Penile Concerns: When to Seek Urological Advice - Urology

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Penile issues


Hello, Dr.
Hsu: My penis is small and I have phimosis.
I thought it wouldn't be a problem, but after seeing my junior while swimming, I realized I should see a doctor.
My junior's penis has no foreskin and the glans is exposed.
The length is about the same as mine when erect, but the key point is that he said his penis is pressed against his abdomen when erect, while mine is at about a 90-degree angle.
This made me a bit nervous (but my girlfriend has never complained about me).
Also, his testicles are about twice the size of mine.
However, when I went to the urology clinic, the doctor only mentioned the need for a circumcision.
Why are the erection angle and testicle size not considered important? Is it true that as long as a man's penis can function for reproduction and urination, it is considered normal? Women shouldn't be too concerned about this, right?

Yuan Zhi, 30~39 year old female. Ask Date: 2012/07/29

Dr. Xu Weikai reply Urology


Yuan Zhi: The angle of an erection is not of significant importance.
As long as the testicular size is normal and the functions are intact—normal sperm production and normal male hormone levels—that is sufficient.
Regarding the size of the penis, it is necessary to measure the actual length to determine if it is normal.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/07/29

More Info


When it comes to penile concerns, it is essential to understand that various factors can influence a man's confidence and sexual health. Your situation raises several important points that warrant discussion, particularly regarding the size of the penis, the angle of erection, and the size of the testicles.

Firstly, it is important to note that penis size varies significantly among individuals, and there is a wide range of what is considered "normal." Studies have shown that the average erect penis size is around 5 to 6 inches in length, but many men fall outside this range and still function normally in sexual and reproductive capacities. It is crucial to remember that sexual satisfaction is not solely determined by size; factors such as emotional connection, technique, and communication with your partner play significant roles.

Regarding the angle of erection, a 90-degree angle is not inherently problematic. Erection angles can vary from person to person, and as long as you are able to achieve and maintain an erection, this is generally considered normal. However, if you experience pain, difficulty achieving an erection, or if the angle changes suddenly, it may be worth consulting a urologist for further evaluation.

As for the size of the testicles, it is also important to recognize that testicle size can vary widely among men. While some may have larger testicles, others may have smaller ones, and both can be perfectly normal. Testicle size does not directly correlate with fertility or sexual function. If you have concerns about your testicles, such as pain, swelling, or changes in size, it is advisable to seek medical advice.

You mentioned that your doctor recommended circumcision (removal of the foreskin) but did not address your concerns about size and angle. This could be because the doctor may have identified a medical reason for the circumcision, such as phimosis (a condition where the foreskin cannot be easily retracted), which can lead to hygiene issues or discomfort. It is not uncommon for urologists to prioritize immediate medical concerns over aesthetic or psychological ones. However, if you feel that your concerns were not adequately addressed, it is entirely reasonable to seek a second opinion or to have a more in-depth discussion with your doctor about your worries.

In terms of seeking urological advice, it is advisable to consult a urologist if you experience any of the following:
1. Pain or Discomfort: If you experience pain during erections, urination, or ejaculation, this warrants a medical evaluation.

2. Changes in Function: Any sudden changes in your ability to achieve or maintain an erection should be discussed with a healthcare professional.

3. Concerns About Size: If your concerns about size are affecting your self-esteem or relationships, talking to a urologist can provide reassurance and options.

4. Testicular Issues: Any pain, swelling, or changes in your testicles should be evaluated to rule out any underlying conditions.

In conclusion, while it is common for men to have concerns about their genitalia, it is essential to approach these issues with a balanced perspective. Size, angle, and testicle size can vary widely and do not necessarily indicate a problem. If you have specific concerns, especially those affecting your quality of life or mental health, do not hesitate to seek professional advice. Remember, open communication with your partner and healthcare provider can significantly alleviate anxiety and lead to better sexual health outcomes.

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