![]() ![]() Throughout history, the size of the penis has symbolised a marker of masculinity and has created intense debate in societies with different social and cultural implications. ![]() Definition, epidemiology and classification 9.1.1. As a result, a significant number of therapeutic procedures are considered exclusively experimental and should only be considered within a research setting given the potential negative effects of these procedures to patient wellbeing. Therefore, the strength of the recommendations in this section should be considered as a balance between data derived from low-level evidence and consensus discussions within the Guidelines Panel. This also includes a number of procedures which have already received formal approval from international institutions and regulatory bodies. Most published data are derived from level 3 and 4 evidence and the vast majority of studies completely lack long-term follow-up and functional outcomes. In this context, patients should be fully counselled with respect to all available treatment modalities. Based on the currently available evidence and the consensus of the Panel, a number of recommendations have been developed according to the invasiveness and effectiveness of the different therapeutic options. PENILE SIZE ABNORMALITIES AND DYSMORPHOPHOBIAĭue to the demand for penile surgical procedures to enhance girth and length and the widespread use of these therapies - both medical and surgical - with very limited evidence-based data, the EAU Guidelines Panel on Sexual and Reproductive health has undertaken an extensive literature search and consensus discussion to address the issue of penile size abnormalities and dysmorphophobia. ![]()
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