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Updated: May 15, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
The relationship between anogenital distance and age
M L Eisenberg1, T-C Hsieh, L I Lipshultz
1Department of Urology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305-5118, USA. eisenberg@stanford.edu
Anogenital distance (AGD) in adult men does not change with age, according to a new study. This finding suggests AGD can reliably indicate genital development and function throughout adulthood.
Area of Science:
- Reproductive Endocrinology
- Human Physiology
- Andrology
Background:
- Anogenital distance (AGD) in adult males has been linked to testicular function.
- Rodent studies indicate AGD is established during fetal development and remains constant.
- It remains uncertain if male AGD is constant throughout adulthood.
Purpose of the Study:
- To investigate whether anogenital distance (AGD) in adult men varies with age.
- To assess the stability of AGD and penile length (PL) across different age groups.
Main Methods:
- Cross-sectional study involving 473 men at a men's health clinic.
- Measurement of anogenital distance (posterior scrotum to anal verge) and penile length using digital calipers.
- Statistical analysis using ANOVA and linear regression to correlate AGD and PL with age and fatherhood status.
Main Results:
- Anogenital distance (mean 39 ± 13 mm) did not significantly differ across age categories in the overall group, fathers, or childless men.
- Penile length also remained constant across age groups.
- Adjusted analyses confirmed no relationship between AGD and age, stratified by fatherhood status.
Conclusions:
- Anogenital distance is consistent among adult men of varying ages.
- AGD may serve as a stable indicator of genital development and function in adult males.
- Longitudinal studies are recommended to confirm these findings.
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