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STRECTHED PENILE LENGTH NOMOGRAM AMONG SOUTH INDIAN CHILDREN OF 0-12 AGE GROUP

Dissertation submitted for

M.D., DEGREE EXAMINATION

BRANCH VII PEDIATRIC MEDICINE

THE TAMIL NADU DR.M.G.R MEDICAL UNIVERSITY

CHENNAI

INSTITUTE OF CHILD HEALTH AND

HOSPITAL FOR CHILDREN

MADRAS MEDICAL COLLEGE

CHENNAI

APRIL 2020

CERTIFICATE

This is to certify that the dissertation titled “TO ESTABLISH

STRETCHED PENILE LENGTH NOMOGRAM FOR SOUTH

INDIAN CHILDREN IN 0-12 AGE GROUP” submitted by

Dr. TAMIZHARASAN E to the Faculty of Paediatrics,

THE TAMILNADU DR.M.G.R. MEDICAL UNIVERSITY,

CHENNAI, in partial fulfillment of the requirements for the award of

M.D., DEGREE (PEDIATRICS) is a bonafide research work carried out by him under our direct supervision and guidance.

PROF.DR.K.JAYACHANDRAN, PROF.DR.ELILARASI.MD.,DCH, MD.,DCH, Director & Superintendent, Professor of Paediatrics, Institute of Child Health & Institute of child health & Hospital for Children, Hospital for children, Madras Medical College, Chennai- 600 008. Chennai – 600 008.

PROF.DR.R.JAYANTHI M.D.,F.R.C.P(Glasg) The DEAN, Madras Medical College & Rajiv Gandhi Govt. General Hospital, Chennai – 600 003

DECLARATION

I, DR.TAMIZHARASAN E solemnly declare that the dissertation titled “TO ESTABLISH STRETCHED PENILE

LENGTH NOMOGRAM IN SOUTH INDIAN CHILDREN IN

0-12 AGE GROUP” has been prepared by me. This is submitted to the

Tamil Nadu DR.M.G.R Medical University, in partial fulfillment of the rules and regulations for the M.D Degree examination in Paediatrics.

Place : Chennai DR.TAMIZHARASAN E

Date :

SPECIAL ACKNOWLEDGEMENT

My sincere thanks to PROF. DR.R.JAYANTHI M.D.,

F.R.C.P (Glasgow) , Dean, Madras Medical College, for allowing me to do this dissertation, utilizing the institutional facilities.

ACKNOWLEDGEMENT

It is with immense pleasure and privilege, I express my heartfelt gratitude, admiration and sincere thanks to PROF. Dr.S.EZHILARASI ,

M.D., DCH., Professor and Head of the Department of Paediatrics and our

Director, for his guidance and support during this study.

I am greatly indebted to my guide and teacher,

PROF. Dr.K.JAYACHANDRAN, M.D., DCH., Professor of Paediatrics for his supervision, guidance and encouragement while undertaking this study.

I would like to thank my Assistant Professors Dr.RAM KUMAR,

Dr.N.BALAKRISHNAN, Dr.V.SEENIVASAN, Dr.M.S.MANI and Dr.

S.P.KARAMATH for their valuable suggestions and support.

I also thank all the members of the Dissertation Committee for their valuable suggestions.

I gratefully acknowledge the help and guidance received from

Dr. S. SRINIVASAN, DCH., Registrar at every stage of this study.

I also express my gratitude to all my fellow postgraduates for their kind cooperation in carrying out this study and for their critical analysis.

I thank the Dean and the members of Ethical Committee, Rajiv

Gandhi Government General Hospital and Madras Medical College, Chennai for permitting me to perform this study.

I thank all the parents and children who have ungrudgingly lent themselves to undergo this study without whom, this study would not have seen the light of the day.

ETHICAL COMMITTEE APPROVAL FORM

PLAGIARISM CERTIFICATE

This is to certify that this dissertation work titled “TO

ESTABLISH STRETCHED PENILE LENGTH

NOMOGRAM IN SOUTH INDIAN CHILDREN IN 0-12 AGE

GROUP” of the candidate DR. TAMIZHARASAN E with

Registration Number 201717013 for the award of M.D. in the branch of

PAEDIATRICS.

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GUIDE AND SUPERVISOR SIGN WITH SEAL

LIST OF ABBREVIATIONS

ICH & HC - Institute of child health and hospital

for children , Egmore.

