, Volume 75, Issue 1, pp 62-63
Date: 18 Nov 2012

Abnormally Long Penis in Children with Vesical Calculus

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Dear Editor,

A 31-month-old boy was investigated for increased frequency of urination for the past 4 months. He voided a small quantity of urine every 20 to 30 min. 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. 1). The penis in flaccid state measured 7 cm, and its stretched length was 9 cm (Fig. 2). 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 5.15 ± 0.46 cm (range, 4.2 to 6 cm) [2]. A 4 × 3 × 3-cm calcium oxalate stone in the urinary bladder was diagnosed by plain radiograph, and the stone was surgically removed. Sensitized by this experience, I carefully observed the length of penis in two subsequent boys with vesical calculus. In both of them, penile length was slightly more than two standard deviations of the expected mean of age- ...