Phalloplasty and Penile Prosthesis Implantation for Micropenis

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Since pre-historical times, small penis has been a major topic of discussion among males. Adult males and parents of small children consult physicians with a self-diagnosis of micropenis. This potential diagnosis creates significant anxiety in parents. However, simply by conducting a urogenital examination and by measuring the penis size, diagnosis can be validated. Determining whether the penis size is within a normal range can serve to reduce anxiety and protect patients from redundant surgical operations. In recent years, various tissue flaps are being used for the surgical treatment of micropenis. In parallel to developments in microsurgery, free flaps incorporating sensory nerves are being preferred. Prosthetic implantations are currently the best solution for generating erection after the application of tissue flap. However, these implantations differ significantly from penile prostheses used for erectile dysfunction. We must wait for the sensation recovery of the phallus prior to the implantation of the prosthesis, and three-piece inflatable prostheses must be preferred. Even though contemporary successful operations provide sufficient results for patients, obtaining an erection in phalloplasty patients remains to be the subject of ongoing research. (JAREM 2015; 5: 35-8)