SPL - Stretched penile length

T - testosterone

LH - luetinising hormone

FSH - follicular stimulating hormone

GnRH - gonadotrophin releasing hormone

AMH - anti mullerian hormone

CAH - congenital adrenal hyperplasia

INSL3 - insulin like growth hormone 3

GH - growth hormone

DHT - dihydro testosterone

HCG - human chorionic gonadotrophin

IUGR - intra uterine growth restriction

AD - Autosomal dominant

AR - autosomal recessive

DSD - disorders of sexual differentiation

BETA HSD - hydroxy steroid dehydrogenase

Cm - centimeter

Mg - milligram

Mm - millimeter

M - months

Y - years

CONTENTS

SL.NO. TITLES PAGE.NO.

1 INTRODUCTION 1 – 19

2 REVIEW OF LITERATURE 20 – 36

3 STUDY JUSTIFICATION 37

4 OBJECTIVE 38

5 MATERIALS AND METHODS 39 – 40

6 STUDY MANOEUVRE 41

7 STATISTICAL ANALYSIS 42 – 43

8 RESULTS 44 – 68

9 DISCUSSION 69 – 73

10 LIMITATIONS 74

11 CONCLUSION 75

12 BIBLIOGRAPHY 76 – 78 13 ANNEXURES 79 – 119 ● PROFORMA ● INFORMATION SHEET ● CONSENT FORM ● MASTER CHART WITH KEY

INTRODUCTION

One of the important concerns in neonates’ physical examination is the genital examination, especially penile size that is considered an important representation of hypothalamic or pituitary abnormality (hypogonadotropic hypogonadism); due to the role of androgen exposure in fetal sex development, disorders in genital system may be a sign of disorders of sex development

(DSDs). Thus, penile measurement contributes to the diagnosis of the underlying genetic or endocrine disorders. In addition to diagnosis of hypothalamic and pituitary defects, measurement of PL is important in procedures, such as circumcision, as well.

Micropenis is defined as a small penis, without epispadias or hypospadias,

2.5 SDs below the mean PL. Pure micropenis, not associated with DSDs, benefit from early intervention, especially in minipuberty stage of below 6 months of age, when low dose testosterone can improve the penile length significantly.

Therefore, the accuracy of PL measurement and cut-off for the definition of micropenis are of great importance, commonly missed in early physical examination of the newborn. Stretched penile length (SPL) is basically put on nomograms, designed based on gestational age, weight, and height; accordingly,

PL values are different for preterm infants, as well as different ethnicities.

Paediatricians often encounter questions from parents regarding the normal size of their child's penis. Aberrant growth of male external genitalia may be the first sign of underlying biophysiologic or psychosocial illness. Medical

1 consultations regarding these have associated medical, sexual, psychological, and social implications. Morphological abnormalities of the penis can affect interpersonal relations and provoke emotional disturbances as the child grows into an adult. With relation to the genital size, it may be the child or parents who are suffering from a misconception, when all that is required is the knowledge of normal variation.

At the same time, one must rule out micropenis, which is defined as a penis that is normal in terms of shape and function, but is 2.5 SD smaller than the mean size in terms of length for age of the child.

MICROPENIS

Micropenis is unusual but can result from multiple hormonal abnormalities. It constitutes 1.8% of all congenital penile anomalies .True micropenis is unusual and should be distinguished from a buried or webbed penis.

Webbed Penis

When a web of skin obscures the penoscrotal angle in an otherwise normal sized penoscrotal shaft it is called a webbed penis. It is also known as penoscrotal fusion. This could be congenital or acquired. Congenital webbed penis is a very rare condition and is often associated with and is associated with penile and scrotal hypoplasia. Iatrogenic causes included excessive removal of skin during surgery. Embryological explanation for a webbed penis could be the failure of posterior migration of labioscrotal folds or there may be a disturbance in the development of the prepuce. During development the glans id initially devoid of any covering and as development progresses the ectodermal layer on the dorsal aspect of the penis grows and ultimately covers the entire penis. If there is a disturbance in this phase it may result in penoscrotal fusion.

Buried Penis

When the penis lacking its proper sheath of skin ,lies buried beneath the integument of the abdomen , thigh or scrotum it is known as buried penis as defined by Keyes in 1919. These children may present with complains of poorly controlled urinary streams. They may have to undergo penile degloving and penile fixation

Normal penile development requires the appropriate timing and secretion of testosterone from Leydig cells. During the first 3 months of gestation, the process is mediated through placental hCG. In the 4th month, with the penis being fully formed, LH and follicle-stimulating hormone (FSH) stimulate testosterone secretion. This process is driven by gonadotropin-releasing hormone (GnRH), which is secreted by the fetal hypothalamus. Micropenis results from failure of the normal stimulation of penile growth after 14 weeks of gestation. Two major causes of abnormal hormonal stimulation are:

1. Inadequate secretion of GnRH (hypogonadotropic hypogonadism),

which is the most common cause of micropenis.

