Background: Men concerned about their penis size often consult professionals working in urology, andrology, surgery, and sexual medicine. Aim: To inform professionals in the sexual medicine field about small penis syndrome as a clinical syndrome and to provide recommendations for treatment. Methods: This was an overview of the existing literature combined with our extensive clinical experience. Results: 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. Conclusion: Complaints about penis size should be taken seriously, and a thorough biopsychosocial and multidisciplinary assessment is required.

Additional Metadata
Keywords Body Dysmorphic Disorder, Penile Size, Small Penis Syndrome
Persistent URL dx.doi.org/10.1016/j.jsxm.2020.03.015, hdl.handle.net/1765/127224
Journal Journal of Sexual Medicine: basic research and clinical studies in male and female sexual function and dysfunction
Citation
Pastoor, H, & Gregory, A. (Angela). (2020). Penile Size Dissatisfaction. Journal of Sexual Medicine: basic research and clinical studies in male and female sexual function and dysfunction. doi:10.1016/j.jsxm.2020.03.015