ABSTRACT
In many cultures, the erect penis has been a symbol of masculine qualities. Because of this symbolism, a penis that is less than average size can cause insecurity or embarrassment. This series reports the authors' 18-year experience in the management of 60 men with a complaint of a small penis. For 44 of these 60 men, counseling was sufficient; the other 16 had surgery, and of these, 9 were satisfied with the result. Despite limitations, the authors conclude that those men who already achieve a penis length of no less than 7.5 cm (2.95 in) in erection, have only limited benefit from penis-enhancing surgery. This particular patient category should therefore be dissuaded from surgery.
Subject(s)
Patient Satisfaction , Penile Diseases/therapy , Penile Erection , Penis/anatomy & histology , Adolescent , Adult , Body Image , Counseling , Humans , Male , Middle Aged , Self Concept , Young AdultABSTRACT
Penis lengthening pills, stretch apparatus, vacuum pumps, silicone injections, and lengthening and thickening operations are available for men who worry about their penis size. Surgery is thus far the only proven scientific method for penile enlargement. In this article, we consider patient selection, outcome evaluation, and techniques applied. In our view, sexological counseling and detailed explanation of risks and complications are mandatory before any operative intervention.
Subject(s)
Patient Satisfaction , Penile Diseases/surgery , Penis/surgery , Plastic Surgery Procedures/methods , Urologic Surgical Procedures, Male/methods , Humans , Male , Patient Selection , Penile Diseases/drug therapy , Penis/anatomy & histology , Self Concept , Surgical Flaps , Treatment OutcomeABSTRACT
INTRODUCTION: During erection, the penis increases in volume, rigidity, and angle. Textbooks of urology and sexology provide only very limited information about erection angle dysfunction. In some men, this angle is too tight toward their belly, causing problems with intercourse. AIM: We reported two cases of an acute erection angle and reviewed pertinent literature. METHODS: Comprehensive literature review was performed using PubMed. We performed additional searches based on relevant books. RESULTS: There is very limited knowledge about erection angles and the "acute erection angle." Our cases show that simple and safe surgical techniques can yield adequate results. CONCLUSION: Counseling a couple with complaints of sexual inadequacy, which has resulted specifically from the increased erection angle, should be based on objective reassuring information about anatomical and physiological facts. In selected cases surgical intervention can yield adequate results.
Subject(s)
Counseling , Erectile Dysfunction , Penis/anatomy & histology , Penis/surgery , Plastic Surgery Procedures/methods , Adult , Erectile Dysfunction/etiology , Erectile Dysfunction/physiopathology , Erectile Dysfunction/surgery , Humans , Male , Severity of Illness IndexABSTRACT
There is limited knowledge about the exact role of the pelvic floor in male sexual functioning. Pelvic floor muscle function might be involved in the enhancement of blood flow to the penis, and evidence suggests an active role for the ischio- and bulbocavernous muscles and other pelvic floor muscles in the initiation and maintenance of erection. Increased activity of pelvic floor muscles might also be preparatory to ejaculation. Studies have shown positive results after physical therapy for erectile dysfunction, premature ejaculation and chronic pelvic pain syndrome. However, the methodological quality of some of these studies is poor and further research validating specific physical therapies in the assessment and treatment of male sexual function is necessary. In this respect physical therapists have a potential role as integral members of healthcare teams involved in the improvement of male sexual health.
