Penile Size Dissatisfaction

  • Hester Pastoor
    Corresponding Author: Hester Pastoor, MSc, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, dr. Molewaterplein 40, Rotterdam, The Netherlands. Tel: 0031-6-17048767; Fax: 0031-10-7031753
    Registered Psychotherapist, Registered Sexologist, ECPS, PhD Student, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
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  • Angela Gregory
    COSRT Accredited Psychosexual Therapist, Division of Family Health, Department of Sexual Health, Chandos Clinic, Nottingham University Hospital Trust, Nottingham, United Kingdom
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      Men concerned about their penis size often consult professionals working in urology, andrology, surgery, and sexual medicine.


      To inform professionals in the sexual medicine field about small penis syndrome as a clinical syndrome and to provide recommendations for treatment.


      This was an overview of the existing literature combined with our extensive clinical experience.


      Small penis syndrome is a syndrome with psychiatric comorbidities and social consequences that impair life. Men with these concerns tend to be susceptible for treatment that is not evidence based and potentially harmful.

      Clinical Implications

      Treatment of men with concerns about penis size should start with a thorough biopsychosocial assessment, followed by extensive psychoeducation, counselling, and psychological interventions, even if surgery is being considered.

      Strengths & Limitations

      The strength of this study is the concise overview of the existing literature combined with clinical experience which leads to important recommendations. Limitation is that this is not a systematic review.


      Complaints about penis size should be taken seriously, and a thorough biopsychosocial and multidisciplinary assessment is required.

      Key Words

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