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By Alex Robertson For Mailonline 09:46 BST 12 Feb 2015 , updated 14:06 BST 12 Feb 2015
A 17-year-old boy has undergone the world's first penis reduction surgery, surgeons claim.
The American teen requested the surgery after his penis grew too large, restricting his ability to have sex or play competitive sports.
The boy's surgeons were shocked when he came to them complaining that his penis was too big. 
When flaccid, it measured almost seven inches in length and had a circumference of 10 inches - around the size of a grapefruit.
Surgeons described it as being shaped like an American football. 
The surgeon who treated the teenager, Rafael Carrion, a urologist at the University of South Florida, told MailOnline: 'There comes a time in every urologist's career that a patient makes a request so rare and impossible to comprehend that all training breaks down and leaves the physician speechless.
'That question was "can you make my penis smaller"?'
The teenager had suffered from several bouts of priapism - an unwanted erection, due to having a condition in which abnormally-shaped blood cells block vessels in the penis, causing it to swell.
These episodes had left his penis bloated and misshapen.
He said he was unable to have sex or play competitive sport, had difficulty wearing his pants due to his 'large and heavy phallus', and was embarrassed by how visible it appeared underneath regular clothing.
Though his penis was so large, it did not grow when he had erections - it merely became firmer.
'His penis had inflated like a balloon,' said Dr Carrion. 
'It sounds like a man's dream - a tremendously inflated phallus - but unfortunately although it was a generous length, it's girth was just massive, especially around the middle. 
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'It looked like an American football.'
Dr Carrion and his team looked at the medical literature but couldn't find any precedent for what to do.
'Lord knows there's a global race on how to make it longer and thicker in plastic surgery circles, but very little on how to make it smaller,' he said.
In the end, they decided to embark on a surgical technique normally used to treat Peyronie's disease, a condition where scar tissue develops along the penis, causing it to bend.
The surgeons sliced along an old circumcision scar, unwrapped the skin of the penis, and cut out two segments of tissue from either side.
'It was a bit like having two side tummy-tucks - that's how we explained it to him,' said Dr Carrion.
The doctors were able to bypass the urethra - the tube which carries urine through the penis - and all of the nerves that provide sensation.
The teenager spent just two days in hospital before returning home, apparently 'ecstatic' with his new penis.
The doctors did not take final measurements of the penis, although Dr Carrion told MailOnline the result was 'generous'.
There comes a time in every urologist's career that a patient makes a request that leaves a physician speechless. That question was "can you make my penis smaller"?' Rafael Carrion, urologist at the University of South Florida
'It's slightly longer and slightly thicker than the average male, but now it looks symmetrical, and the patient was very satisfied,' he said.
The teen now has no problem having normal erections and has full sensation.
'It looks cosmetically appealing, and he said it was a life-changing event, he's all smiles,' said Carrion.
Since the paper describing the surgery was published in The Journal of Sexual Medicine, Dr Carrion has only had one person approach him to request the same surgery.
He said: 'This [second] man seems to have a naturally large penis, because there's nothing unusual in his medical history, so it doesn't seem like there's any real abnormality in this case'.
Whereas the first teenager had an obvious medical condition that needed treating, performing surgery on someone who is completely healthy but having difficulties with the size of his penis is another matter, said Dr Carrion.
'These are controversial waters we're stepping in,' he added. 'Who is to judge what is a legitimate complaint and what isn't? 
'You don't normally have men complaining about this kind of thing. These are very unique cases.'
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Please put on your f*cking headphones.
Few words in the English language are as satisfying as a good fuck. Go ahead—say it right now. Sound your barbaric fuck over the rooftops of the world. Feels good, doesn't it?
Though Hollywood has had a long and complicated history with swearing in general, it's widely believed that 1970's M*A*S*H was the first major picture to use "Fuck." Since then, Hollywood has gone fucking nuts with it.
Below, please enjoy the best f-bombs in cinema history. (You might want to put in some headphones, just in case there are some fucking kids around.)
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The Fucking Context: An action-movie montage, set to a jingoistic song that Toby Keith could have written.
What Makes It So Fucking Great: Anytime our country does something dumb, this song plays in my head. This song has been playing in my head nonstop for about 18 months.
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The Fucking Context: Robert De Niro is understandably upset that his wife has had sex with Joe Pesci.
What Makes It So Fucking Great: It's always nice to revisit a pre-give-up De Niro.
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The Fucking Context: David Hyde Pierce's astrophysics professor realizes an error in his calculations.
What Makes It So Fucking Great: It's just so fucking specific.
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The Fucking Context: Fancy British king overcomes severe stutter through the medium of f-bombs.
What Makes It So Fucking Great: It is satisfying to watch prissy people swear.
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The Fucking Context: Gyllenhaal family dinner gets real.
What Makes It So Fucking Great: Like the movie itself, it makes no fucking sense.
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The Fucking Context: Bruce Willis gets catchphrase, runs with it.
What Makes It So Fucking Great: It might not be all that great. Bruce Willis might have just worn us the fuck down.
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The Fucking Context: We meet the usual suspects, they yell at us.
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What Makes It So Fucking Great: The sheer variety of fucks. Morose, gleeful, bemused, thoughtful, morose. Fuck really spreads its wings here.
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The Fucking Context: Cartman has learned the f-word, and he is eager to share his findings.
What Makes It So Fucking Great: It harkens back to the delicious, forbidden f-bombs of early childhood.
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The Fucking Context: Paul Rudd's zen surfing instructor shares his philosophy.
What Makes It So Fucking Great: It's the truest thing we've ever heard.
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The Fucking Context: Booger from Revenge of the Nerds spits hot truth.
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What Makes It So Fucking Great: It's true. Why the fuck do you think we're doing this?
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The Fucking Context: The makers of a fake movie share an inside joke.
What Makes It So Fucking Great: "Oh! Because it sounds like ah, go fuck yourself!" – [Me]
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The Fucking Context: The Roman Senate reveals its true purpose.
What Makes It So Fucking Great: It has never not been super fucking relevant.
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The Fucking Context: The Mafia's guiding principle, laid bare.
What Makes It So Fucking Great: It was very nearly the thing Donald Trump had embroidered on his campaign hats.
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The Fucking Context: The whole movie is one nonstop f-bomb
What Makes It So Fucking Great: It's all the fun of cocaine—without the expense, strained personal relationships, and heart trauma.
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The Fucking Context: Dennis Hopper wants some.
What Makes It So Fucking Great: Who among us hasn't longed, just once, to shout this out loud?
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The Fucking Context: Steve Carell gets his chest waxed, the world is made to feel his pain.
What Makes It So Fucking Great: People so rarely suffer for their art these days.
Dave Holmes Editor-at-Large Dave Holmes is Esquire's L.A.-based editor-at-large.
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