Regardless of the cause of micropenis, if it is recognized in infancy, a brief course of testosterone is often prescribed  usually no more than 3 months. Because hormone treatment rarely achieves average size, several surgical techniques similar to phalloplasty for penis enlargement have been devised and performed; but they are not generally considered successful enough to be widely adopted and are rarely performed in childhood. This was based on the now-questioned idea that gender identity was shaped entirely from socialization, and that a man with a small penis can find no acceptable place in society. For the legal term, see Small penis rule. Such concerns are usually explained by one of the following:. In extreme cases of micropenis, there is barely any shaft, and the glans appears to sit almost on the pubic skin. Congenital absence of the vas deferens. The Johns Hopkins Medical Journal.
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