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Howard Stern Small Penis Contest
Howard Stern Small Penis Contest
::2013/02/07::
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My Penis and I [2005]
My Penis and I [2005]
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South Park style song :Man With a Micropenis
South Park style song :Man With a Micropenis
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Comparing Penis Sizes - Embarrassing Bodies
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small phallus - How to get micropenis treatment
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Jahlicia After Dark Ep. 5 I have A MicroPenis..help!
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Smallest Penis in Brooklyn Contest 2013 NYC part 1)
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Billy Kenard Micropenis
::2014/03/18::
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My Friend Has a Micropenis by The Farmingdale Sound Machine
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MICRO PENIS FEAT. CORTEX - TRAILER
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Micropenis
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Micropenis and More
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Micropenis will be no problem when you watch this video
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Family Medical Center: Micropenis Banana Episode
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What is a micropenis (microphallus)?
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#15 - Micro penis - Belle-mère - Donner envie
#15 - Micro penis - Belle-mère - Donner envie
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I Want A Real Penis!!!! - Micropenis Victim Crying!
I Want A Real Penis!!!! - Micropenis Victim Crying!
::2010/11/10::
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Small Penis Girl Talk
::2013/01/09::
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Testosterone treatment for infants with micropenis
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DAS VERFLIXTE 3. JAHR - Der Micro-Penis in seiner vollen Länge
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Satisfy A Woman Sexualy - Sex Positions For Small Penis
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You Might Have A Small Penis
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i have a small penis
::2011/08/31::
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Got Shaft? Tiny: Micropenis Part 1
Got Shaft? Tiny: Micropenis Part 1
::2011/11/25::
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Reaction Video To AMAZING ATHEIST POURS SCALDING OIL ON HIS MICROPENIS
Reaction Video To AMAZING ATHEIST POURS SCALDING OIL ON HIS MICROPENIS
::2013/04/14::
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Trey Gets Stoned - A South Park Parody
Trey Gets Stoned - A South Park Parody
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Brutal Polka - Micro Penis
::2013/11/11::
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Extremiste conservateur - Micropenis
Extremiste conservateur - Micropenis
::2011/02/21::
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micropenis
micropenis
::2011/12/17::
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Micropenis - Commie Students
Micropenis - Commie Students
::2009/03/18::
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penile reconstruction repair of small penis as in webbed penis or pensrotal fusion.mpg
penile reconstruction repair of small penis as in webbed penis or pensrotal fusion.mpg
::2011/07/15::
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amnesie - micropenis /// live @ Le Fouloir
amnesie - micropenis /// live @ Le Fouloir
::2010/11/18::
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::2013/05/08::
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Asian Guys= Small Penis?
Asian Guys= Small Penis?
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Solve micropenis - It is so simple for men now
Solve micropenis - It is so simple for men now
::2013/11/25::
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Camille Grammer - Kelsey Grammer Has Micro Penis
Camille Grammer - Kelsey Grammer Has Micro Penis
::2011/08/13::
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Small penis sissies need to stay at home! Stay away from women!
Small penis sissies need to stay at home! Stay away from women!
::2014/01/28::
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Amnésie - Micropénis (live @ Le Fouloir)
Amnésie - Micropénis (live @ Le Fouloir)
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LoL - MicroPenis has slain Aminizle
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The Secret of the Micro Penis
The Secret of the Micro Penis
::2011/04/16::
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micropenis
micropenis
::2008/09/28::
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Micro-penis
::2013/11/24::
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Penis Size - Embarrassing Bodies
Penis Size - Embarrassing Bodies
::2011/03/07::
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45
Micropenis
Micropenis
::2014/01/06::
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46
Man With
Man With 'Micropenis' Discovers He's A Woman
::2013/06/12::
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Vague notions of geology and why superman does not have a micropenis tell it to someone 136
Vague notions of geology and why superman does not have a micropenis tell it to someone 136
::2013/07/14::
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Multiplayer Madness - "Micropenis"
Multiplayer Madness - "Micropenis"
::2013/03/06::
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AMC 2007 Grand Rounds 04 Micropenis PSA
AMC 2007 Grand Rounds 04 Micropenis PSA
::2007/05/22::
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Micro penis
Micro penis
::2013/06/05::
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RESULTS [51 .. 101]
From Wikipedia, the free encyclopedia
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Micropenis
Classification and external resources
ICD-9 752.64
OMIM 607306
DiseasesDB 14839
eMedicine ped/1448

