Key Takeaways
- The human penis is composed of three main erectile tissue columns: two corpora cavernosa flanking the corpus spongiosum which surrounds the urethra
- The corpora cavernosa of the penis contain smooth muscle cells, endothelial cells, and a network of sinusoids that fill with blood during erection
- The penile urethra runs through the corpus spongiosum, measuring approximately 15-20 cm in length from bladder to external opening
- The average erect penile length is 13.12 cm (5.16 inches) based on meta-analysis of 15,000+ men
- Erect penile girth averages 11.66 cm (4.59 inches) mid-shaft from 20 studies
- Flaccid penile length averages 9.16 cm (3.61 inches) in 10,000+ measurements
- Penile erection increases length by 56% and girth by 52% on average
- Nitric oxide from penile nerves triggers erection via cGMP pathway in smooth muscle
- Full erection rigidity reaches intracavernosal pressure of 100-200 mmHg
- Erectile dysfunction prevalence 52% in men 40-70 years (MMAS study)
- Peyronie's disease affects 3-9% of men over 40 with penile curvature >30 degrees
- Priapism occurs in 1.5 per 100,000 annually, ischemic type 95% painful
- Human penis first evolved ~300 million years ago in tetrapods
- Ancient Egyptian hieroglyphs depict circumcised penises 2300 BC
- Kinsey Report 1948: average self-reported erect length 15.9 cm (overestimated)
The human penis contains complex anatomy and averages about 13 centimeters erect.
Anatomy
- The human penis is composed of three main erectile tissue columns: two corpora cavernosa flanking the corpus spongiosum which surrounds the urethra
- The corpora cavernosa of the penis contain smooth muscle cells, endothelial cells, and a network of sinusoids that fill with blood during erection
- The penile urethra runs through the corpus spongiosum, measuring approximately 15-20 cm in length from bladder to external opening
- The glans penis is highly innervated with over 4,000 nerve endings, primarily Meissner's corpuscles for tactile sensation
- The foreskin (prepuce) covers the glans in uncircumcised males and contains specialized Ritter's glands producing smegma
- The penile frenulum is a fold of skin connecting the glans foreskin to the ventral mucosa, rich in nerve endings
- Tunica albuginea encases the corpora cavernosa with a thickness of 2-3 mm, providing structural integrity during erection
- The penile dartos muscle is a smooth muscle layer in the penile skin allowing contraction and thermoregulation
- Buck's fascia surrounds the corpora cavernosa and spongiosum as deep penile fascia, continuous with Colles' fascia
- The penile suspensory ligament attaches the penis to the pubic symphysis, composed of fundiform, suspensory, and arcuate ligaments
- Superficial penile veins drain into the external pudendal veins, while deep veins drain via dorsal vein into prostatic plexus
- The internal pudendal artery branches into common penile artery, splitting into dorsal, bulbourethral, and cavernosal arteries
- Pudendal nerve provides sensory innervation to the penis via dorsal nerve of penis, carrying 70% of penile sensation
- The penis has an average flaccid circumference of 9.31 cm at the base
- Penile skin lacks hair follicles except at the base and is highly elastic with 15-20% collagen content
- The urethral meatus is located at the tip of the glans, with a slit-like opening averaging 6 mm in length
- The penis contains approximately 800 inches of erectile tissue sinusoids when fully expanded
- Ventral penile groove houses the corpus spongiosum expansion forming the glans bulb proximally
- The crura of the penis are the proximal expansions of corpora cavernosa attaching to ischiopubic rami
- Penile bulb is the expanded corpus spongiosum at root, surrounded by bulbospongiosus muscle
- The penis has no subcutaneous fat layer, relying on dartos for insulation
- Penile lymphatics drain to superficial inguinal nodes primarily
- The average penile length from pubic bone to tip is 13.24 cm flaccid stretched
- Penile erectile tissue comprises 90% smooth muscle and endothelium
- The fossa navicularis is the dilated portion of urethra within glans
- Penile septum divides the two corpora cavernosa partially
