Discussions By Condition: I cannot get a diagnosis.

11 year old son, growth problem.

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • April 24, 2009
  • 03:35 PM

My son is healthy, smart, athletic and doesn't have a care in the world except when he recently noticed the size of his 6 year old brothers penis. My wife and I have been concerned but doctors never seemed very concerned. I honestly dont think he has grown since he was born, this may be an exageration but the growth has been modest at best. I still go back to the day he was born and circumsized, I always question the procedure done and wonder if the doctor took off alot more than he should have but we were never able to get answers on that front and now it's 11 years later. Just wondering if there is medication or procedure that would help my son grow to be of average size. Is there anything that should be done now or when he is older?

Reply Flag this Discussion

2 Replies:

  • To the best of my knowledge, there's nothing that can be done to make 'that' any larger.Having said that.. at only age 11 he very possibly will still have some 'growth' to come... and if he doesn't it's not the end of the world.In the grand scheme of things... the size of a male's tool isn't all that important.
    Anonymous 42789 Replies Flag this Response
  • My son is healthy, smart, athletic and doesn't have a care in the world except when he recently noticed the size of his 6 year old brothers penis. My wife and I have been concerned but doctors never seemed very concerned. I honestly dont think he has grown since he was born, this may be an exageration but the growth has been modest at best. I still go back to the day he was born and circumsized, I always question the procedure done and wonder if the doctor took off alot more than he should have but we were never able to get answers on that front and now it's 11 years later. Just wondering if there is medication or procedure that would help my son grow to be of average size. Is there anything that should be done now or when he is older?Hi MySonIsSuper,This is certainly a sensitive issue for your son and both you and your wife.First, it's highly unlikely that circumcision is a factor in the lack of growth of your son's penis. Circumcision removes only the surface foreskin, not any actual structural tissue of the penis itself. There isn't any correlation between circumcised penis length vs. uncircumcised penis length, although a circumcised penis can APPEAR smaller than an exact length uncircumcised one.There may be one of two possibilities that is affecting your son's slowness or lack of penile growth. The first could be delayed puberty. If your son's overall growth and development appear to have progressed at a "normal" or average rate, but his penis AND testicles are markedly small, this could be a sign of delayed puberty. Pediatricians use what's called the Tanner Stage which is an assessment of growth and development based on primary and secondary sex characteristics...pubic hair growth/type, genital growth (penis and testicles), and breast development (girls). Ask your son's Pediatrician what Tanner Stage he (your son, that is) is currently at. I would expect, at age 11, your son should be at an overall Tanner II. If, in fact, he's at Tanner I, that's an indication that there's some delay in his growth and development.There are a number of factors that can contribute to delayed puberty: a family history of same, decreased production of one or more hormones, other endocrine problems, etc.The Tanner Stage assessment above can help pinpoint specific problem areas, as each factor...pubic hair growth/type, genital growth (penis AND testicles)... is assessed individually. For example, if your son is at Tanner II in pubic hair growth/type and testicle size, but only Tanner I in penis size, this COULD BE indicative of the second of two possibilities, a condition called micropenis.Micropenis is by definition an unusually small penis size. It can occur as part of delayed puberty or can be caused by a number of endocrine problems.Either situation requires a good comprehensive Pediatric evaluation. I would recommend that you share your concerns openly with your Pediatrician and ask him/her for, not only current Tanner Stage, but also an upfront straight answer as to whether your son's penis is indeed unusually small for his age. It is seems that you're getting only a "don't be concerned brush off' or that your concerns aren't being taken seriously, seek out another Pediatrician. If, on the other hand, the answer is yes, ask for a referral to a Pediatric Endocrinologist, who will do a full assessment of your son including physical exam, blood tests to determine hormone levels, and...this may sound strange...a likely x-ray of his hand. This is done to determine bone age which is a very good indicator of overall growth and development and a good determinant as to whether puberty should have begun. In the probably unlikely event that your son has a true micropenis, a Pediatric Urologist can be very helpful.Last, but certainly not least, while you should pursue answers, please don't place undue focus or anxiety on this. Your son may well be on the onset of puberty, perhaps just a bit delayed. If he's otherwise "healthy, smart, athletic and doesn't have a care in the world", try your best to downplay his penis size. And...if it PERHAPS seems more that his younger brother appears a bit large for HIS age...that might not be such a bad thing. After all, it IS true...size isn't ALWAYS everything!I apologize for the "long windedness" but hope that I have headed you in the right direction.Best of luck to you all in your endeavors,John<
    JonMac 165 Replies Flag this Response
Thanks! A moderator will review your post and it will be live within the next 24 hours.