Below is from my Archives -The date is some time in 2004

Dr Soloway is one one the leading Uro surgeons in the USA-

He: an inch more and I'd be a king
She: an inch less and you'd be a queen

As the study below shows, penile length is decreased an average of 15%
after an RP.A prospective study measuring penile length in men treated with
radical prostatectomy for prostate cancer.

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Savoie M, Kim SS, Soloway MS.

Department of Urology, University of Miami School of Medicine,
Florida, USA.

PURPOSE: Some patients report that the penis is smaller after radical
retropubic prostatectomy for prostate cancer. We performed a
prospective study which measured penile length before and after
radical retropubic prostatectomy. MATERIALS AND METHODS: A total of
124 men consented to penile measurements before radical prostatectomy
performed by the same surgeon. Repeat measurements were performed at
3-month intervals following surgery. Penile measurements (cm.)
consisted of flaccid length, stretched length, depth of prepubic fat
pad and circumference. Statistical analysis of penile measurements was
performed using the paired samples and independent Student's t test,
Pearson's correlation and analysis of variance.

RESULTS: Mean patient
age was 59.1 (range 42 to 76). No patient had a penile abnormality,
for example Peyronie's disease, or history of penile or urethral
surgery. The size of the penis was significantly smaller after
prostatectomy, and there was a significant difference for flaccid (p
<0.001), stretched (p <0.001), prepubic fat pad (p = 0.02) and
circumference measurements (p <0.01). Twelve patients (19%) had a 15%
or greater decrease in stretched penile length. When dichotomizing
groups at the cut point of 15% decrease, the independent t test of
prostate size was not significant (t[df 36.7] = -1.83, p = 0.076).

Nerve sparing was not significant in relation to change in penile
stretched length, (F[df 2, 62] = 0.501, p = 0.609). CONCLUSIONS: Our
findings support observations of decreased penile length after radical
prostatectomy. Men should be counseled before radical prostatectomy
that penile shortening may occur.

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