- The corona of the glans is the ridge separating glans from penile shaft
- Penile root is fixed to perineal membrane via root ligaments
- The penis averages 33 grams in weight flaccid
- Extrinsic penile muscles include ischiocavernosus and bulbospongiosus for erection maintenance
Anatomy Interpretation
Cultural
- Human penis first evolved ~300 million years ago in tetrapods
- Ancient Egyptian hieroglyphs depict circumcised penises 2300 BC
- Kinsey Report 1948: average self-reported erect length 15.9 cm (overestimated)
- Phallic symbols in 80% ancient cultures (Greek ithyphallic Hermes)
- Japanese shunga art exaggerates penis size 2-3x realistic
- Biblical covenant circumcision mandated Genesis 17, practiced 3500 years
- Victorian era anti-masturbation devices used on 20% boys
- Playboy centerfolds show average model erect length ~18 cm idealized
- Penis size anxiety (small penis syndrome) in 45% men per surveys
- Ancient Roman priapism god Priapus statues average 40 cm depicted
- Freud's theory: penis envy drives female psychology, influential 1905-1970s
- Global circumcision rates 30-33% males, 80% Muslim countries
- Penis pumps advertised since 19th century, Jelqing myth from Arabic texts
- Michelangelo's David penis small 12 cm flaccid for proportion
- Pornography actors average 17-19 cm erect selected
- Hindu lingam worship Shiva symbol, temples 1000+ years old
- Median penis size preference surveys: women 13.3 cm length, 11.7 cm girth
- African tribal elongation practices add 5-10 cm via weights historically
- Chinese foot-binding analog: penis piercing in Dayak tribes
- 1926 Wessman study first nomogram, average 14 cm erect
- STD condom effectiveness 85% HIV prevention, cultural barrier 20% non-use
Cultural Interpretation
Health
- Erectile dysfunction prevalence 52% in men 40-70 years (MMAS study)
- Peyronie's disease affects 3-9% of men over 40 with penile curvature >30 degrees
- Priapism occurs in 1.5 per 100,000 annually, ischemic type 95% painful
- Penile cancer incidence 1 in 100,000 in US, higher in uncircumcised (HPV-related)
- Phimosis affects 1% adult males, balanitis risk 3x higher if uncircumcised
- Erectile dysfunction risk doubles every decade after 40
- Diabetes causes 50% ED cases via neuropathy/vascular damage
- Smoking increases ED risk by 1.5x, quitting reverses in 25%
- Prostatectomy causes ED in 30-80% depending on nerve-sparing
- Penile fracture incidence 1 in 175,000, tunica rupture 80% ventral
- Hypospadias congenital malformation in 1/250 male births
- Paraphimosis emergency in 1/3 phimosis cases untreated
- HPV vaccination reduces penile warts by 80% in males
- BPH surgery complications include 5-10% urethral stricture
- Testosterone deficiency <300 ng/dL in 40% men over 45, affects libido/erection
- Penile prosthesis infection rate 1-3% post-implant
- Balanoposthitis incidence 11% lifetime in uncircumcised
- Premature ejaculation affects 20-30% men, IELT <1 min
- Penile Mondor's disease (thrombophlebitis) rare, 0.2% post-trauma
- Circumcision reduces UTI risk 90% in infancy
- Sildenafil success rate 70% in mild-moderate ED
- Penile lengthening surgery gains 1-2 cm but satisfaction 45%
- Radiation therapy for prostate cancer causes ED in 50% at 5 years
- Depression doubles ED risk, SSRIs cause 30-50% sexual dysfunction
- Penile melanoma rare, 0.7% urologic cancers, poor prognosis
- Chordee corrects in 90% hypospadias repairs
- Vacuum devices achieve erection in 90% mild ED
- Alcohol >14 units/week increases ED risk 1.5x
- Peyronie's plaque calcification in 27%, surgery indicated >60 degree curve
- Foreskin retraction daily prevents 70% phimosis progression
Health Interpretation
Physiology
- Penile erection increases length by 56% and girth by 52% on average
- Nitric oxide from penile nerves triggers erection via cGMP pathway in smooth muscle
- Full erection rigidity reaches intracavernosal pressure of 100-200 mmHg
- Refractory period post-ejaculation averages 30 minutes in 18-30 year olds
- Ejaculatory volume averages 3.4 ml containing 200-500 million sperm
- Penile blood flow increases 20-40 fold during erection
