Adolescent male genitalia dissatisfaction

Abstract

Genital dissatisfaction is well known in female and adults. Less is known about male adolescents and their genital satisfaction. The aim of this study was to investigate and report the role of surgery in male adolescents to improve the evaluation of their genitalia. We considered all patients treated for external genital pathology in the period of adolescence. Inclusion and exclusion criteria were created. Patients underwent an evaluation test before and after surgery. During the study period, 137 patients were treated, and at the end of the study, 98 cases were considered for analysis. The most frequent pathologies were webbed penis and penile curvature. A postoperative score improvement was noted and patients with concealed penis and webbed penis showed a better postoperative outcome. Overweight was considered an important factor associated with a worse preoperative score. Evaluation of the external genitalia is important in adolescents, and it is an understudied problem. Overweight may be associated with a worse evaluation of one's genital and should be clinically considered to avoid related social problems in adulthood. Therefore, cosmetic genital surgery should be considered even in male adolescents.

Outcome and Decision-making Process in Penile Curvature Surgery: a Single-centre Preliminar Experience

“…In the contrary, adolescents with penile curvature may address to surgery because of the body image dissatisfaction that curvature cause, rather than a proven sexual impairing [14]. So, it seems to be clear that each patient or parents may perceive the degree of curvature in different ways.…”

“…[7] Even if the precise etiology is still unknown, Peyronie's disease is believed to be a consequence of repetitive microvascular injuries to the tunica albuginea, determining an acute in ammatory response with broblast hyper-proliferation and remodeling of connective tissue into brotic one. [13] Body image and body satisfaction are well known to be strictly associated with humor disorders, eating disorders, anxiety, and alteration of sexual behavior [14].…”

“…While with newborns and infants, because of their physiological unawareness, parents are those who underline genital anomalies to clinicians, in a very delicate phase like adolescence, a condition of body dissatisfaction is not always promptly addressed to a specialist. This unsatisfaction can strongly in uence social relationships, particularly speaking about those conditions where genitalia are involved [14].…”

“…According to Zhang et al [8] studies, young males pay more attention to their sexual organs development, and they have a more frequent comparison between peers rather than girls. [8] In fact, a longitudinal study performed by Zampieri et al [14] showed signi cant levels of genital unsatisfaction resulted from univariate analysis in adolescents with overweight conditions, concealed penis, and penile curvature.…”