机构地区:[1]Department of Pediatric,Faculty of Medicine,Tanta University,Tanta 31511,Egypt [2]Department of Pediatric,University Medical Center,King Abdulla Medical City,Arabian Gulf University,Manama 26671,Bahrain [3]Department of Pediatric,University Medical Center,Sulaiman Al Habib Medical Group,Manama 26671,Bahrain [4]Department of Medical Microbiology Section and Pathology,Salmaniya Medical Complex,Ministry of Health,Kingdom of Bahrain,Manama 12,Bahrain [5]Department of Medical Microbiology Section and Pathology,Irish Royal College of Surgeon,Busaiteen 15503,Bahrain [6]Department of Pulmonology,Faculty of Medicine,Tanta University,Tanta 31527,Egypt [7]Department of Pulmonology,University Medical Center,King Abdulla Medical City,Arabian Gulf University,Manama 26671,Bahrain [8]Department of Pulmonology,University Medical Center,Sulaiman Al Habib Medical Group,Manama 26671,Bahrain [9]Department of Pediatrics,Ibn Al Nafees Hospital,Manama 54533,Bahrain [10]Department of Medicine,The Royal College of Surgeons in Ireland-Bahrain,Busiateen 15503,Bahrain
出 处:《World Journal of Clinical Pediatrics》2024年第2期16-37,共22页世界临床儿科杂志
摘 要:Microphallus/Micropenis is a rare condition with significant physical and psychological implications for affected individuals.This article comprehensively reviews micropenis,its etiology,epidemiology,and various treatment options.We conducted a thorough literature review to collect relevant information on micropenis and microphallus,as well as related disorders.Our primary databases were PubMed,Medline,and Google Scholar.We searched for articles published in English between 2000 and 2023.Our analysis included 67 review articles,56 research studies,11 case reports,one guideline,and one editorial.Our search terms included"microphallus","micropenis","congenital hypogonadotropic hypogonadism","androgen insensitivity syndrome","pediatric management of micropenis","testosterone therapy",and"psychosocial implications of micropenis".We focused on diagnosing micropenis and related conditions,including hormonal assessments,medical and surgical treatment options,psychosocial and psychological well-being,sexual development of adolescents,and sociocultural influences on men's perceptions of penile size.Additionally,we explored parenting and family dynamics in cases of micropenis and disorders of sex development,implications of hormonal treatment in neonates,and studies related to penile augmentation procedures and their effectiveness.The article highlights the importance of early diagnosis and intervention in addressing the physical and psychological well-being of individuals with micropenis.Surgical procedures,such as penile lengthening and girth enhancement,and non-surgical approaches like hormonal therapy are explored.The significance of psychological support,education,and lifestyle modifications is emphasized.Early management and comprehensive care are crucial for individuals with micropenis,from infancy to adolescence and beyond.A multidisciplinary approach involving urologists,endocrinologists,and mental health professionals is recommended.Regular assessment of treatment effectiveness and the need for updated guidelines
关 键 词:Microphallus MICROPENIS HYPOGONADISM Children ADULTS Sensual life Testosterone therapy
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