Goel Prabudh, Choudhury Prativa, Saroya Komal Kaur, Jain Vishesh, Dhua Anjan Kumar, Yadav Devendra Kumar, Anand Sachit, Agarwala Sandeep, Sharma Kanika, Agrawal Vikesh, Saha Subhasis, Singh Harpreet, Sharma Naveen, Singh V P
Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Department of Paediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
J Indian Assoc Pediatr Surg. 2024 Sep-Oct;29(5):492-504. doi: 10.4103/jiaps.jiaps_11_24. Epub 2024 Sep 9.
The purpose of this study was to synthesize evidence and propose a technique for estimation of stretched penile length (SPL) applicable to children.
This review has been conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. PubMed, Embase, and Scopus databases were queried on penile length (PL) measurement techniques in humans published from 1990 onward. The devices and the techniques used for PL measurement, state of the penis, the habitus of the participants, proximal and distal landmarks for measurement, handling the foreskin and pubic pad of fat, optimal stretching of the penis, and other factors (including the environment) which should be accounted for in the technique were identified from the study cohort (90895 participants across 145 included studies).
PL has been represented through flaccid (33.79%), stretched (81.3%), and erect (12.41%) PLs as well as the greatest corporeal length (1.4%). Following devices have been used to measure the PL in the study cohort: rulers [54.68%], calipers [9.7%], measuring tapes [14.5%], coloured measuring strips [2.06%], spatulas/tongue depressors [11.03%], FitKit, syringe [1.4%], cotton swab (and ruler), titan cylinders, slide gauge and ultrasonography [1.37%]. The factors relevant to SPL measurement have been incorporated into the proposed SPL INdicator Technique (SPLINT) which is essentially a holistic extension of the " technique.
There is a wide range of heterogeneity in the technique for estimation of PL across the study cohort; the underlying factors have been identified along with the respective variables, and the SPLINT for SPL has been described.
本研究旨在综合证据并提出一种适用于儿童的估算阴茎拉伸长度（SPL）的技术。
本综述按照系统评价和Meta分析的首选报告项目进行。对1990年以后发表的关于人类阴茎长度（PL）测量技术的PubMed、Embase和Scopus数据库进行了查询。从研究队列（145项纳入研究中的90895名参与者）中确定了用于PL测量的设备和技术、阴茎状态、参与者的体型、测量的近端和远端标志、处理包皮和耻骨脂肪垫、阴茎的最佳拉伸以及该技术中应考虑的其他因素（包括环境）。
PL通过疲软状态（33.79%）、拉伸状态（81.3%）和勃起状态（12.41%）的PL以及最大阴茎体长度（1.4%）来表示。研究队列中用于测量PL的设备如下：尺子[54.68%]、卡尺[9.7%]、卷尺[14.5%]、彩色测量条[2.06%]、压舌板/压舌器[11.03%]、FitKit、注射器[1.4%]、棉签（和尺子）、阴茎测量环、游标卡尺和超声检查[1.37%]。与SPL测量相关的因素已纳入所提出的SPL指标技术（SPLINT），该技术本质上是“该技术”的整体扩展。
研究队列中PL估算技术存在广泛的异质性；已确定潜在因素及其各自的变量，并描述了用于SPL的SPLINT。
