Husmann D A
Department of Urology, The Mayo Clinic, Rochester, MN 55905, USA.
J Pediatr Endocrinol Metab. 2004 Aug;17(8):1037-41. doi: 10.1515/jpem.2004.17.8.1037.
To assess the adult stretched penile length (SPL) and sexuality in patients with micropenis who exhibited an inadequate response to exogenous testosterone therapy and were raised as males.
Patients with micropenis who had an equivocal response to exogenous testosterone therapy and were raised as males were evaluated at adulthood (>17 yr).
Twenty patients with micropenis, initial median SPL -3.3 SD below the mean (range -5.5 to -2.6) had a suboptimal response to initial testosterone therapy, median SPL post-treatment -2.7 SD (-3.3 to -2.2), and were raised as males. At adulthood, 90% (18/20) had a micropenis, median SPL -3.4 (-5.9 to -2.2). All have a male gender identity, five are undergoing psychiatric counseling (fear of sexual rejection--five patients, one of whom also has suicidal ideation). Eight have not pursued a sexual relationship; 12 are sexually active, one of whom is bisexual.
评估对雄激素替代治疗反应欠佳且自幼被当作男性抚养的小阴茎患者的成人阴茎伸展长度（SPL）及性功能。
对雄激素替代治疗反应不明确且自幼被当作男性抚养的小阴茎患者在成年期（>17岁）接受评估。
20例小阴茎患者，初始阴茎伸展长度中位数比均值低3.3个标准差（范围为-5.5至-2.6），对初始雄激素治疗反应欠佳，治疗后阴茎伸展长度中位数为-2.7个标准差（-3.3至-2.2），且自幼被当作男性抚养。成年后，90%（18/20）患者仍有小阴茎，阴茎伸展长度中位数为-3.4（-5.9至-2.2）。所有患者均有男性性别认同，5例正在接受心理咨询（因害怕性方面被拒绝——5例患者，其中1例有自杀念头）。8例未开展过性关系；12例有性活动，其中1例为双性恋。
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