What is the role of surgery in the treatment of microphallus?

Updated: Nov 30, 2020
  • Author: Karen S Vogt, MD; Chief Editor: Sasigarn A Bowden, MD  more...
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Answer

Gender reassignment with appropriate genitoplasty has been performed. Because most boys with micropenis and descended testes are sensitive to testosterone therapy, consider genitoplasty only in extreme situations in which testosterone insensitivity is demonstrated. Even then, some authors question the wisdom of gender reassignment. [8, 9]

Circumcision should be avoided, or at least delayed, until appropriate evaluation, gender assignment, and therapy are completed. If associated with penile growth, testosterone therapy may facilitate the circumcision (see Medical Care).


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