Department of Andrology, Sexology & STDs, Cairo University, Faculty of Medicine, Cairo, Egypt.
J Sex Med. 2013 Jan;10(1):294-303. doi: 10.1111/j.1743-6109.2012.02725.x. Epub 2012 Apr 18.
With the worldwide increase in penile augmentation procedures and claims of devices designed to elongate the penis, it becomes crucial to study the scientific basis of such procedures or devices, as well as the management of a complaint of a small penis in men with a normal penile size.
The aim of this work is to study the scientific basis of opting to penile augmentation procedures and to develop guidelines based on the best available evidence for the management of men complaining of a small penis despite an actually normal size.
We reviewed the literature and evaluated the evidence about what the normal penile size is, what patients complaining of a small penis usually suffer from, benefits vs. complications of surgery, penile stretching or traction devices, and outcome with patient education and counseling. Repeated presentation and detailed discussions within the Standard Committee of the International Society for Sexual Medicine were performed.
Recommendations are based on the evaluation of evidence-based medical literature, widespread standards committee discussion, public presentation, and debate.
We propose a practical approach for evaluating and counseling patients complaining of a small-sized penis.
Based on the current status of science, penile lengthening procedure surgery is still considered experimental and should only be limited to special circumstances within research or university institutions with supervising ethics committees.
随着全球阴茎增大手术的增加，以及声称有设计用于延长阴茎的设备，研究这些手术或设备的科学依据，以及处理正常阴茎大小的男性对小阴茎的抱怨，变得至关重要。
本研究旨在探讨选择阴茎增大手术的科学依据，并根据最佳现有证据制定指南，以管理对小阴茎抱怨的男性，尽管其实际尺寸正常。
我们回顾了文献，并评估了关于正常阴茎大小、抱怨小阴茎的患者通常患有哪些疾病、手术的利弊与并发症、阴茎拉伸或牵引设备以及患者教育和咨询的结果等方面的证据。在国际性医学会标准委员会内部进行了多次演示和详细讨论。
建议基于评估循证医学文献、广泛的标准委员会讨论、公开演示和辩论。
我们提出了一种实用的方法来评估和咨询抱怨小阴茎的患者。
基于目前的科学状况，阴茎延长手术仍被认为是实验性的，应仅限于研究或大学机构的特殊情况，并在监督伦理委员会的情况下进行。
