SUNY Downstate College of Medicine, Brooklyn, NY, USA.
Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Sex Med Rev. 2018 Apr;6(2):261-271. doi: 10.1016/j.sxmr.2017.10.002. Epub 2017 Dec 28.
Penile size has long been an important fixation in men's lives. On the one hand, a smaller penis has been associated with anxiety and apprehension; on the other hand, a larger penis has generally been related to virility and strength. These perceptions predominate during an erection, when penile size is representative of a man's masculinity.
To assess adult penile length and summarize average penile length assessments from the literature; analyze how various urologic diseases and therapies affect penile length and volume; and review how surgical treatments for Peyronie's disease, penile prosthesis implantation, and radical prostatectomy can affect penile size to appropriately counsel patients seeking such therapies and set realistic goals for patients.
To achieve the aim of this review, we analyzed the literature on penile size and volume and how these can be affected by various urologic diagnoses and therapies. We summarize common diagnoses and therapies that can affect penile size.
We thoroughly discuss how the aforementioned diagnoses and therapies can negatively affect penile size. In doing so, we allow readers to understand the intricacies of penile size when faced with such diagnoses and therapies in their patients.
Surgical treatments for Peyronie's disease, penile prosthesis implantation for refractory erectile dysfunction, and radical prostatectomy for prostate cancer can lead to a decrease in penile size.
Urologists must recognize that the different therapies they offer can affect a man's penile size, often negatively. This in turn can lead to poorer satisfaction outcomes in patients. Davoudzadeh EP, Davoudzadeh NP, Margolin E, et al. Penile Length: Measurement Technique and Applications. Sex Med Rev 2018;6:261-271.
阴茎大小一直是男性生活中的一个重要关注点。一方面，较小的阴茎与焦虑和担忧有关；另一方面，较大的阴茎通常与男子气概和力量有关。这些认知在勃起期间占主导地位，此时阴茎大小代表了男性的阳刚之气。
评估成人阴茎长度并总结文献中平均阴茎长度评估；分析各种泌尿科疾病和治疗如何影响阴茎长度和体积；回顾治疗 Peyronie 病、阴茎假体植入和根治性前列腺切除术的手术如何影响阴茎大小，以便为寻求此类治疗的患者提供适当的咨询并为患者设定现实目标。
为了实现本综述的目的，我们分析了关于阴茎大小和体积的文献，以及各种泌尿科诊断和治疗如何影响这些因素。我们总结了常见的诊断和治疗方法，这些方法会影响阴茎大小。
我们详细讨论了上述诊断和治疗方法如何会对阴茎大小产生负面影响。这样做可以让读者在面对患者的此类诊断和治疗时，了解阴茎大小的复杂性。
治疗 Peyronie 病的手术、治疗难治性勃起功能障碍的阴茎假体植入术和治疗前列腺癌的根治性前列腺切除术都会导致阴茎缩小。
泌尿科医生必须认识到，他们提供的不同治疗方法会影响男性的阴茎大小，通常是负面的。这反过来又会导致患者的满意度下降。