2. Failure of the testes to produce testosterone.

Micropenis strongly suggests central hypogonadism, a defect in androgen production (or) action (or) a defect in growth hormone signalling& as such should be evaluated early.

Fetal hypogonadism: primary / central or combined of 2nd half of gestation typically results in micropenis & cryptorchidism reflecting the defective action of testosterone , INSL3 in a period where this testicular hormone are essential for testicular decent & growth of penis & scrotum.

An isolated micropenis can be a consequence of decreased testosterone exposure in 2nd half of generation due to leydig cell failure, LH deficiency, androgen insensitivity, LH CGR mutation or GH deficiency.

A micropenis with hypospadias suggests broader range of DSDs.

CRITERIA FOR DIAGNOSIS

The first step in the diagnosis of micropenis is the physical examination of the patient’s external genitalia.

Micropenis refers to a condition which occurs only in XY males.

To be classified as a micropenis, the phallus must meet two major criteria:

1. The phallus must be normally formed, with the urethral meatus located

on the head of the penis and the penis positioned in an appropriate

relationship to the scrotum and other pelvic structures. If these features

are not present, then the term micropenis should be avoided.

2. The phallus must be more than 2.5 standard deviations below the

appropriate mean for age.

ETIOLOGY

True micropenis can be examined under three headings:

1. Hypogonadotropic hypogonadism due to pituitary/hypothalamic

insufficiency.

2. Hypergonadotropic hypogonadism due to primary testicular

insufficiency.

3. idiopathic

Hypogonadotropic Hypogonadism

1. Isolated, including Kallmann’s syndrome

2. Associated with other pituitary hormone deficiencies

3. Prader-Willi syndrome

4. Laurence-Moon syndrome

5. Bardet-Biedl syndrome

6. Rud’s syndrome

Primary Hypogonadism

1. Anorchia

2. Klinefelter’s and poly-X syndromes

3. Gonadal dysgenesis (incomplete form)

4. Luteinizing hormone receptor defects (incomplete forms)

5. Genetic defects in testosterone steroidogenesis (incomplete forms)

6. Noonan syndrome

7. Trisomy 21

8. Robinow syndrome

9. Bardet-Biedl syndrome

10. Laurence-Moon syndrome

Defects in Testosterone Action

1. Growth hormone/insulin-like growth factor I deficiency

2. Androgen receptor defects (incomplete forms)

3. 5α-Reductase deficiency (incomplete forms)

4. Fetal hydantoin syndrome

GH deficiency

Micropenis in newborn period should always be adrenal by evaluation of

GH Axis.

Pan hypopituitarism

1) short stature

2) midline facial anomalies

3) optic hypoplasia

4) micropenis.

Partial androgen insensitivity syndrome:

Gynacomastia, hypospadiasis, cryptorchidism, micropenis, decreased sex characters, infertility

Bardet-beidel syndrome:

Postaxial polydactyly, truncal obesity, micropenis, developmental delay, night blindness, hearing loss.

Prader willi syndrome:

Hypotonia, cryptorchidism, micropenis , hypoplastic scrotum , dysmorphic facies , feeding difficulties.

CAH 3beta HSDII deficiency:

Males – micropenis & severe hypospadiasis to near female genitalia.

FSH II subunit deficit: Micropenis, cryptorchidism

Majeswski osteodysplastic primordial dwarfism associated with micropenis (1)

XX testicular DSD:

15% cryptorchidism, hypospadias, micropenis.

IMAGE syndrome:

 IUGR, metaphyseal dysplasia, adrenal hypoplasia, cryptorchidism,

micropenis (2)

AD Pallister Hall Syndrome:

mutations in GLI3 gene. Micropenis, hypospadiasis, hypothalamic harmatoma, postaxial polydactyly, imperforate anus (1)

CHARGE Syndrome:

Eye coloboma, heart defects, choanal atresia, short stature, genital , ear anomalies, hearing loss , micropenis , cryptorchidism.

LH Chronogonadotrophin receptor gene:

Missense mutation, hypospadiasis, micropenis, cryptorchidism.

Cytochrome B5 deficiency:

Cataract, micro ophthalmia, postnatal microcephaly, developmental delay, micropenis, hypoplasia of corpus collosum, cryptorchidism (1).

Smith lemli opitz syndrome: Mild hypospadiasis, micropenis.

