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OCR: Growth of the testes is usually the first s ). In normal puberty in the male (see Fig. 13. e testes general, when the longitudinal axis of th 1 2.5cm, (excluding the epididymis) is greater tha menced. pubertal testicular enlargement has com s due to Most of the increase in size of the testes Leydig cell seminiferous tubular enlargement since enlargement is minimal, even with activ testosterone secretion. flaccid state The phallus is best measured when in a he foreskinand stretched, without including either besity or the fat pad at the base of the phallus. C sely appearincreases the fat pad, so the penis may fa he length to be abnormally short in an obese boy. T skin) of the stretched penis (excluding the fore increases from an average of 6.2cm in th prepubertal state to 13.2cm in adulthood