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---------- Forwarded message ---------- From: najwa safina <kireihanas...@gmail.com> Date: 2007/7/21 Subject: Re: [sehat] Ask:micro penis To: se...@yahoogroups.com coba bantu ya.... oh iya ngukurnya itu penisnya diregangin jangan pas keadaan biasa.... kalau keadaan biasa memang lebih kecilll http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/urology/mcrpenis.html * Micropenis* What is micropenis? Micropenis is defined as a normally structured penis that is below the normal size range for an infant. Normally, the length of a newborn boy's penis is between 2.8 to 4.2 centimeters with a circumference of 0.9 to 1.3centimeters. This measurement is taken by carefully stretching the penis and measuring from the tip of the penis to the base of the penis. A penis length of less than 1.9 centimeters is usually considered micropenis. What causes micropenis? Micropenis can occur alone, but usually occurs in combination with other disorders. Hormone disorders that cause an abnormal level of hormones which are involved in development of the sexual organs may be seen in combination with micropenis. This can involve the pituitary gland or the hypothalamus. What are the symptoms of micropenis? While each child may experience symptoms differently, the most common finding with micropenis is an infant penis size that is less than 1.9centimeters when stretched gently. In some cases, low sperm count, resulting in infertility or decreased fertility, is found in adulthood. Micropenis may or may not be seen in conjunction with other disorders. Always consult your child's physician for a diagnosis. How is micropenis diagnosed? Diagnosis is usually made by physical examination. Your child may then be referred to several specialists including a pediatric urologist (a physician who specializes in the in disorders and care of the urinary tract and the male genital tract) and a pediatric endocrinologist (a physician who specializes in hormones). Treatment for micropenis: Specific treatment for micropenis will be determined by your child's physician based on: - your child's age, overall health, and medical history - the extent of the condition - your child's tolerance for specific medications, procedures, or therapies - expectations for the course of the condition - your opinion or preference There is no cure for micropenis. Hormone therapy may be indicated for some children to stimulate penile growth. Other treatment options will be discussed with you. Average Stretched Penile Length (Adapted from Feldman KW, Smith DW. *Journal of Pediatrics*. 1975; 86:395): *Age* *Mean +/- 1 SD (inches)* *Mean - 2.5 SD (inches)* 0-5 months 1.5 +/- 0.3 0.75 6-12 months 1.7 +/- 0.3 0.9 1-2 years 1.9 +/- 0.3 1.0 2-3 years 2.0 +/- 0.4 1.1 3-4 years 2.2 +/- 0.4 1.3 4-5 years 2.2 +/- 0.4 1.4 5-8 years 2.4 +/- 0.4 1.5 8-11 years 2.5 +/- 0.4 1.5 Adult 5.2 +/- 0.6 3.7 *Micropenis* is a penis that is more than 2.5 standard deviations below the average size for age. In a newborn, a stretched penile length less than ¾ inch (1.9 cm) is micropenis. Micropenis is a hormonal problem that takes place sometime after 14 weeks gestation when the penis has already formed. Hormone levels need to be checked. A boy's chromosomes should also be checked to see if there is an underlying genetic syndrome. An MRI may be needed to look at the hormone secreting glands. If the penis grows when a 3 month-trial of testosterone is given, the outlook is good for normal adult penis size and function. If micropenis does not respond to testosterone stimulation, the difficult question of re-assigning gender arises. This decision has been made even more difficult by conflicting and changing recommendations of experts in the field. (Van Wyk JJ, Calikoglu AS, Should boys with micropenis be reared as girls? *Journal of Pediatrics*, 1999; 134(5)) At one time, gender re-assignment was the routine choice, even though it involves castration, surgical reconstruction, estrogen supplements, and huge emotional issues for the child and family. (Many people based their opinions on the case of a baby boy whose penis was accidentally amputated during circumcision. When he was 22 months old, he was castrated and reassigned a female sex. He had surgery to make his genitals appear female. He was raised as a girl. At puberty, he was given estrogens to promote breast growth. Reports said that he had a very good adjustment to the female sex, but it later became clear that from an early age he had rejected the idea that he was a girl. During his teen years, he insisted on switching back to living as a man. He later married as a man. (Diamond M, Sigmundson HK. Sex reassignment at birth. Long-term review and clinical implications. *Arch Pediatr Adolesc* Med 1997;151:298-304.) Recent long-term studies of micropenis, though, have found that even if the penis remains small, most boys-raised-as-boys end up as sexually active, heterosexual males who stand to urinate, have a strong male identity, normal erectile function, and who enjoy sex. (Reilly JM, Woodhouse CR. Small penis and the male sexual role. *J Urol*1989;142:569-71.) Their partners also report sexual satisfaction. (van Seters AP, Slob AK. Mutually gratifying heterosexual relationship with micropenis of husband. *J Sex Marital Ther* 1988;14:98-107.) Teasing from peers can be a real problem, though. A penile prosthesis may help. [Non-text portions of this message have been removed] __._,_.___ Messages in this topic (0) Reply (via web post) | Start a new topic Messages | Database | Polls | Calendar ========================================================================== " Mailing list SEHAT didukung oleh Hewlett-Packard StorageWorks Division. SEHAT Internet Access & Website didukung oleh CBN Net. Terima kasih & penghargaan sedalam-dalamnya kepada : XEROX, Bhumiyamca, Arutmin, HBTLaw dan Ibu Marissa Muliadi yg telah dan konsisten mensponsori program kami, PESAT (Paket Edukasi Orang Tua Sehat)." Kunjungi kami di : http://www.sehatgroup.web.id/ ========================================================================== " SEHAT mailing list is supported by Hewlett-Packard StorageWorks Division. SEHAT Internet Access & Website are supported by CBN Net. 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