Anorchia – micropenis.

Adrenal hypoplasia congenital:

Micropenis, cryptorchidism.

Laron syndrome:

Micropenis, defective GH signalling

Penile agenesis:

Failure of genital tubercle development

Kallmann’s syndrome:

Micropenis, cryptorchidism, microorchidism, absent or delayed puberty, anosmia / hyposmia.

Warburg Micro syndrome:

Cataract, micro ophthalmia, postnatal microcephaly, developmental delay, micropenis, hypoplasia of corpus collosum, cryptorchidism (2)

Methods of Measurement

An accurate measurement of penile length is important to make a diagnosis of micropenis. A penile length of less than -2.5 SD below mean for age in the presence of internal and external organs compatible with 46 XY is significant of micropenis.

The Penile length is measured by stretching the penis, retracting the foreskin, the glans penis is held between the thumb and the forefinger and the length is measured from pubic ramus to glans penis over the dorsal side. One must ensure that the suprapubic pad of fat is pressed inwards as much as possible.

Another approach would be the use of 10mL syringe with the needle tip cut off and the piston is inserted on the cut side. The open side of the syringe is placed on the penis and the piston is pulled back while pressing the fat pad backwards causing the penis to be pulled inside the syringe. A scale can be added on the modified syringe and the penile length can be measured from that scale.

This eliminates the differences caused by the suprapubic fat pad.

Modified Syringe to measure stretched penile length

Vernier Calipers can be used to measure the stretched penile length from the pubopenile vertex to the tip of the glans after stretching the penis.

Diagnostic Tests

First-line tests include measurement of serum gonadotropins, testosterone, DHT, and precursors of testosterone.

Levels of other pituitary hormones may also be measured when needed.

Endocrinologic assessment helps determine at what level the cause of micropenis is in the hypothalamic-pituitary-testicular axis (3).

In addition to evaluation of central endocrine functions, testicular functions also need to be evaluated. So, serum testosterone levels are measured before or after administering hCG.

This test is performed by intramuscular administration of hCG in a dose of 1 000 units for 3 days, or 1500 units every two days for 14 days; testosterone levels below 300 ng/dL may indicate gonadal dysgenesis (4).

If LH and FSH levels are elevated, and there is no increase in testosterone levels following administration, testicular insufficiency or absence should be considered.

Measuring 17 hydroxyprogesterone, dehydroepiandrosterone, and androstenedione levels before or after a hCG stimulation test can reveal enzyme defects that play a role in testosterone synthesis.

Inhibin B and AMH, also known as Mullerian-inhibiting hormone are produced by functional Sertoli cells, and determination of their blood levels can be used to detect the presence of functional testicular tissue (3,5).

Low levels of AMH, accompanied by normal inhibin B levels, and a rare defect in the AMH gene, indicate persistent Mullerian duct syndrome (3).

Pelvic ultrasound can be used to visualize internal genital organs in suspicious cases.

Magnetic resonance imaging is used to investigate structural midline defects, such as pituitary stalk dysplasia syndrome, central diabetes insipidus characterized by absence of the pituitary bright spot in the posterior neurohypophysis, and pituitary dysplasia (3, 6).

A small posterior pituitary gland, thinned or disappeared pituitary stalk, and posterior pituitary ectopia are findings that may indicate hypopituitarism.

(6,7).

Karyotype using chromosomal analysis or Y-fluorescence in order to determine the sex. Genetic testing to eliminate other syndromes (8).

Treatment Approaches

The goals of treatment for micropenis are to provide a body image that will not cause embarrassment for the patient, to enable the patient to have normal sexual function, and also enable the patient to urinate in standing position. Not reaching the mean penile length of the healthy population does not mean failure.

Testosterone

Presence or absence of a response to androgens during infancy is crucial for sex assignment (9).

Testosterone is initially administered for a short period of time in order to evaluate the response of the penis. Administration can be by intramuscular injection or topical application. In order to observe initial progress, four doses of

25 mg of testosterone cypionate or enanthate in oil are administered intramuscularly once every 3 weeks for 3 months. Side effects are minimal; however, it may cause temporary acceleration in growth rate and in advancement of bone age (10).

Typically, a good response is a 100% increase in penile length in the course of the initial treatment (11,12). A 3.5-cm increase in penile length by testosterone injections is an adequate response.

In case of an inadequate response, applications may be repeated within a short period of time (3,12).

Topical testosterone application is effective during infancy. Arisaka et al

(13) demonstrated increases in penile lengths in 50 infants and children aged between 5 months and 8 years, by administering 5% testosterone cream for duration of 30 days.

