Penile Size Dissatisfaction

Pastoor, Hester; Gregory, Angela

doi:10.1016/j.jsxm.2020.03.015

Cited by 6 publications

(7 citation statements)

References 28 publications

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“…Surgery on men with penises longer than this is viewed by many professionals as cosmetic and unnecessary, with serious ethical issues (Dillon et al, 2008;Mondaini et al, 2002;Vardi, 2006;Wylie & Eardley, 2007), yet penile enlargement surgeries for cosmetic purposes are increasing (Littara, Melone, Morales-Medina, Iannitti, & Palmieri, 2019;Wylie & Eardley, 2007). Instead of surgery, psychological counseling and sex education should be offered, with particular emphasis on educating men about the normal range of values for penis size (Dillon et al, 2008;Mondaini et al, 2002;Pastoor & Gregory, 2020;Wylie & Eardley, 2007). A recent review of many studies has found that counseling is often effective in convincing a majority of men who worry about having a small penis that their penis is of normal size (Marra et al, 2020).…”

Section: Implications For Counseling and Surgical Interventionmentioning

confidence: 99%

Average-Size Erect Penis: Fiction, Fact, and the Need for Counseling

King

2020

Journal of Sex & Marital Therapy

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Most men believe that the average length of an erect penis is greater than 6 inches (15.24 cm). This belief is due, in part, to several often-cited studies that relied on self-reported measurements, with means of about 6.2 inches (15.75 cm) for heterosexual men and even greater for gay men. These studies suffered from both volunteer bias and social desirability bias. In this review, the combined mean for 10 studies in which researchers took measurements of erect penises was 5.36 inches (13.61 cm; n ¼ 1,629). For 21 studies in which researchers measured stretched penises, the mean was approximately 5.11 inches (12.98 cm; n ¼ 13,719). Based on these studies, the average length of an erect penis is between 5.1 and 5.5 inches (12.95-13.97 cm), but after taking volunteer bias into account, it is probably toward the lower end of this range. Studies show that a majority of men wish they were larger, with some choosing penile lengthening surgery. These surgeries are considered by the American Urological Association to be risky. Most men seeking surgery have normal sized penises. Counseling with factual information about penis size might be effective in alleviating concerns for the majority of men who worry about having a small penis. Studies find that many men have concerns that their penis is not large enough and that they are smaller relative to other men (

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Section: Implications For Counseling and Surgical Interventionmentioning

confidence: 99%

Average-Size Erect Penis: Fiction, Fact, and the Need for Counseling

King

2020

Journal of Sex & Marital Therapy

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“…SPA, also known as "small penis syndrome," a type of BDD, is characterized by anxiety related to one's genitals, either directly or indirectly (while clothed), stemming from concerns about the size of the flaccid penis, despite clinical evidence suggesting otherwise [ 7 ]. Men who are distressed about the size of their penis often seek consultations with professionals in urology, andrology, surgery, dermatology, psychiatry, and sexual medicine [ 8 , 9 ]. The syndrome can lead to feelings of inadequacy causing significant distress, anxiety, and depression along with negative work-related and social implications [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Men who are distressed about the size of their penis often seek consultations with professionals in urology, andrology, surgery, dermatology, psychiatry, and sexual medicine [ 8 , 9 ]. The syndrome can lead to feelings of inadequacy causing significant distress, anxiety, and depression along with negative work-related and social implications [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological Autopsy in Small Penis Syndrome: Determining the Manner and Circumstance of Death Following a Vehicular Accident

Sathasivam,

Wijetunga,

Munasinghe

et al. 2023

Cureus

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Road traffic accidents and related deaths are on the rise, especially in developing countries. Even though uncommon and probably under-recognized, predisposing psychiatric states may be contributory, posing the question of whether these could be avoided. Psychological autopsy, despite not being performed routinely, might play a pivotal role in such instances, in reconstructing events leading to the catastrophe and determining the role played by the parties involved. The legal implications, such as the exoneration of the wrongly accused, might be substantial. This case report presents a death of a middle-aged South Asian male with strong history and evidence of small penis anxiety following a direct collision in a road traffic accident. It highlights the careful evaluation of the clinical history of the deceased by a psychological autopsy and reiterates the importance of the former in suspected cases.

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“…22,27,31,32 The epidemiology of this condition is not known. 33 Few theories are proposed regarding this condition such as impaired neurological development (tactile stimulation and perineal sensation), dysfunction in the parietal lobe (association areas), and other contributing factors (cognition and disgust effect also cognition of parts belonging to self). 10 Normal penile measurement and adequate sexual and voiding function were found in 98% of men who were concerned about their penile size.…”

Section: Small Penis Anxiety (Spa) and Penile Dysmorphophobia Disorde...mentioning

confidence: 99%

Men’s Excessive Concern about Penile Size

Wijanarko

Stella

Yanika³

2022

IABJ

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The dissatisfaction of men due to their penile size is found in a number of studies. Concerns can be focused on the penile length or width or even both, whether erect or flaccid. Men who are worried about the penile size also want to increase the size of the penis. Concerns about men’s penile size are also increasing because they think normal penile size is what is shown in pornography. These worries can affect self-esteem, sexual function, and satisfaction, to physical and mental health. Small penis anxiety is an anxiety that arises when a man observes his flaccid penile size and feels concerned that his penile size is less than the normal size. In addition, this concern persists even though it has been refuted by clinical examination. Penile dysmorphic disorder is excessive self-concern, distress, and a preoccupation with trivial or even non-existent deficiencies in penile size and shape that can lead to impaired function. Until now, there have not been effective guidelines for managing patients with complaints of penile size. Some of the treatments that can be conducted are psychosexual counseling, cognitive behavioral therapy, the use of selective serotonin reuptake inhibitors, penile traction devices, and invasive procedures. Various modalities of therapy have been tried to overcome excessive concern about penile size. Yet, so far, no good results have been obtained. Thus, clear and effective guidelines are needed to make treatment can be carried out properly.

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Penile Size Dissatisfaction

Cited by 6 publications

References 28 publications

Average-Size Erect Penis: Fiction, Fact, and the Need for Counseling

Average-Size Erect Penis: Fiction, Fact, and the Need for Counseling

Psychological Autopsy in Small Penis Syndrome: Determining the Manner and Circumstance of Death Following a Vehicular Accident

Men’s Excessive Concern about Penile Size

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