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Related Experiment Videos

The inconspicuous penis in children.

Marcello Cimador1, Pieralba Catalano1, Rita Ortolano1

  • 1Department of Science for Health Promotion and Mother and Child Care, University of Palermo, Via Alfonso Giordano 3, 90127 Palermo, Italy.

Nature Reviews. Urology
|April 9, 2015
PubMed
Summary

Inconspicuous penis encompasses conditions like true micropenis and concealed penis. Treatment involves testosterone for true micropenis and surgery for anatomical correction in concealed penis cases.

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Area of Science:

  • Pediatric Urology
  • Endocrinology
  • Anatomy

Background:

  • Inconspicuous penis describes conditions where the penis appears smaller than typical.
  • This includes true micropenis (hypothalamic-pituitary-gonadal axis defect) and concealed penis (anatomical anomalies).
  • Concealed penis subtypes include webbed penis, congenital megaprepuce, and trapped penis (post-circumcision adhesions).

Purpose of the Study:

  • To define and differentiate various forms of inconspicuous penis.
  • To outline diagnostic criteria for micropenis.
  • To discuss management strategies for true micropenis and concealed penis.

Main Methods:

  • Review of anatomical abnormalities and classifications of inconspicuous penis.
  • Definition of micropenis based on stretched penile length (at least 2.5 SD below mean).

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  • Discussion of treatment modalities including hormonal therapy and surgical reconstruction.

    • Main Results:

    • Micropenis is diagnosed when stretched penile length is significantly below age-appropriate norms.
    • Testosterone therapy shows long-term penile elongation benefits for true micropenis.
    • Surgery is crucial for penile elongation and correcting anatomical issues in concealed penis.

    Conclusions:

    • Effective management of inconspicuous penis requires accurate diagnosis of its specific type.
    • Hormonal therapy and surgical interventions offer viable treatment options for improving penile length and form.
    • Understanding the distinct etiologies is key to successful patient outcomes.