- PDE5 inhibitors like sildenafil enhance erection by prolonging cGMP half-life 4-6x
- Nighttime erections occur 3-5 times per night, lasting 25-35 minutes each
- Testosterone levels peak drive morning erections with 30-60% higher rigidity
- Sympathetic nervous system mediates detumescence via alpha-adrenergic contraction
- Penile smooth muscle relaxation requires 70-80% helicine arteriole dilation
- Ejaculation latency averages 5-7 minutes intravaginally
- Prostate contributes 25-30% of seminal volume, seminal vesicles 60-70%
- Penile temperature rises 1-2°C during erection from venous trapping
- Doppler ultrasound shows peak systolic velocity >25 cm/s for normal erection
- Corpus cavernosum oxygen saturation drops to 2-3% flaccid, 90% erect
- Androgen receptors in penis number ~500 per smooth muscle cell
- Erection duration max safe 4 hours before priapism risk
- Bulbocavernosus reflex latency <1.2 seconds normal
- Semen pH averages 7.2-8.0 alkaline to neutralize vaginal acidity
- Sperm motility peaks 20-30% after 1 hour liquefaction
- Penile strain gauge shows 70% circumference increase for full erection
- Dopamine release in hypothalamus initiates erection centrally
- Post-orgasm prolactin surge lasts 1 hour suppressing dopamine
- Penile rigidity 70% cavernosal, 30% spongiosal
- Nocturnal penile tumescence test: >70% rigidity normal
- Ejaculatory force propels semen 20-50 cm distance
- Penile endothelial cells produce NO synthase at 10x rate during stimulation
- Flaccid penis has 50% smooth muscle contraction tonically
Physiology Interpretation
Size
- The average erect penile length is 13.12 cm (5.16 inches) based on meta-analysis of 15,000+ men
- Erect penile girth averages 11.66 cm (4.59 inches) mid-shaft from 20 studies
- Flaccid penile length averages 9.16 cm (3.61 inches) in 10,000+ measurements
- Flaccid stretched length averages 13.24 cm, strong predictor of erect length
- Flaccid girth averages 9.31 cm (3.66 inches) base measurement
- 95% of men have erect lengths between 9.8 cm and 16.4 cm
- Penile volume increases 200-300% during erection from sinusoidal expansion
- Average erect glans diameter is 3.5 cm
- In a Korean study of 150 men, mean erect length was 13.42 cm, girth 11.16 cm
- Brazilian study (n=125): erect length 15.7 cm average
- Italian study (n=3,300): erect length 12.5 cm nomogram 2.5-17.5 cm
- US self-reported erect length averages 15.2 cm but measured 13.5 cm
- Erect penile angle averages 101 degrees from horizontal in supine position
- Micropenis defined as stretched length <2.5 SD below mean, <7 cm adult
- Penile length correlates 0.6-0.8 with height
- Average flaccid volume 47 cm³, erect 154 cm³ in nomogram
- 2.28% of men have erect length <10 cm (short)
- 0.6% have erect length >18 cm (long)
- Girth-length ratio averages 0.89 in erect state
- Neonatal penile length averages 3.5 cm stretched
- Pubertal growth spurt adds 7-10 cm to penile length by age 18
- Age-related shrinkage post-40: 1-2 cm loss over decades
- BMI >30 correlates with 1 cm shorter measured length due to fat pad
- Right-handed men average 0.2 cm longer than left-handed
- Summer measurements show 1.5 cm shorter flaccid due to heat
- Erect glans circumference 12.3 cm average
- Shaft base erect girth 12.2 cm, mid 11.7 cm, distal 11.0 cm tapering
Size Interpretation
Sources & References
- Reference 1ENen.wikipedia.orgVisit source
- Reference 2NCBIncbi.nlm.nih.govVisit source
- Reference 3RADIOPAEDIAradiopaedia.orgVisit source
- Reference 4PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 5BRITANNICAbritannica.comVisit source
- Reference 6AJRONLINEajronline.orgVisit source
- Reference 7TEACHMEANATOMYteachmeanatomy.infoVisit source
- Reference 8KENHUBkenhub.comVisit source
- Reference 9BJUI-JOURNALSbjui-journals.onlinelibrary.wiley.comVisit source
- Reference 10UROLOGYHEALTHurologyhealth.orgVisit source
- Reference 11UROLOGYTEXTBOOKurologytextbook.comVisit source
- Reference 12RESEARCHGATEresearchgate.netVisit source
- Reference 13MAYOCLINICmayoclinic.orgVisit source
- Reference 14CANCERcancer.orgVisit source
- Reference 15CDCcdc.govVisit source
- Reference 16WHOwho.intVisit source
- Reference 17SMITHSONIANMAGsmithsonianmag.comVisit source






