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However, other urinary symptoms such as pain, hematuria, and fever were conspicuously absent. His physical examination was unremarkable except for an abnormally long penis Fig. This is approximately equal to the average penile length of Indian adults [ 1 ]. The stretched penis length expected for his age group, according to European standards, is 5.

Sensitized by this experience, I carefully observed the length of penis in two subsequent boys with vesical calculus. Boys with big penis both of them, penile length was slightly more than two standard deviations of the expected mean of age-matched penile length. Clinical photograph of genitalia showing an abnormally long penis in a Boys with big penis with vesical calculus. Measurement of stretched penis length of the boy shown in Fig.

It is possible that penile length is influenced by the presence of a bladder stone. In vesical calculus, pain is often referred to the tip of the penis. Therefore, young boys with a bladder stone are known to repeatedly pull and squeeze the penis in a futile attempt of alleviating pain [ 3 ]. Physical stretching of the penis or tumescence caused by repeated massage could be responsible for Boys with big penis of the penis. This hypothesis is supported by a recent publication [ 4 ] wherein prolonged semi-erection Boys with big penis high-flow priapism in a prepubertal boy was shown to increase penile size.

This interesting clinical observation definitely warrants further scientific studies. Confirmation of any correlation between penile length and vesical calculus will be truly fascinating as it will not only aid clinical diagnosis but also will Boys with big penis our understanding of penis-lengthening procedures.

National Center for Biotechnology InformationU. Journal List Indian J Surg v. Indian J Surg. Published online Nov Author information Article notes Copyright and License information Disclaimer. Corresponding author. Boys with big penis Feb 14; Accepted Feb Open in a separate window. References 1. Penile length and circumference: an Indian study.

Int J Impot Res. Lower urinary tract calculi. In: Wein AJ, editor. Campbell-Walsh urology. Philadelphia: Saunders; Awwad ZM. Does prolonged semi-erection in pre-pubertal high flow priapism result in increased penile size?

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