Article |
Language: | English |
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Wiley
2011-01-01
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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. |
format | Article |
id | doaj-art-d0b344c3a7e14382ae214bf5ab2ffdf2 |
institution | Kabale University |
issn | 1537-744X |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
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 |