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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

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Published: 09:46 BST, 12 February 2015 | Updated: 14:06 BST, 12 February 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"?'
A 17-year-old boy in Florida is thought to be the first person to undergo penis reduction surgery. The teenager requested the operation after his penis (pictured on an X-ray) grew too large
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. 
'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 teenager 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 clothing (file pic)
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'.
'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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Richard Hartley-Parkinson Thursday 21 Dec 2017 6:26 am
This man has the world's biggest penis
This man has the world's biggest penis https://metro.co.uk/video/this-man-worlds-biggest-penis-1396389/ 1396389
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A man who is believed to have the world’s largest penis has been registered as disabled because he can’t wear uniforms or kneel.
Roberto Esquivel Cabrera’s penis measures 18 inches, reaching his knees.
The 55-year-old from Saltillo, Mexico, has dangled weights off his penis for his entire life to increase its size and there was talk of him going into porn at one point.
However, he’s now receiving benefits to help him live while he tries to find a solution to his problem.
He said: ‘I cannot wear a uniform like anybody in the companies and also I cannot get on my knees.
‘I cannot run fast and so the companies think badly of me. They say that they will call me, but they never do.’
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He hit headlines when he smashed the unofficial world record held by US actor Jonah Falcon, whose penis was 9.5 inches flaccid and 13.5 inches when erect.
Yet despite being super-endowed, the 54-year-old’s penis has caused him a number of health problems, including frequent urinary tract infections because not all his urine escapes his foreskin.
He’s also unable to sleep on his front and has to put his penis, which has to be wrapped in bandages, on its own pillow so he’s not in discomfort at night.
Despite all these issues, he refuses to have a penile reduction, as per his doctor’s recommendation, as he wants his ‘gift’ to be recognised by the Guinness Book of World Records.
He said: ‘I would like to be in the Guinness Book of Records but they don’t recognise this record.
‘I am famous because I have the biggest penis in the world. I am happy with my penis, I know nobody has the size I have.’
His doctor, Dr Jesus David Salazar Gonzalez, said: ‘We have advised him “Roberto, the best thing for you is that the doctors give a normal shape to your penis so that it doesn’t hurt you, in order to have sexual relationships, in order to have children”.
‘But he doesn’t accept it, he’d rather have a penis bigger than the rest of the people.’
‘In Latin culture whoever has the bigger penis is more macho. It’s something that makes him different to the rest of the people and makes him feels special.’
Doctors recently did a thorough examination of Mr Cabrera’s penis, confirming suspicions that the bulk of his nearly 20-inch penis is foreskin.
His penile glands stretch only seven inches, meaning the rest of his member is completely foreskin and blood vessels.
They have also been able to offer some insight in just how his penis became quite so large – they say he has been stretching his penis with weights since his teenager.
Dr Gonzalez added: ‘He was obsessed with the penis length. He began with this enlargement since he was a teenager, wrapping some bands around his penis with some weights and trying to stretch it.’
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Though Roberto loves his penis, he says it is a ‘disability’ and stops him from working, forcing him to rely on food banks to survive.
And now, according to the Mexican, after initially dismissing his claim the government has now recognised him as disabled.
Every four months he receives some economic assistance, but ‘it’s not enough’, he says.
Another downside to having such a gigantic penis is that many people believe it is a hoax.
He said: ‘Sometimes when the people ask me if it’s real or not, I ask them “Do you want to see it?”’

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