{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T19:03:19Z","timestamp":1786993399233,"version":"build-2736575974"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T00:00:00Z","timestamp":1589846400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T00:00:00Z","timestamp":1589846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Men concerned about their penis size often consult professionals working in urology, andrology, surgery, and sexual medicine.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n To inform professionals in the sexual medicine field about small penis syndrome as a clinical syndrome and to provide recommendations for treatment.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This was an overview of the existing literature combined with our extensive clinical experience.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Small penis syndrome is a syndrome with psychiatric comorbidities and social consequences that impair life. Men with these concerns tend to be susceptible for treatment that is not evidence based and potentially harmful.<\/jats:p>\n <\/jats:sec>\n \n Clinical Implications<\/jats:title>\n Treatment of men with concerns about penis size should start with a thorough biopsychosocial assessment, followed by extensive psychoeducation, counselling, and psychological interventions, even if surgery is being considered.<\/jats:p>\n <\/jats:sec>\n \n Strengths & Limitations<\/jats:title>\n The strength of this study is the concise overview of the existing literature combined with clinical experience which leads to important recommendations. Limitation is that this is not a systematic review.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Complaints about penis size should be taken seriously, and a thorough biopsychosocial and multidisciplinary assessment is required.<\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.jsxm.2020.03.015","type":"journal-article","created":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T05:24:14Z","timestamp":1589952254000},"page":"1400-1404","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Penile Size Dissatisfaction"],"prefix":"10.1093","volume":"17","author":[{"given":"Hester","family":"Pastoor","sequence":"first","affiliation":[{"name":"Registered Psychotherapist , Rotterdam , The Netherlands"},{"name":"Registered Sexologist, ECPS, PhD Student , Rotterdam , The Netherlands"},{"name":"Division of Reproductive Medicine , Rotterdam , The Netherlands"},{"name":"Department of Obstetrics and Gynecology , Rotterdam , The Netherlands"},{"name":"Erasmus MC , Rotterdam , The Netherlands"},{"name":"University Medical Center , Rotterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Gregory","sequence":"additional","affiliation":[{"name":"COSRT Accredited Psychosexual Therapist , Nottingham , United Kingdom"},{"name":"Division of Family Health , Nottingham , United Kingdom"},{"name":"Department of Sexual Health , Nottingham , United Kingdom"},{"name":"Chandos Clinic , Nottingham , United Kingdom"},{"name":"Nottingham University Hospital Trust , Nottingham , United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,5,19]]},"reference":[{"key":"2023011111124572200_bib1","article-title":"The 'small' penis syndrome","volume":"18","author":"Murtagh","year":"1989","journal-title":"Aust Fam Physician"},{"key":"2023011111124572200_bib2","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1111\/j.1464-410X.2007.06806.x","article-title":"Penile size and the \u201csmall penis syndrome\u201d","volume":"99","author":"Wylie","year":"2007","journal-title":"BJU Int"},{"key":"2023011111124572200_bib3","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1038\/s41443-018-0039-1","article-title":"Does underestimated penile size impact erectile function in healthy men?","volume":"30","author":"Sanches","year":"2018","journal-title":"Int J Impot Res"},{"key":"2023011111124572200_bib4","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1038\/sj.ijir.3900887","article-title":"Penile length is normal in most men seeking penile lengthening procedures","volume":"14","author":"Mondaini","year":"2002","journal-title":"Int J Impot Res"},{"key":"2023011111124572200_bib5","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.bodyim.2016.02.004","article-title":"Relationship between self-discrepancy and worries about penis size in men with body dysmorphic disorder","volume":"17","author":"Veale","year":"2016","journal-title":"Body Image"},{"key":"2023011111124572200_bib6","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1037\/1524-9220.7.3.129","article-title":"Does size matter? 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