Small penis - the male sexual organ, having a stretched or erect length of less than 9.5 cm The term "micropenis" denotes the penis, having at the highest tension size of 2.5 standard deviations below the average age norm.. The presence of a small penis and micropenis negative effect on men's self-esteem, and in some cases - and on the reproductive function, prevent maintaining full sexual life men impotency. Diagnosis of possible causes of deviation from the norm is conducted by a urologist, andrologist and includes the study of the hormonal profile, ultrasound of the penis and scrotum. Increase of small penis size is possible using methods of phalloplasty (penis elongation ligamentotomii, penile implant, etc.).
Small penis syndrome is a collective term conditions in which due to the size of the penis is disrupted reproductive function of men and normal sex life becomes impossible. Micropenis called pathology, which arose as a result of endocrine disorders during embryogenesis, in other cases of small penis talk about underdevelopment of the body.
In men, the average penis size in erection is 14 cm, and the lower limit of normal is considered to be the penis with a length of 9.5 cm. That is, the penis is less than 9.5 cm are called small penis. True small penis should not be confused with the concept of "false micropenis" - the latter condition occurs in obese men, whose visual shortening of the penis is determined by overhanging skinfold.
If the size of the penis in a stretched state by 2.5 standard deviations below the average size, typical for a specific age, such a state comes under the concept of micropenis, or microfoam. Today there are more than 20 congenital pathologies which are characterized by the production of sex hormones in violation, and thereby cause clinical small penis, and in some cases - sterility. Revealed an annual incidence of about one case per hundred newborn boys, but the true figure is slightly higher. In some of the boys this syndrome is not diagnosed due to the fact that the clinics, doctors do not have the required qualifications, and therefore able to select only those cases of small penis syndrome, which have distinct clinical manifestations. In order to identify all cases, it is necessary to inspect the boy as a pediatrician, and have andrologist-endocrinologist, as if a small penis syndrome diagnosed before 14 years of age, treatment is more effective than treatment begun in puberty.
Boys aged 3-4 years who have been Kallmann syndrome, fall under the attention of a doctor, a urologist because of cryptorchidism; in this disease testes do not descend into the scrotum and are in the abdominal cavity. Operations on testicular descent into the scrotum, which ends the treatment is not enough, as the syndrome of Kallmann disrupted education pituitary cells, which are responsible for the synthesis of hormones that stimulate the production of testosterone, at a later age it becomes the cause of small penis syndrome. And at the age of 18-25 years, this problem arises particularly clearly, as a young man notices a difference in the development of reproductive organs in themselves and their peers and treatment of small penis syndrome is very difficult. Gradually formed an inferiority complex: boys become closed, narrow circle of friends, refuse to go to gyms and swimming pools. Young men with small penis syndrome avoided acquaintances and any communication with the girls, try to choose a profession that does not require frequent verbal contact with people. Closure and deepest part of the depression often cause organic lesions of the psyche, and then need help psychiatrists.
In Klinefelter's syndrome gene mutation occurs in the genetic pool has an extra chromosome, which is responsible for the formation of female sexual characteristics. Men with Klinefelter's syndrome are usually asthenic physique, narrow shoulders and small penis syndrome, which is manifested hypoplasia of the scrotum and the small size of the penis. In this case, insufficient length of the penis is the result of hormonal regulation disorders in adolescence and childhood periods. Reproductive function can not be affected, although some of the patients have problems conceiving children. The majority of patients with the syndrome of Klinefelter syndrome is not considered a disease of small sexual member, because they believe that a small penis - is an individual feature, so there is no reason to refer to the andrologist.
It is important to diagnose this syndrome, as treatment is started at an early age the most effective, besides the boy was not experiencing any trauma. Therefore, in addition to the inspection pediatrician must be mandatory testing of boys and a urologist. Since the treatment of small penis syndrome in older age need to conduct operations to increase penis and lasting social rehabilitation.
Diagnosis and assigning the correction, it is necessary to remember that the size of the penis depends on the stimulation of testosterone, as well as genetic factors. Rate penis size in children is much more difficult, since it is necessary to take into account the age category, testicular size and other anthropometric data. For early diagnosis of potential problems with the reproductive system, the child must be periodically inspected at andrologist. Self diagnostics using tabular data can lead to the fact that a correction will have to spend in the older age.
Surgical lengthening of the penis is shown in its size at rest less than 4 cm. And erect least 7 cm. In this case, men with larger sizes, so it is possible to carry out surgical lengthening of the penis. The main indications for surgery to increase penis is Peyronie's disease, cavernous fibrosis, post-traumatic decrease penis and micropenis. In addition, there are functional disorders, such as hidden and rectal penis. Surgical intervention is indicated and, if desired, change the appearance of the patient's penis, then spend the plastic penis and aesthetic correction.
The goal of any surgical intervention - to improve the quality of life of the patient. Penile dysmorphophobia when the patient is at normal size penis, is not satisfied with his appearance or size, is not a contraindication to surgery. On the contrary, after a minor plastic surgery, the patient is completely rid of complexes and discomfort.
To correct small penis syndrome resort to techniques which combine the penis extension device via ekstenzionnogo, hormonal therapy and plastic surgery. The sooner treatment is started, the greater its effectiveness; after the correction of small penis syndrome, psychological problems take place without the intervention of psychologists and psychiatrists.
But in the treatment of small penis it is important to restore as an opportunity to lead a normal sex life and reproductive function in men. If treatment is started in childhood, the ability to have children persists as the testes still retain the ability spermatogenesis. The best results gives impulse hormonal therapy.
That is, the possibility of which has a modern andrology, not only able to fully correct small penis syndrome, with preservation of reproductive function, but also change the appearance of the penis. At the same time after the entire complex treatment of social rehabilitation is almost not needed.
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