Table of contents
Penile size abnormalities
Guidelines
Key sources
The following summarized guidelines for the evaluation and management of penile size abnormalities are prepared by our editorial team based on guidelines from the European Association of Urology (EAU 2024).
1
Diagnostic investigations
History and physical examination: as per EAU 2024 guidelines, elicit a comprehensive medical and sexual history in all patients complaining of short penile size.
A
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Screening for body dysmorphic disorder
Medical management
Nonpharmacologic interventions
Weight loss: as per EAU 2024 guidelines, offer lifestyle changes and modification of risk factors, particularly weight loss, to minimize acquired buried penis surgical complications and to optimize surgical outcomes.
A
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Psychotherapy
Therapeutic procedures
Penile traction therapy: as per EAU 2024 guidelines, consider offering penile traction therapy as a conservative treatment to increase penile length.
C
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Vacuum erection devices
Penile girth enhancement
Surgical interventions
Penile enlargement surgery: as per EAU 2024 guidelines, consider performing surgical reconstructive techniques in adult patients with acquired buried penis.
C
counsel patients extensively regarding the benefits and complications of surgery. Perform penile reconstructive surgery for acquired buried penis in high-volume centers. B
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