Long-term dermal application of testosterone promotes skeletal growth, as well as penile growth (13).

Androgen resistance or androgen receptor defects are likely in cases that show no response, and there is a possibility of insufficient virilization during puberty.

An important aspect of testosterone treatment is the initiation of the treatment in early infancy and childhood.

Penile androgen expression decreases in patients with hypogonadotropic hypogonadism. There is a natural decrease in androgen receptors during the early adulthood period, and early application of testosterone allows for penile androgen receptor concentration to increase. Therefore, treatment before this period of decrease is recommended (14).

Topical 5-a Dihydrotestosterone (DHT) Gel

In prepubertal patients with androgen insensitivity, topical application of

DHT gel to the periscrotal region 3 times daily for a total of 5 weeks has been shown to increase serum DHT levels and phallic length.

This treatment option might be a good alternative for patients who do not respond to testosterone

LH-FSH Applications

Recombinant human FSH-LH treatment during the first few years of life promotes an increase in testicular growth and penile length in patients with hypogonadotropic hypogonadism, although this effect is not very significant.

Main et al (15) reported an increase in penile length from 1.6 cm to 2.4 cm and a 17 0% increase in testicular volume evaluated by ultrasonography in a patient with micropenis, when testosterone treatment was added to subcutaneous injections of 20 and 21.3 IU of recombinant LH and FSH twice a week, for duration of 6 months. The authors also demonstrated increases in LH, FSH, and inhibin B levels. The treatment was tolerated well, even though certain side effects, such as increased amount of body hair, increased pigment.

Surgical management must be considered in patients who do not attain appropriate penile length. Hitman (22) was the first person to do reconstructive surgery in the early 1970. In early 1980, a technique was developed where a

18 fasciocutaneous phallus was correct measurement constructed using radial artery forearm flap (23). ,

Among the different kinds of flap used like scapular free flap, sensate osteocutaneous flap and vertical rectus abdominis flap radial artery forearm flap remains the most popular of all. (24)

It is better both cosmetically and functionally to use an implamt following reconstruction with prosthesis.(25)

But most of all the patients are displeased with their appearance of their genitals following reconstruction. Even though the child has micropenis the majority of patient who are raised as males have normal sexual identities and functioning. Micropenis is a medical diagnosis dependent on correct measurement which can be idiopathic or pituitary /hypothalamic insufficiency

/testicular insufficiency.

REVIEW OF LITERATURE

STUDY 1

Penile anthropometry in north Indian children

Bhat A et al.Indian Jun01.2015 apr-jun

Aim

The study conducted in 250 children from 0-10years

Material & Methods

The stretched penile length was measured with vernier caliper.

Results

The mean values of stretched penile length were 3.34 during infancy, 4.28 during 4-5years & 5.25 during 9-10years. The penile length increased with advanced age in successive age groups, but it didn’t have a direct correlation with weight, height or BMI. Penile diameter in north indian children were found to be statistically smaller in comparison with study from other countries.

STUDY 2

PENILE LENGTH OF NEWBORNS AND CHILDREN IN

SURAKARTA, INDONESIA

Annang Giri Moelyo,Melita Widyastuti

This is a hospital based descriptive study.

Objective:

To assess the normal penile length of newborns and children in Surakarta, central java, where the majority of population is of Javanese ethnicity.

Methods:

Studied male newborns and children who were aged 0-18yrs

Excluded children with undescended testis, hypospadias, ambiguous genitalia congenital anomalies, or syndromes (such as Down syndrome). For penile length measurements, we stretched the flaccid penis, depressed the pubic fat and placed a wooden spatula vertically along the dorsal penis. The penile length was measured from the penile base to the tip of the glans excluding the prepuce Measurements were performed three times and a mean value was calculated for each subject.

Results

Of the 300 subjects mean penile length of preterm and term newborn are

1.88cm and 2.37cm respectively. The mean penile lengths by age groupings were as follows:

0-<6 months, 2.67 (SD 0.58) cm; 6- < 12 months, 2.67

(SD 0.58) cm; 1- <3 years, 2.80 (SD 0.84) cm; 3-<5 years, 3 .50

(SD 0.55) cm; 5- <7 years, 3 .50 (SD 0.71) cm; 7-<9 years, 3 .85

(SD 0.53 ) cm; 9-

4.63 (SD 1.13) cm; 13-< 15 years, 5.53 (SD 1.45) cm; and 15-18

years, 6.16 (SD 1.19) cm

Conclusion

Normal penile length in boys in Surakarta is smaller than the normal range reference currently in use.

