Varicocele and Penis Size: Developmental Concerns

Varicocele and penile size?

Hello, doctor.
I am 181 cm tall and weigh 66 kg, similar in build to my two older brothers.
I have experienced voice changes, developed an Adam's apple, and have body hair in various areas, which is more than average.
However, I recently noticed a significant difference in penis size compared to my brothers (I measure 7 cm when flaccid and about 13.5 cm when erect, while both of my brothers are at least 13 cm when flaccid).
Why is there such a large discrepancy?
I was a premature baby and had a hernia issue in childhood, which was resolved through surgery.
Recently, I noticed something resembling a soft tube in my left scrotum.
After researching, I suspect it might be a varicocele, as I observed that it shrinks when I lie down, and I had surgery for the hernia when I was younger (the size of my testicles is approximately 4/5 of the "OK" hand gesture).
Here are my questions:
A: Is it a varicocele? If so, does it affect my penis development? Because from a top-down view, 7 cm looks similar to that of a child.
B: If it is a varicocele, should I see a doctor? It’s not very large, and I don’t feel any pain.
C: Compared to my brothers and peers, I feel like my penis hasn’t developed much, and it seems to have stopped growing.
I will soon be 19 years old.
Are there factors that could affect its development? Is there still hope for improvement?

Tom, 10~19 year old female. Ask Date: 2016/10/07

Dr. Sun Hongshun reply Urology

Hello, your length is within the normal range.
The size before and after erection, as well as the expansion coefficient, varies from person to person and is related to the frequency of sexual activity and hormones.
Please consult with your two older brothers first, and if you still have questions, consider visiting a urology clinic for further consultation (including checking for varicocele).

Reply Date: 2016/10/07

More Info

Dear Patient,
Thank you for your detailed inquiry regarding your concerns about varicocele and its potential impact on penile size and development. It’s understandable to have questions about these issues, especially given your unique medical history as a premature infant and your previous surgery for a hernia. Let’s address your concerns systematically.

A: Is it Varicocele?
Based on your description of a soft, tubular structure in your left scrotum that diminishes in size when lying down, it does sound like you may be experiencing varicocele. Varicocele is characterized by the enlargement of veins within the scrotum, similar to varicose veins in the legs. This condition is relatively common and can occur in males, particularly during puberty. While varicocele itself does not directly affect penile size, it can be associated with other issues related to testicular function and fertility.

B: Should You See a Doctor?
Yes, it is advisable to consult a healthcare professional, particularly a urologist, who specializes in male reproductive health. Even if you are not experiencing pain, varicocele can sometimes lead to complications such as testicular atrophy or fertility issues. A doctor can perform a physical examination and possibly an ultrasound to confirm the diagnosis and assess the severity of the condition. If it is determined that the varicocele is significant, treatment options may include surgical intervention, especially if you are concerned about fertility in the future.

C: Concerns About Penile Development
Regarding your concerns about penile size and development, it’s important to note that penile growth can vary significantly among individuals and is influenced by several factors, including genetics, hormonal levels, and overall health. At 19 years old, you may still experience some changes, as penile growth can continue into the early twenties. However, if you feel that your development is significantly delayed compared to your peers, it may be worth discussing with a healthcare provider. They can evaluate your hormonal levels, including testosterone, which plays a crucial role in sexual development.

Factors Influencing Development
Several factors can influence penile and overall sexual development:
1. Hormonal Levels: Testosterone is critical for male development. Low levels can lead to delayed growth.

2. Genetics: Family history can play a significant role in determining size and development patterns.

3. Health Conditions: Previous health issues, such as being a premature infant or having undergone surgery for a hernia, may have an impact on your development.

4. Nutrition and Lifestyle: A balanced diet and healthy lifestyle can support normal growth and development.

Conclusion
In summary, while varicocele may not directly affect your penile size, it is essential to have it evaluated by a healthcare professional to rule out any complications. Additionally, if you have concerns about your development, a consultation with a urologist or endocrinologist can provide clarity and guidance. Remember, every individual develops at their own pace, and there is a wide range of what is considered normal.
Please don’t hesitate to reach out to a healthcare provider for further evaluation and peace of mind. Your health and well-being are paramount, and addressing these concerns early can lead to better outcomes.

Best regards,
Doctor Q&A Teams

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