The motive behind such a procedure can range from complications such as macropenis,[1][2] genital lymphedema,[3] or sex reassignment.
[4] It may also be motivated by the shape or size of the extant penis being unviable for intercourse and the associated social liabilities of having macrophallic penile dimensions.
[5] The causes of macrophallism can range from sickle cell disease to priapism.
[13] Such procedures have been considered by men with partners who have complained about discomfort of thrusts against the cervix[14] as well as those seeking additional stimulation of the clitoris.
[15] In some ancient periods of history, the diminution of penile size was a desired appearance aesthetically, including those observable in surviving works of art, due to an association with unpretentiousness, reticence and timidity;[16] artists also wanted to distance themselves from erotic art's obsession with over-sized genitals.