STUDY 3

Stretched Penile Length and Testicular Size from Birth to 18 Years in

Boys from Western Maharashtra

Vijay K. Jaiswal, Vaman Khadilkar, [...], and Nikhil Lohiya

Aim

The aim is to present normative data for penile length, testicular volume, and testicular length from birth to 18 years in boys from western Maharashtra.

Materials & Methods:

A cross-sectional observational study was undertaken in apparently healthy boys from 0 to 18 years of age from western Maharashtra from October

2016 to October 2017. Age, anthropometric parameters, stretched penile length

(SPL), testicular volume, and testicular length were measured.

Conclusion

A total of 843 boys were enrolled in the study. Mean SPL was 4.1 ± 0.4,

5.4 ± 0.8, and 10.2 ± 1.7 cm at 1, 10, and 18 years of age, respectively, and showed a gradual rise from birth to 18 years.

STUDY 4

Change in Penile Length in Children: Preliminary Study

Joong Ho Lee, Young Hwan Ji, [...], and Sungchan Park

Objective

Investigated the current status of penile length in Korean children and compared the results with those of a previous Korean study conducted in 1987.

Materials and methods

The subjects in this study were 233 boys aged 1 to 158 months, conducted between April and October 2011. Penile length was measured according to the stretched penile length (SPL) technique; testicular size was measured (in ml) by using orchidometry. A Comparison of penile lengths between the current study and the 1987 study was made by using Student's t-test.

Results

The mean±SD SPLs of infants, 5-year-old boys, and 11-year-old boys were 4.4±0.6, 5.8±0.8, and 7.2±1.6 cm respectively. In most age groups, SPL increased significantly by 0.7 to 1.1 cm as compared with the previous study in

1987 (p<0.05). The mean SPLs were 6.4, 7.2, 7.4, and 11.6 cm in 10-, 11-, 12-, and 13-year-olds, respectively

STUDY 5

Current Stretched Penile Length: Cross-Sectional Study of 1040 Healthy

Turkish Children Aged 0 to 5 Years

Camurdan AD, Oz MO, Ilhan MN, Camurdan OM, Sahin F, Beyazova U.

Objectives

To update the normal stretched penile length values for children younger than 5 years of age. He evaluated the association between penile length and anthropometric measures such as body weight, height, and body mass index.

Methods

The study was a cross-sectional study. The stretched penile lengths of

1040 uncircumcised male infants and children 0 to 5 years of age were measured, and the mean length for each age group and the rate of increase in penile length were calculated. The correlation between penile length and weight, height, and body mass index of the children was determined by Pearson analysis

Results

The stretched penile length was 3.65 +/- 0.27 cm in full-term newborns

(n = 165) and 3.95 +/- 0.35 cm in children 1 to 3 months old (n = 112), 4.26 +/-

0.40 cm in those 3.1 to 6 months old (n = 130), 4.65 +/- 0.47 cm in those 6.1 to

12 months old (n = 148), 4.82 +/- 0.44 cm in those 12.1 to 24 months old (n =

135), 5.15 +/- 0.46 cm in those 24.1 to 36 months old (n = 120), 5.58 +/- 0.47

25 cm in those 36.1 to 48 months old (n = 117), and 6.02 +/- 0.50 cm in those 48.1 to 60 months old (n = 113). The fastest rate of increase in penile length was seen in the first 6 months of age, with a value of 1 mm/mo.

STUDY 6

Normative penile anthropometry in term newborns in Kumasi, Ghana: a cross- sectional prospective study.

Asaofo et al

Objective

To establish norms for genital sizes in term Ghanaian male newborns

Methods

This was a cross-sectional study of apparently well full-term newborns of postnatal age < 48 h and birth weight between 2.5 and 4.0 kg delivered at

Komfo Anokye Teaching Hospital within the study period. Anthropometric and genital parameters were documented for study subjects.

Results

A total of 644 male newborns were recruited between May and September

2014. The mean penile length (MPL) was 3.3 ± 0.5 cm and the mean penile width

(MPW) was 1.05 ± 0.1 cm.

STUDY 7

Penile Length Nomogram For Asian Indian Prepubertal Boys

Narinder Teckchandani, Minu Bajpai

Objective

To find out the penile length for Asian nomogram that my help in early recognition of endocrine and genetic disorders associated with abnormal phallic size.

Materials & methods:

Size 200 for the age group divided into 0-1 , 1-2, 2-3, 3-4, 4-5, 5-6,6-7,7-

8,8-9,9-10. Penile length measured by using ruler. Mean ±2SD was considered as normal range of penile length for each age bracket.

