Introduction: Penile augmentation surgery has become increasingly common though there is no consensus about the management strategy for men with a complaint of small penis.
Aim: To introduce and evaluate the outcome of a structured management and counseling protocol for patients with a complaint of a small-sized penis.
Methods: A structured protocol for consultation and management of (physically normal) patients with a complaint of a small penis through a descriptive study comprised of a series of 250 patients.
Main outcome measures: Percentage of patients who elect to undergo penile augmentation surgery.
Results: Only nine patients (3.6%) chose to seek further surgical intervention. Two had a buried penis, two had true micropenis and five had normal penile size.
Conclusions: Using a structured management and counseling protocol, most men chose not to undergo penile augmentation surgery, even when offered for free.