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Volume 11, Pages 1462-1469
Review Article


Division of Pediatric Urology, Cohen Children's Medical Center of New York of the North Shore-Long Island Jewish Health System, Long Island, NY, USA

Received 25 June 2011; Accepted 14 July 2011

Academic Editor: Jeffrey Palmer

Copyright © 2011 Jeremy Wiygul and Lane S. Palmer.


Micropenis is part of a larger group of conditions broadly known as inconspicuous penis; however, it is fundamentally different from the other diagnoses in this group, such as webbed penis and buried penis, in that the underlying problem is the size of the penis itself, not with the surrounding and overlying skin. This condition is usually the result of a defect in the hypothalamic-pituitary-gonadal axis, although iatrogenic causes are identified infrequently. Management revolves around testosterone (direct administration or encouraging the patient's body to make its own), and long-term results with respect to increase in penile length are promising. Reconstructive surgery is based on the use of a vascular pedicle free flap and is reserved for patients who fail to respond to hormonal treatment. Although substantial long-term data are lacking, adult patients with micropenis appear to report dissatisfaction with penile appearance, but the majority appear to have adequate sexual function.