that penile size was not the most important factor for women.

Small penis syndrome is much more common in men with normal sized penises than those with a small micropenis with a flaccid length of less than 7cm (2.7 inches).

One study found that 63 per cent of men complaining of small penises said their anxieties started with childhood comparisons and 37 per cent blamed erotic images viewed in their teenage years. None of the men studied actually had a micropenis.

Another report based on data collected by Kinsey in the 1940s reported that, on average, homosexual men had larger penises than heterosexual men. The report authors suggest that exposure to male reproductive hormones in the womb may be one explanation.

Individual research studies have also suggested that penis size is smaller in studies focussing on older men, but Wylie and Eardley found no overall differences when they collated the results of various studies.

The review also provided little evidence of racial differences, with the exception of one Korean study where the men had smaller than average-sized penises. The authors suggest this area needs further investigation.

Evidence on the effectiveness of vacuum devices, penile extenders and traction devices was found to be limited, but the authors noted that patients may experience psychological benefits from some of them.

The review also showed that the results of surgery are poorly documented and significant complications can ensue.

It is very common for men to worry about the size of their penis and it is important that these concerns arent dismissed as this can heighten concerns and anxieties says Dr Wylie.

It is helpful to normalise the situation and provide as much accurate information as possible, as many men either lack any information or have been misinformed.

This extensive review aims to provide cli
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