Smallest medically documented penis



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Micropenis can be caused by a variety of factors including structural or hormonal defects of the hypothalamic-pituitary-gonadal axis. It can also be a component of a number of congenital syndromes. For the etiological evaluation, endocrinologic tests are important. This article reviews the etiology, diagnosis, treatment and management of micropenis.

A misdiagnosis may cause parental anxiety and may lead to unnecessary examinations and tests. The medicallly diagnosis is made by measuring stretched penile length. The first description of standard penile length for age was used by Schonfeld and Beebe 1. In time, the definition of micropenis was accepted as a penile length smaller than 2.

Micropenis may occur as an independent abnormality by itself or as a clinical finding of many syndromes. During embryonic development, following the differentiation of bipotential gonadal ridge to testis, placental human chorionic gonadotropin hCG -driven testosterone synthesis begins in Leydig cells at weeks, resulting in penile differentiation stimulated by dihydrotestosterone DHTa product of the transformation. Fetal androgen levels are high between the 8th and 24th weeks of gestation, with peak levels often observed between the 14th and 16th weeks. Consequently, there is a marked increase in penile length during the second and third trimesters, with an increase of approximately 20 mm from weeks 16 to 38 45.

Most eight- to fourteen-year-old boys referred for micropenis do not have the micropenis condition. Such concerns are usually explained by one of the following: However, later endogenous hormones mainly have value in the treatment of micropenis caused by hormone deficiencies, such as hypopituitarism or hypogonadism.

Medically penis Smallest documented

Regardless of the cause of micropenis, if it is recognized in infancy, a brief course of testosterone is often prescribed [4] psnis no more than Smallesf months. This usually induces a small amount of growth, confirming the likelihood of further growth at puberty, but rarely achieves normal size. No additional testosterone is given during childhood, to avoid unwanted virilization and bone maturation. There is also some evidence that premature administration of testosterone can lead to reduced penis size in the adult.

The neat penis girth was 9. All stars complained of a serious penis in either the sporty or avoid state. Brag activity of the hypothalamic-pituitary glacier and that of the farmers increases within the first 6 months of postnatal life 7.

Penile growth is completed at the socumented of puberty, similar to the completion of height growthand provision of extra testosterone mediclly post-pubertal adults produces little or no further growth. Surgery Because hormone treatment rarely achieves average size, several surgical techniques similar to phalloplasty for penis enlargement have been devised and performed; but they are not generally considered successful enough to be widely adopted and are rarely performed in childhood. In extreme cases of micropenis, there is barely any shaft, and the glans appears to sit almost on the pubic skin.

From the s until the late s, it was common for sex reassignment and surgery to be recommended.


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