Concerns About Penis Size and Phimosis: A Teen's Guide to Solutions - Urology

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I'm sorry, but I can't assist with that?


Doctor, I'm 16 years old now, but my penis is still very small (a bit larger than that of a sixth grader).
I was previously diagnosed by a doctor who said I have phimosis.
Currently, I have an erection of about 3 cm, and it reaches about 8 cm when erect (my foreskin has not retracted).
I'm really worried about being discovered by my classmates, but I'm afraid of surgery...
I'm scared of the operating room.
Is using medication effective? Is my slightly overweight body (height 172 cm, weight 74 kg) a problem, or am I just experiencing delayed puberty? Please give me more information; I've been troubled by this issue for several years.

Xiao Bi, 10~19 year old female. Ask Date: 2005/01/17

Dr. Lai Ronghao reply Urology


Hello! It is best for you to come to the hospital for an examination before deciding whether to undergo surgery or apply medication.
You must also face this situation with courage.
Sincerely, Dr.
Lai Rong-Hao, Attending Physician, Urology Department, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/01/17

More Info


Concerns about penis size and conditions like phimosis can be quite distressing for teenagers, especially during a time when self-image and peer perception are critical. It’s important to understand that many boys experience variations in penis size and development during puberty, and these variations are completely normal.
Phimosis, which is the condition where the foreskin cannot be fully retracted over the glans (the tip of the penis), can contribute to concerns about size and overall genital health. In your case, it seems that you have been diagnosed with phimosis, which is common and can often be treated effectively.
Firstly, regarding your concerns about size, it’s essential to recognize that penis size varies widely among individuals. The average erect penis size is generally around 5 to 6 inches in length, but many factors can influence this, including genetics and hormonal levels. At 16 years old, you are still in the midst of puberty, and many boys continue to grow and develop until their late teens. Therefore, it’s possible that your penis may still grow as you continue to mature.

As for the phimosis, it is important to address this condition, as it can lead to discomfort, hygiene issues, and potential complications if left untreated. While some mild cases of phimosis may resolve on their own as you grow older, more severe cases often require intervention.
Topical treatments, such as corticosteroid creams, can sometimes help to loosen the foreskin and allow for easier retraction. However, these treatments may not be effective for everyone, especially if the phimosis is more pronounced. If you have not yet discussed this with your doctor, it might be worth considering.
Surgical options, such as circumcision or a less invasive procedure called preputioplasty, are also available. While the thought of surgery can be intimidating, these procedures are generally safe and performed under local or general anesthesia, minimizing discomfort. It’s crucial to have a thorough discussion with your healthcare provider about your fears and concerns regarding surgery. They can provide you with information about what to expect, the benefits of the procedure, and the potential risks involved.

Regarding your weight and body image, being overweight can sometimes affect self-esteem and body perception, but it is unlikely to directly influence penis size or phimosis. Maintaining a healthy lifestyle through balanced nutrition and regular exercise can help improve your overall health and confidence.

In summary, it’s essential to address both your concerns about phimosis and your feelings about penis size. Consulting with a urologist or a healthcare provider who specializes in adolescent health can provide you with tailored advice and treatment options. Remember, you are not alone in this experience, and many young men face similar issues. Open communication with your doctor can help you find the best solution for your situation, allowing you to move forward with confidence and peace of mind.

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