In this task, you are given a text of many news articles seperated by special token "|||||". Your task is to summarize them.

Doctors didn't take post op measurements but said it was still 'generous' 
  
 Surgeon said: 'It's girth was just massive' and was shaped like rugby ball 
  
 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'. 
  
 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? ||||| There's no shortage of men looking to lengthen the appearance of their penis with pills, pumps, or even plastic surgery. A teen in Florida, however, had a special problem: He needed to shrink his. The unidentified 17-year-old, who suffered from several bouts of priapism, underwent the “world’s first” penis reduction surgery to be able to grow erections and have sex, according to the case report in the Journal of Sexual Medicine. 
  
 The Florida teen claims his 7-inch flaccid penis with a 10-inch circumference was left bloated and misshapen after suffering three priapism episodes. His history of sickle cell disease led to recurrent priapism, which caused an aneurysmal morphologic deformity of his penis. In other words, his rugby ball-shaped member was too enlarged and disfigured for him to experience a normal erection and penetrate his partner — it just became firmer. 
  
 “His penis had inflated like a balloon,” Dr. Rafael Carrion, an urologist at the University of South Florida, who treated the teen, told the Daily Mail. “It sounds like a man's dream — a tremendously inflated phallus — but unfortunately although it was a generous length, its girth was just massive, especially around the middle. It looked like an American football.” 
  
 Teenager with giant penis shaped like rugby ball has 'world first' reduction surgery http://t.co/CvLIzNBnYU pic.twitter.com/mu7SveoknR — Daily Mirror (@DailyMirror) February 12, 2015 
  
 Carrion and his medical team decided to adapt a surgical technique used to treat Peyronie’s disease to perform the penis reduction. This disease is characterized by the development of fibrous scar tissue inside the penis that causes curved, painful erections, according to the Mayo Clinic. Although having a curved erection is common, men who suffer from Peyronie’s disease tend to experience a significant bend or pain. 
  
 The surgery involved slicing along an old circumcision scar, followed by unwrapping the skin of the penis, and cutting out two segments of tissue from either side, the Mirror reported. Carrion and the surgeons were able to bypass the urethra and all of the nerves responsible for sensation. Carrion described the procedure as “having two side tummy-tucks.” 
  
 The teen had a successful reduction and spent just two days at the hospital. His penis is still “slightly longer and slightly thicker than the average male,” Carrion said, “but now it looks symmetrical, and the patient was very satisfied.” He reportedly now has no trouble having normal erections and experiencing full sensation. 
  
 Carrion has only had one other person approach him to request a penis reduction since the case report release. However, unlike the teen, the man has a naturally large penis, but there’s nothing unusual in his medical history. 
  
 Guys, bigger isn’t always better. 
  
 Source: Carrion R, Hakky TS, Manimala NJ et al. The Reduction Corporoplasty: The Answer to the Improbable Urologic Question “Can You Make My Penis Smaller?” Journal of Sexual Medicine. 2014. ||||| With the increase in penile augmentation procedures it becomes important to assess what is the normal erect penile size in both potent men and men with erectile dysfunction (ED). The aim of this work is to define the average stretched penile size in normal men and ED patients. Penile length and girth. This study included 1,027 adult men presenting to a university hospital outpatient clinic. Two groups of patients were included in this research work. Group I comprises normal adult men (949) and Group II, ED patients (78). There were no differences of race, age, height, and weight. Penile length and girth were measured using a tape measure and rigid ruler in the fully stretched states in both groups. All penile measurements were performed by the same physician. In normal men (Group I) the mean of the fully stretched length was 12.9 +/- 1.9 cm and the mean of the fully stretched girth was 8.9 +/- 0.9 cm. In ED patients (Group II), the mean of the fully stretched length was 11.2 +/- 1.5 cm and the mean of fully stretched girth was 8.8 +/- 0.8 cm. Comparing the mean of fully stretched penile lengths in both groups revealed statistical significant difference (P < 0.001) between them, whereas comparing the mean of fully stretched penile girths in both groups revealed statistical nonsignificant difference (P = 0.474) between them. There were significant positive correlations between fully stretched penile lengths and fully stretched penile girths in both groups. The average of fully stretched penile length in normal potent men is 12.9 cm, whereas the patients with ED tend to have significantly shorter penises (11.2 +/- 1.5 cm). |||||
Yes, a Florida teenager has undergone what surgeons believe to be the first procedure to reduce the size of a penis, reports Medical Daily. But the 7-inch penis in question had a circumference of 10 inches prior to the surgery—due to a medical condition, not nature—and drew comparisons to a "grapefruit," an "American football," and a "rugby ball" in various accounts. It seems the unidentified 17-year-old suffered from sickle cell disease that triggered priapism—painful erections that don't immediately subside—and three bouts of it since age 10 had left his penis not looking very penis-like. "In other words," writes Lizette Borreli at Medical Daily, "his rugby ball-shaped member was too enlarged and disfigured for him to experience a normal erection and penetrate his partner—it just became firmer." Doctors similarly describe the teen's phallus as "too large for intercourse." The doctors at the University of South Florida who took the case recognized its weird nature, titling their paper in the Journal of Sexual Medicine, "The Answer to the Improbable Urologic Question 'Can You Make My Penis Smaller?'" It turns out they could, removing tissue in a procedure that one likens to "having two side tummy-tucks," reports the Daily Mail. They're not saying what the final dimensions are, only that the penis is slightly bigger than normal but symmetrical and fully functional, and the kid is pleased. "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," says the USF's Dr. Rafael Carrion. (Another man's bout of priapism lasted 17 hours.)