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      Congenital Micropenis: Long-Term Medical, Surgical and Psychosexual Follow-Up of Individuals Raised Male or Female

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          Objectives: to document long-term medical, surgical and psychosexual outcome of individuals with congenital micropenis (13 males, 5 females). Methods: Physical measurements from childhood were collected retrospectively from medical records and at adulthood by physical examination. An adult psychosexual assessment was conducted with a written questionnaire and oral discussion. Results: Adult penile length was below the normal mean in all men. Three women had vaginoplasty resulting in normal length. All men reported good or fair erections but 50% were dissatisfied with their genitalia. Dissatisfaction with body image resulted from having a small penis (66%), inadequate body hair (50%), gynecomastia (33%) and youthful appearance (33%). Ten men were heterosexual, 1 homosexual and 2 bisexual. Among women, 4 (80%) were dissatisfied with their genitalia. Three women reported average libido with orgasm and were also heterosexual. Two women had no sexual interest or experience. Finally, males were masculine and females feminine in their gender-role identity, and both groups were satisfied with their sex of rearing. Conclusions: Regarding choice of gender, male sex of rearing can result in satisfactory genito-sexual function. Female gender can also result in success, however it requires extensive feminizing surgery.

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          Author and article information

          Horm Res Paediatr
          Hormone Research in Paediatrics
          S. Karger AG
          31 January 2002
          : 56
          : 1-2
          : 3-11
          aDepartment of Pediatrics, Division of Pediatric Endocrinology, and bDepartment of Urology and Chief, Pediatric Urology, James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, Md.; cDepartment of Gynecology and Obstetrics and Chief, Emory University School of Medicine, Atlanta, Ga.; dDepartment of Pediatrics, Division of Pediatric Endocrinology, University of Miami School of Medicine,Miami, Fla.; eDepartment of Psychiatry, Division of Child Psychiatry and Program of Developmental Psychoendocrinology, Columbia University College of Physicians and Surgeons and NYSPI, New York, N.Y.; fMedical Psychology and Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Md., USA
          48083 Horm Res 2001;56:3–11
          © 2002 S. Karger AG, Basel

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          Page count
          Figures: 3, Tables: 4, References: 20, Pages: 9


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