Mikropenis: what is this and can you handle it?

Micropenosis is a pathological condition in which the size of the penis is too small to maintain normal sexual life. Contrary to popular belief, the micro penis is not a small penis. A sign of equality between these phenomena can not be set. According to studies of urologists in Russia and in European countries, the normal length of the penis varies from 10 to 17 centimeters. But a smaller size does not yet speak of micropenia. The described state is observed when the indicators deviate 2-3 times from the norm. Accordingly, we are talking about a length of 2-5 cm or less.

Micropeniasis - a pathology in which the size of the penis of a man is 2 to 5 cm

Probable causes of pathology

Two groups ofpromoted the formation of pathology.

Congenital

The first - congenital factors. Micropenia almost always has an innate character.

Accordingly, in this case, the main and immediate cause is the anomalies of intrauterine development. There is a mass of factors of adversely affecting the sexual development of the fetus:

• Mother poisoning with toxic substances. If a woman lives in regions with high levels of heavy metals in the environment or works in harmful production, this increases the risk of developmental disorders in boys.
• Excessive production of estrogens during the period of gestation.
• Insufficient production of testosterone by the mother's body.

Acquired

The second group of factors is acquired. The peak of puberty and, accordingly, penis growth, falls on the period from 13 to 18 years( with minor deviations in both directions).At this time, a huge role is played by male sex hormones - androgens. All changes in the sexual sphere occur precisely under their influence. The lack of development of androgens leads to underdevelopment of the external genitalia. Such factors( which can be called exogenous) are much more dangerous and hard to correct. Often it is a question of systemic hypogonadism. In this case, in addition to microenia, secondary infertility is noted.

About forms of micropenia

In medicine, is isolated with two forms of described state:

1. True micropletion .It is diagnosed when the length of the penis does not exceed 5 cm. In urological practice, this is a relatively rare condition. For 8000 healthy boys, 1 suffers from this pathology.
2. False microepenia .Observed in adult obese patients, when the normal length of the penis is hidden in the pubic fat. In this case, there is no disease.

Manifestations of the disease

Oligospermia is a disease characterized by insufficient sperm content for fertilization of the ovum

Manifestations are primarily external. The penis looks unnaturally short. In the un-aggregated state, this can be a variant of the norm. Measurements are carried out only in the state of erection. In the event that micropenia developed during life, with a lack of gonadal gland functioning, the following symptoms are noted:

• Underdevelopment of the testes .They also look small. The scrotum is flattened, it can be deformed.
• Obesity by female type ( fat is deposited in the chest, thighs, buttocks).
• Gynecomastia ( enlargement of mammary glands).
• Oligospermia .Reducing the number of viable spermatozoa or their complete absence.

Pathological symptoms vary from patient to patient.

Diagnostic measures

Doctors-urologists and endocrinologists are engaged in the diagnosis of the micropenitis. At the initial consultation, a patient or his parents are questioned, and an anamnesis is collected. A great diagnostic value is the fact of the presence of endocrine pathologies, brain tumors, diseases of the male sexual sphere. The diagnosis of the problems does not cause. Enough even a cursory visual inspection. It is much more difficult to establish the root cause of the state. Meanwhile, it is necessary to do this - the tactics of treatment depend on the initial factor.

If it is determined that micropleenia is not congenital, the following objective studies of are required:

• Blood test for hormones .It is especially important to detect the concentration of LH, testosterone, prolactin.
• Radiography of the skull .The altered Turkish saddle points in favor of probable pathologies of the brain.
• MRI of chiasmatic-selar region .The voluminous formations of the Turkish saddle and the bottom of the third ventricle of the brain are very likely: gliomas, germins, cysts, adenomas of the pituitary gland. In the course of the growth of the formation, there is a compression of the adenohypophysis and the hypothalamus. Accordingly, hypopituitarism is observed, which leads to secondary hypogonadism.
• Ultrasound examination of testicles( details here) .Allows you to determine the size and structure of testicles.

Treatment of

Endocrinology and urology offer two treatment strategies.

Conservative therapy

The first is conservative. If the condition is caused by hypogonadism, normalization of the hormonal background is necessary( testosterone is responsible for penis size, therefore therapy is performed with its application).Unfortunately, effective therapy is possible only in the early stages. It is important to accurately guess the moment. Treatment should be conducted only after the onset of adolescence. If it starts earlier - premature puberty is possible. In this case, the state of micropenia will only be fixed. If you are late - the opposite effect is very likely( the penis will become even smaller).

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• substitution therapy with testosterone preparations
• stimulating therapy with chorionic gonadotropin

Surgical treatment

Operational techniques:

• Ligamentotomy. Elongation of the body by 10-15 mm is considered acceptable.
• Suprapubic Lipectomy. Allows you to visually enlarge the penis.

As a rule, both methods are used in the complex. The larger the patient can expect is an increase in the penis by 2-3 cm at rest. Unfortunately, in the state of erection, the length remains the same. Operations are more cosmetic in nature. At the same time, ubiquitous patients with micropenia have problems with urination. This is due to the incorrect structure of the trunk of the penis and the deformation of the urethral canal. Often, surgical intervention is not so much aesthetic as anatomical goals, but increasing the length of the organ is secondary. It is very important to explain this to the patient, so as not to deceive his expectations.

Complications of intervention

Complications are relatively rare. Among them:

• urination disorders;
• reduction in length of the penis.

Psychological state of

patients. In persons with the described condition, penile dysmorphophobia develops in the overwhelming majority of cases. Such patients are embarrassed by their body, feel defective, inferior. This is only the smallest thing that happens to such patients. Possible and more severe mental problems: the disease is a psychotraumatic factor. In order to normalize the psychoemotional background of the patient, systematic psychotherapy with the use of Ericksonian hypnosis, cognitive-behavioral treatment is shown.

Micropenia is a condition that excludes normal sexual activity and significantly reduces the quality of life. Effective methods of treatment simply do not exist. At least to a minimum extent, the problem can be influenced only in the pubertal period. It is important for a patient to learn to live with this pathology and accept himself.

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