Urological Concerns: Penis Shape and Growth Surgery Options - Urology

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I underwent correction when I was younger.
I would like to know if the appearance of my penis after correction differs significantly from that of others.
Are there surgical options for penile reconstruction or lengthening? Since I have been in puberty for about 3 to 4 years and my penis has hardly grown, should I consider seeing a doctor?

GG, 10~19 year old female. Ask Date: 2005/12/30

Dr. Xu Weikai reply Urology


Hello, I believe you are referring to issues after hypospadias surgery.
After a period of healing, the appearance of the penis can become similar to that of a normal individual, and development will gradually normalize.
If you mention that there has been no development, it may be related to hormones, and you will need to consult both urology and endocrinology for examination and treatment.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/12/30

More Info


When it comes to concerns about penile shape and growth, it is important to approach the topic with sensitivity and an understanding of the medical options available. Many individuals experience anxiety regarding their genital appearance, especially during puberty when body image is a significant concern.
Firstly, it is essential to recognize that the penis comes in various shapes and sizes, and what is considered "normal" can vary widely. If you have undergone corrective procedures in the past and are still feeling dissatisfied with the appearance or size of your penis, it may be beneficial to consult with a urologist. A urologist specializes in the urinary tract and male reproductive system and can provide you with a thorough evaluation.

Regarding surgical options, there are procedures available for individuals seeking to alter the shape or size of their penis. These include:
1. Penile Lengthening Surgery: This procedure typically involves cutting the suspensory ligament that attaches the penis to the pubic bone, which can allow for a greater length to be achieved. However, it is important to note that this surgery carries risks, including complications such as scarring, loss of sensation, and erectile dysfunction.

2. Penile Girth Enhancement: This can be achieved through various methods, including fat grafting or the use of dermal fillers. These procedures aim to increase the circumference of the penis but also come with potential risks and complications.

3. Penile Reconstruction: In cases where there are congenital abnormalities or trauma, reconstructive surgery may be an option. This is a more complex procedure and is typically reserved for specific medical conditions.

Before considering any surgical intervention, it is crucial to have realistic expectations. Many men may feel that their penis is smaller than average, but studies show that the average erect penis size is around 5 to 6 inches. Additionally, psychological factors play a significant role in body image, and it may be beneficial to explore these feelings with a mental health professional or counselor.

If you are concerned about the lack of growth during puberty, it is advisable to consult with a healthcare provider. They can assess whether there are any underlying hormonal issues or developmental concerns that may be affecting your growth. Hormonal imbalances, such as low testosterone levels, can impact growth and development during puberty.

In summary, while there are surgical options available for penile enhancement, it is essential to approach these procedures with caution and to have a thorough discussion with a qualified urologist. They can provide guidance tailored to your specific situation, help you understand the potential risks and benefits, and assist you in making an informed decision. Additionally, addressing any psychological concerns with a mental health professional can be beneficial in improving your overall body image and self-esteem.

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