Arian Roua, Alsheikh Hamdoun Anas, Shahrour Dania, Kejji Ibrahim, Al-Kurdi Mohammed Al-Mahdi, Morjan Mohamad
Faculty of Medicine, University of Aleppo, Aleppo, Syria.
J Pediatr Urol. 2025 Feb;21(1):191-196. doi: 10.1016/j.jpurol.2024.10.019. Epub 2024 Oct 25.
The early detection of the anatomical anomalies (e.g. micropenis) of the male external genital organs is crucial for both medical and psychological reasons. During routine pediatric visits, careful inspection using standards of penis size is beneficial for the diagnosis of micropenis and macropenis. Stretched penile length (SPL) has been shown to be more dependable than the flaccid penis length. Consequently, the SPL must be measured and compared to age-appropriate normal values.
This cross-sectional study aimed to determine the normal range of stretched penile length in newborns and children aged 1 month to 5 years in Syria and explore the correlation between SPL, height, and weight.
Data was collected from 300 Syrian males aged 0-5 years. SPL measurements were taken using a standardized procedure. Participants were divided into eight age groups. Statistical analysis determined the mean SPL, standard deviation, range, and rate of increase in SPL for each group. The distribution of SPL data was assessed using the Shapiro-Wilk test. Pearson correlation analysis examined the relationship between SPL and height, weight, and BMI.
Mean SPL increased with age, ranging from 2.36 cm in newborns to 4.29 cm in children aged 48-60 months. The 48-60 months group exhibited the largest range of SPL. The rate of SPL increase was highest in children aged 1-2.9 months. SPL values followed a normal distribution. Significant positive correlations were found between SPL and weight in the 36-47.99 months group and between SPL and height in the 6-11.9 months and 36-47.99 months groups.
This study establishes the normal reference range of SPL in Syrian newborns and children aged 1 month to 5 years. The findings indicate that SPL is influenced significantly by height and weight in certain age groups. These results contribute to understanding penile development and can assist in the diagnosis and treatment of conditions affecting penile size.
出于医学和心理原因，男性外生殖器解剖异常（如小阴茎）的早期检测至关重要。在常规儿科就诊期间，按照阴茎大小标准进行仔细检查有助于诊断小阴茎和大阴茎。拉伸阴茎长度（SPL）已被证明比疲软阴茎长度更可靠。因此，必须测量SPL并与适合年龄的正常值进行比较。
这项横断面研究旨在确定叙利亚1个月至5岁新生儿和儿童的拉伸阴茎长度正常范围，并探讨SPL、身高和体重之间的相关性。
收集了300名0至5岁叙利亚男性的数据。使用标准化程序进行SPL测量。参与者分为八个年龄组。统计分析确定了每组的平均SPL、标准差、范围和SPL增加率。使用夏皮罗-威尔克检验评估SPL数据的分布。皮尔逊相关分析检查了SPL与身高、体重和BMI之间的关系。
平均SPL随年龄增长而增加，从新生儿的2.36厘米到48至60个月儿童的4.29厘米。48至60个月组的SPL范围最大。1至2.9个月儿童的SPL增加率最高。SPL值呈正态分布。在36至47.99个月组中，SPL与体重之间存在显著正相关；在6至11.9个月和36至47.99个月组中，SPL与身高之间存在显著正相关。
本研究建立了叙利亚1个月至5岁新生儿和儿童的SPL正常参考范围。研究结果表明，在某些年龄组中，SPL受身高和体重的显著影响。这些结果有助于理解阴茎发育，并可协助诊断和治疗影响阴茎大小的疾病。
