Advancing Precision in Penile Length Measurement: Evidence-based Synthesis of Stretched Penile Length INdicator Technique (SPLINT)

Overview

Journal J Indian Assoc Pediatr Surg

Specialty Pediatrics

Date 2024 Oct 31

PMID 39479430

Authors

Prabudh Goel

Prativa Choudhury

Komal Kaur Saroya

Vishesh Jain

Anjan Kumar Dhua

Devendra Kumar Yadav

Sachit Anand

Sandeep Agarwala

Kanika Sharma

Vikesh Agrawal

Subhasis Saha

Harpreet Singh

Naveen Sharma

V P Singh

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of this study was to synthesize evidence and propose a technique for estimation of stretched penile length (SPL) applicable to children.

Materials And Methods: This review has been conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. PubMed, Embase, and Scopus databases were queried on penile length (PL) measurement techniques in humans published from 1990 onward. The devices and the techniques used for PL measurement, state of the penis, the habitus of the participants, proximal and distal landmarks for measurement, handling the foreskin and pubic pad of fat, optimal stretching of the penis, and other factors (including the environment) which should be accounted for in the technique were identified from the study cohort (90895 participants across 145 included studies).

Results: PL has been represented through flaccid (33.79%), stretched (81.3%), and erect (12.41%) PLs as well as the greatest corporeal length (1.4%). Following devices have been used to measure the PL in the study cohort: rulers [54.68%], calipers [9.7%], measuring tapes [14.5%], coloured measuring strips [2.06%], spatulas/tongue depressors [11.03%], FitKit, syringe [1.4%], cotton swab (and ruler), titan cylinders, slide gauge and ultrasonography [1.37%]. The factors relevant to SPL measurement have been incorporated into the proposed SPL INdicator Technique (SPLINT) which is essentially a holistic extension of the " technique.

Conclusions: There is a wide range of heterogeneity in the technique for estimation of PL across the study cohort; the underlying factors have been identified along with the respective variables, and the SPLINT for SPL has been described.

Citing Articles

Measuring up: Ensuring Intra- and Interobserver Reliability in Stretched Penile Length with the SPLINT Technique.

Goel P, Choudhury P, Verma V, Phugat S, Kalaivani M, Singh T J Indian Assoc Pediatr Surg. 2024; 29(6):579-588.

PMID: 39691923 PMC: 11649040. DOI: 10.4103/jiaps.jiaps_107_24.

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