Penis Size Concerns: Phimosis and Varicocele Insights - Urology

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Penile issues, foreskin problems, varicocele?


Hello Doctor: I feel that my penis is relatively small (7 cm when flaccid, 13 cm when erect), and it seems only slightly larger than a child's.
I noticed that my brother and father are both 13 cm when flaccid, so I have been researching to understand what might be affecting my development.
First, I discovered that I have a varicocele on the left testicle, and I underwent surgery for it a month and a half ago.
I also asked the doctor about the size of my penis, and he said it should be normal (since I have noticeable axillary hair, pubic hair, and body hair, and my right testicle measures 3.4 cm in length while the left measures 2.6 cm, with the right being normal, indicating normal development).
However, I still have many concerns about the length, as there is a significant difference compared to my father and brother.
I continued to investigate and found that I might have a problem with phimosis (the foreskin can be retracted all the way back when flaccid, and it exposes 2/3 of the glans when erect, but can still be retracted back).
A: I would like to ask the doctor if phimosis affects my penis development? B: If so, is there still a way to improve my penis length now? How can I do that? C: How long will it take for the left testicle to return to normal size? D: What should be the normal length of adult testicles? E: Do you have any recommendations?

H, 10~19 year old female. Ask Date: 2017/03/08

Dr. Du Shixi reply Urology


Hello: 1) No, it varies by individual constitution.
2) Don't overthink it (development is mostly complete by age 19; please avoid taking over-the-counter medications indiscriminately; focus on nutrition, ensure adequate sleep, and exercise daily).
3) Development is mostly complete by age 19 (the chances of change are minimal).
4) Textbooks state it is 4*3*2.5 cm.
5) Pay attention to balanced nutrition, ensure adequate sleep, and exercise daily, as these may still be beneficial.

Reply Date: 2017/03/08

More Info


When it comes to concerns about penis size, phimosis, and varicocele, it's important to approach the topic with a clear understanding of the medical aspects involved. Let's break down your questions and concerns in detail.


A. Does Phimosis Affect Penis Development?
Phimosis, which is the inability to retract the foreskin fully over the glans (the head of the penis), can be a concern for some individuals. However, it is not typically associated with affecting the overall growth or development of the penis itself. The size of the penis is primarily determined by genetic factors, much like other physical traits. If you are able to retract the foreskin when erect and it does not cause pain or discomfort, it is generally not considered a medical issue.

B. Can Length Be Improved?
If you are concerned about the length of your penis, it’s essential to understand that penis size varies significantly among individuals. The average erect penis size is around 5 to 6 inches (approximately 12.7 to 15.24 cm). Your measurements of 13 cm when erect fall within this average range. If phimosis is present and causing discomfort or hygiene issues, treatment options such as circumcision or other surgical methods can be considered, but these are not intended to increase size.
If you are looking for ways to enhance size, it is crucial to approach this with caution. Many advertised methods, such as pills, pumps, or surgeries, can carry risks and may not yield the desired results. Consulting with a urologist can provide you with safe and effective options if you feel that your concerns are impacting your self-esteem or quality of life.


C. Recovery of the Left Testicle After Varicocele Surgery
After varicocele surgery, it is common for the affected testicle to take some time to return to its normal size. Typically, you can expect some swelling and discomfort for a few weeks post-surgery. Full recovery can take several months, and the testicle may gradually regain its size and function. Regular follow-ups with your urologist will help monitor the recovery process and ensure that everything is healing properly.


D. Normal Size for Adult Testicles
The average size of adult testicles can vary, but generally, they measure about 3 cm in length and 2.5 cm in width. Your measurements of the right testicle at 3.4 cm and the left at 2.6 cm suggest that your right testicle is slightly larger than average, while the left is within the normal range. Variations in size are common and not usually a cause for concern unless accompanied by pain or other symptoms.


E. Recommendations
1. Consult a Urologist: If you have ongoing concerns about penis size, phimosis, or testicular health, it is best to consult a urologist. They can provide personalized advice and treatment options based on your specific situation.

2. Self-Acceptance: It’s important to recognize that penis size does not define masculinity or sexual ability. Many factors contribute to sexual satisfaction, including emotional connection and technique.

3. Monitor Recovery: After your varicocele surgery, keep track of your recovery and report any unusual symptoms to your doctor. Regular check-ups will help ensure that your testicular health is maintained.

4. Educate Yourself: Understanding the normal variations in human anatomy can help alleviate concerns. Resources from reputable medical websites can provide accurate information.

5. Healthy Lifestyle: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can positively impact your overall health and well-being, including sexual health.

In summary, while concerns about penis size and related issues are common, they often stem from societal pressures and personal insecurities rather than medical conditions. Engaging with healthcare professionals can provide clarity and reassurance.

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