In young children, in the event of a hormonal abnormality, treatment may consist of injections of Testosterone, the dosage and regularity of which are set by the endocrinologist. This well-followed treatment increases the size of the penis. When the micropenis is caused by tissues of the penis that are insensitive to testosterone, this hormonal treatment has no effect.

The earlier the micropenis is detected, the faster the treatment is put in place, the more effective it will be. Treatment may also be necessary around puberty. After puberty, hormonal treatment is no longer effective because the tissues no longer react in the same way.

Surgical treatment of the micropenis     

In adulthood, when the micropenis has not been treated or when the treatment has not been sufficiently effective, the surgery is possible. However, it does not always present convincing results.

The section of the ligament suspensory of the penis, which goes from the penis to the pubis, may be offered. It does not modify the penis in any way but partially detaches it from the pubis, making it appear longer. The gain observed is 1 to 2 cm in the flaccid state and 1,7 cm in erection. This lengthening is acquired at the cost of an unstable erect penis, since it is less well attached to the pubis, which can make penetration less easy.

THEautologous fat injection involves injecting the subject’s fat under the skin of his penis. This does not lengthen the penis in any way, but visually makes it thicker. Only part of the fat put in place is not absorbed by the body over time (10 to 50% depending on the subject). The resorption may be uneven and lead to a “rosary” penis appearance.

The micropenis can have significant psychological repercussions, especially during adolescence, it is important that the person is helped and his doubts taken into account.