Results:

At 0-1yr mean of SPL is 4.02 cm, 1SD corresponds to 0.49cm,

1-2yrs -mean SPL 4.50 cm, 1SD corresponds to 0.53, 2-3yrs mean SPL 5.01,

1SD =0.56, 3-4yrs mean SPL 5.52 , 1SD = 0.63 , after 4yrs penile length velocity decreases, at 9-10 years mean SPL 6.71.

STUDY 8

A Cross Sectional Growth Reference And Chart Of Stretched Penile Length For

Japanese Boys Aged 0-7 Years

Tomohiro Ishii ,Nobutake mastauo ,Mikako inokuchi, Tomonobu hasegawa

Aim

To detect percentiles and means of stretched penile length in Japanese boys.

Methods

A cross sectional study was performed in 1628 Japanese boys aged <9 years

From 2007 through 2014. The SPL is measured by using tape. The correlation between SPL and stature,weight or body mass index was analyzed by using pearson test.

Results

At 1 months mean of SPL is 3.16,for 3 months mean was 3.27 cm, for 9 month mean SPL was 3.52 cm, at 1 year mean SPL was 3.61 cm. At 4 year mean

SPL was 4.21 cm and 7 year mean SPL was 4.55 cm. Penile length velocity in first four months of life at .0.05 cm/month decreases gradually at <0.01 cm/month and then increases after 4 years at >0.01 cm/month.

STUDY 9

Stretched penile length of healthy term neonates : normotive values among lgbo babies in south eastern Nigeria: Chikani UN ,et al

Aim

To determine the normative values of stretched penile length in apparently healthy term igbo newborn males in south eastern Nigeria and its relationship with gestational age birth weight and birth length.

Methods

Total subjects – 817 newborn .the stretched penile length was measured using schonfeld method . the centiles for stretched penile length by gestational age was determined.

Result

The mean stretched penile length of term newborns was 3.46 ±0.4 cm. the lower and upper limits were 2.36 to 4.56 cm .the stretched penile length correlated positively with birth length and birth weight .

STUDY 10

Normative Data For Stretched Penile Length In Term Neonates Born In

Tamil Nadu

Prabhu Sr Et Al

Aim

To establish normative data for stretched penile length in term neonates born in tamil nadu

Materials and methods

All live term male neonates delivered in a hospital during a given period were included. two consecutive measurements were taken and average were recorded

Results

The mean SPL observed in our study was 2.83 cm ± 0.49 cm .

STUDY 11

Assessment of stretched penile length in Srilankan newborns :

Kollurage Et Al

Aim

To document SPL of healthy term newborns born following uncomplicated delivery in tertiary hospital srilanka

Methods

This was a cross sectional study done on 369 stable newborns delivered at the gestational age of 37 to 42 weeks

The correlation of penile length ,the period of gestation ,birth length and penile length were analysed .

Result

There is no statistical significant correlation of birth weight head circumference and gestational age with SPL.

The mean SPL for term srilankan newborns 3.03 cm±0.37 cm and 2 standard values were 2.29 cm.

STUDY 12

Penile length of normal boys in Taiwan

Wang Ch Et Al

Aim

To establish a database and set referable standards of penile length for

Taiwanese boys

Methods

A total number of 2126 boys ( 156 male newborns 1198 male infants under 2 months old and 772 boys older than 2 years old) were included in the study

Both stretched and flaccid penile length were measured for comparison .

Results

The average penile length increased with chronological age about 3 cm in newborns , 4 cm in 1 year old and near 5 cm when 5 years old . Taiwanese boys have slightly shorter stretched penile length after newborn period till 5 years old when compared with Caucasian boys .

STUDY 13

Measurement of stretched penile length in prepubertal boys in Egypt

Ell ammawi et al

Aim

The aim of the present study was to establish reference values for penile length in newborn and prepubertal boys at different ages in Minia

Egypt.

Methods

The study was conducted on 1000 boys with ages ranging from 1 day to

13 years. Stretched penile length (SPL) was measured in mm by using a ruler with markings along the dorsum of the penis. The suprapubic fat tissue was pressed with one end of the ruler through the pubic ramus, and the penis was fully stretched and measured.

Results

The mean SPL increased with age from newborn to 5 years, with a rapid growth observed in the first 8 months of life. After 5 years, SPL showed a slower growth rate until the age of 10 years, where it started to increase significantly again.

STUDY 14

Neonatal stretched penile length: relationship with gestational maturity and anthropometric parameters at birth.

