ArticleSexual medicine2026
The age-group difference in psychological motivations for penile girth enhancement surgery in Chinese men: a cross-sectional study.
Article in Sexual medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Penile girth enhancement (PGE) surgery has seen a global rise, with motivations shifting from purely medical indications to psychological and socio-cultural drivers. Data from Chinese populations, particularly concerning the psychological profiles and age-group differences among men seeking PGE, remain scarce. This study aimed to investigate the psychological and cultural mechanisms driving the demand for PGE in Chinese men, with a focus on age-group differences. Methods: A single-center, cross-sectional study was conducted on 136 men presenting for consultation regarding PGE at the Department of Urology of a major teaching hospital in Hefei. Participants were divided into 2 age-based groups: Young (<30 years, n = 81) and Older (≥30 years, n = 55). Measures included the Masculine Gender Stress Inventory Score (MGSIS), Appearance-related Masculinity Stress (MGRSS-A), Social Comparison, Sexual Self-Esteem (SSE), and a composite Psychological Distress index (GAD-7/PHQ-9). Statistical analyses included independent-samples Results: The total sample size was 136. Young men exhibited significantly higher scores in Social Comparison (mean: 68.78 vs 49.96, Discussion: The demand for PGE in young Chinese men is predominantly driven by psychological and cultural stress related to appearance and social comparison, marking a paradigm shift from traditional functional or pathological concerns. This age-group difference underscores the influence of modern media and social environment on male body image.
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