Micropenis is an unusually small penis. A common criterion is a dorsal (measured on top) erect penile length of at least 2.5 standard deviations smaller than the mean human penis size,[1] or smaller than about 7 cm (2 34 in) for an adult when compared to an average erection of 12.5 cm (5 in).[2] The condition is usually recognized shortly after birth. The term is most often used medically when the rest of the penis, scrotum, and perineum are without ambiguity, such as hypospadias. Micropenis occurs in about 0.6% of males.[2]

Measuring erect micro penis

Causes

Of the abnormal conditions associated with micropenis, most are conditions of reduced prenatal androgen production or effect, such as abnormal testicular development (testicular dysgenesis), Klinefelter syndrome, Leydig cell hypoplasia), specific defects of testosterone or dihydrotestosterone synthesis (17,20-lyase deficiency, 5α-reductase deficiency), androgen insensitivity syndromes, inadequate pituitary stimulation (gonadotropin deficiency), and other forms of congenital hypogonadism. Micropenis can also occur as part of many genetic malformation syndromes that do not involve the sex chromosomes. It is sometimes a sign of congenital growth-hormone deficiency or congenital hypopituitarism. Several homeobox genes affect penis and digit size without detectable hormone abnormalities.

In addition, in utero exposure to some estrogen based fertility drugs like diethylstilbestrol (DES) has been linked to genital abnormalities and/or a smaller than normal penis. [3]

After evaluation to detect any of the conditions described above, micropenis can often be treated in infancy with injections of various hormones, such as human chorionic gonadotropin and testosterone.

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:

  1. a penis concealed in suprapubic fat (extra fat around the mons pubis).
  2. a large body and frame for which a prepubertal penis simply appears too small.
  3. delayed puberty with every reason to expect good future growth.

Treatment

Hormone treatment

Growth of the penis both before birth and during childhood and puberty is strongly influenced by testosterone and, to a lesser degree, growth hormone; but their value in the treatment of micropenis is mainly limited to conditions of hormone deficiency, such as hypopituitarism or hypogonadism.

Regardless of the cause of micropenis, if it is recognized in infancy, a brief course of testosterone is often prescribed[4] (usually no more than 3 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.)[5]

Testosterone treatment is resumed in adolescence only for boys with hypogonadism. Penile growth is completed at the end of puberty, similarly to the completion of height growth, and provision of extra testosterone to 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 1960s until the late 1970s, it was common for sex reassignment and surgery to be recommended. This was especially likely if evidence suggested that response to additional testosterone and pubertal testosterone would be poor. If parents accepted, the boy would be reassigned and renamed as a girl, and surgery performed to remove the testes and construct an artificial vagina. This was based on three now questioned assumptions:

  1. gender identity and sex differences were solely a matter of social learning rather than biology.
  2. a male with a penis too small to put into a vagina could not find a satisfactory social and sexual place in society.
  3. a functionally acceptable vagina could be constructed surgically.

Johns Hopkins Hospital, the center most known for this approach, performed twelve such reassignments from 1960 to 1980, most notably[citation needed] that of David Reimer (whose penis was destroyed by a circumcision accident), overseen by Dr. John Money. By the mid-1990s, reassignment was less often offered, and all three premises had been challenged. Former subjects of such surgery, vocal about their dissatisfaction with adult outcome, played a large part in discouraging this practice. Sexual reassignment is rarely performed today for severe micropenis (although the question of raising the boy as a girl is sometimes still discussed.)[6] (See "History of intersex surgery" for a fuller discussion.)

See also

References

  1. ^ Lee PA, Mazur T, Danish R et al. (1980). "Micropenis. I. Criteria, etiologies and classification". The Johns Hopkins medical journal 146 (4): 156–63. PMID 7366061. 
  2. ^ a b ScienceDaily.com (2004). "Surgeons Pinch More Than An Inch From The Arm To Rebuild A Micropenis," 6 Dec. 2004, URL accessed 2 April 2012.
  3. ^ Center of Disease Control. "DES Update: Consumers". 
  4. ^ Ishii T, Sasaki G, Hasegawa T, Sato S, Matsuo N, Ogata T (2004). "Testosterone enanthate therapy is effective and independent of SRD5A2 and AR gene polymorphisms in boys with micropenis". J. Urol. 172 (1): 319–24. doi:10.1097/01.ju.0000129005.84831.1e. PMID 15201804. 
  5. ^ McMahon DR, Kramer SA, Husmann DA (1995). "Micropenis: does early treatment with testosterone do more harm than good?". J. Urol. 154 (2 Pt 2): 825–9. doi:10.1016/S0022-5347(01)67175-1. PMID 7609189. 
  6. ^ Calikoglu AS; Calikoglu, A (1999). "Should boys with micropenis be reared as girls?". J. Pediatr. 134 (5): 537–8. doi:10.1016/S0022-3476(99)70236-2. PMID 10228285. 

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