title: Structured management and counseling for patients with a complaint of a small penis.
abstract: BACKGROUND
  Penile augmentation surgery has become increasingly common though there is no consensus about the management strategy for men with a complaint of small penis.
  
  
  OBJECTIVE
  To introduce and evaluate the outcome of a structured management and counseling protocol for patients with a complaint of a small-sized penis.
  
  
  METHODS
  A structured protocol for consultation and management of (physically normal) patients with a complaint of a small penis through a descriptive study comprised of a series of 250 patients.
  
  
  METHODS
  Percentage of patients who elect to undergo penile augmentation surgery.
  
  
  RESULTS
  Only nine patients (3.6%) chose to seek further surgical intervention. Two had a buried penis, two had true micropenis and five had normal penile size.
  
  
  CONCLUSIONS
  Using a structured management and counseling protocol, most men chose not to undergo penile augmentation surgery, even when offered for free.
authors.affiliation: Cairo University-Andrology, Cairo, Egypt.
authors.forename: Hussein
authors.initials: H
authors.lastname: Ghanem
authors.forename: Rany
authors.initials: R
authors.lastname: Shamloul
authors.forename: Fathy
authors.initials: F
authors.lastname: Khodeir
authors.forename: Hany
authors.initials: H
authors.lastname: ElShafie
authors.forename: Amr
authors.initials: A
authors.lastname: Kaddah
authors.forename: Ihab
authors.initials: I
authors.lastname: Ismail
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image; D003376:Counseling / Q000379:methods*; D004534:Egypt; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D010410:Penile Erection; D010413:Penis / Q000033:anatomy & histology*; D012649:Self Concept; D012736:Sex Education / Q000379:methods*; D016896:Treatment Outcome