RESUMO
INTRODUCTION: Penile augmentation surgery has become increasingly common though there is no consensus about the management strategy for men with a complaint of small penis. AIM: To introduce and evaluate the outcome of a structured management and counseling protocol for patients with a complaint of a small-sized penis. METHODS: A structured protocol for consultation and management of (physically normal) patients with a complaint of a small penis through a descriptive study comprised of a series of 250 patients. MAIN OUTCOME MEASURES: Percentage of patients who elect to undergo penile augmentation surgery. RESULTS: Only nine patients (3.6%) chose to seek further surgical intervention. Two had a buried penis, two had true micropenis and five had normal penile size. CONCLUSIONS: Using a structured management and counseling protocol, most men chose not to undergo penile augmentation surgery, even when offered for free.