Bhakri et al

Aim

To assess neonatal SPL on the basis of gestational maturity and anthropometric parameters at birth.

Methods

A cross-sectional observational study of SPL was conducted on stable newborns at a referral teaching hospital in north India between January and June

2012. Gestational maturity, SPL and anthropometric parameters (weight, length, head circumference and foot length) were recorded within 24 hours of birth.

Variation of SPL in relation to gestational age and anthropometric parameters were evaluated using multiple linear regression models. The equation using lower confidence limits of 95% confidence intervals for the correlation coefficients provides cut-off points to define a small penis.

RESULTS

Data from 1249 newborns demonstrated that penile growth follows the pattern of increase in body dimensions in newborns. SPL can be predicted best in relation to body and foot length taken together.

STUDY 15

The Nomogram of Penile Length and Circumference in Iranian Term and

Preterm Neonates.

Sohelipour et al

OBJECTIVES

The normal length of penis in preterm and term neonates is different among different nations, and is affected by various factors. The present study aimed to determine stretched penile length (SPL) values and cutoff level of micropenis in term and preterm Iranian neonates, for the first time.

Materials and Methods

All male neonates born in two general hospitals of Tehran (Akbarabadi, and Rasoul hospitals), center of Iran, with gestational age of 28-42 weeks were included and their SPL and penile circumference (PC) were examined on the first 3 days after birth by the same physician. Birth weight (BW), and height, gestational age, type of delivery, mother's age, twin/multiple pregnancy, drug, and medical history of mother during pregnancy were recorded and cut off levels of two variables were calculated based on the collected variables for different gestational ages.

Results

Among a total of 587 neonates, 203 neonates were born term and 384 preterm. Mean ± SD of neonates' BW were 2,682.51 ± 739.30 (850-4800) gr.

Mean ± SD of their SPL was 22.48 ± 3.34 mm; 25.92 ± 1.54 mm in term and

20.66 ± 2.50 mm in preterm infants (P = 0.001). Mean ± SD of PC was

6.71 ± 1.31 mm; 8.14 ± 0.48 in term and 5.96 ± 0.92 in preterm infants

(P = 0.001). SPL and PC were significantly correlated with type of delivery, number of parity, gestational age, BW, and crown-heel length, head circumference (P < 0.001).

Conclusion

This study suggested that SPL in male neonates was 22.48 mm and PC was 6.71 mm, both correlated with gestational age and BW. Due to the ethnical variety of this cut off points and lack of an appropriate study in Iran, these cut off points can be used by all Physicians as a reference for Iranian newborns (term and preterm), in order to prevent misdiagnosis of micropenis and genital disorders.

STUDY JUSTIFICATION

 Paediatricians often encounter questions from parents regarding the

normal size of their child's penis.

 Medical consultations regarding these have associated medical, sexual,

psychological, and social implications.

 At the same time, one must rule out micropenis, which is defined as a

penis that is normal in terms of shape and function, but is 2.5 SD smaller

than the mean size in terms of length for age of the child.

 Penile dimensions and normal variations in children have been previously

reported, but similar data in Indian population especially about south

Indian population is lacking.

 It is important to establish reference values for penile dimensions in

Indian children as significant variations may exist among males from

different races and ethnicities right from birth to childhood and adulthood.

OBJECTIVES

The aim of the study is to

ESTABLISH A REFERENCE VALUE AND CHART A RANGE FOR

REFERENCE REGARDING PENIS SIZE AMONG SOUTH INDIAN

CHILDREN OF 0-12 AGE GROUP TO GUIDE PRACTITIONERS AND

PARENTS.

MATERIALS AND METHODS

Study design - CROSS SECTIONAL STUDY

Study setting - ICH, Egmore

Study period - 2018 to 2019

Study population - Children in study age group visiting ICH, .

satisfying the inclusion criteria

Sample size - 1300

Inclusion criteria

Children (Boys) aged 0-12 years.

Exclusion criteria

 Known endocrine disorders or major malformations

 No cry ptorchidism or hypospadiasis or any other genitourinary disease

 Short stature

 Chronic debilitating illness(malnutrition)

 Child with psychosocial deprivation

ETHICS Informed consent from the parents and institution ethical review board was obtained.

METHODS

SERIAL NUMBER:

NAME:

AGE:

DOB:

PATIENT PHONE NO:

Anthropometry:

Height in cm

Weight in kg-

BMI

WHO GROWTH CHART PERCENTILES

Weight for age

Weight for height-

STUDY MANOEUVRE

Of the boys who were admitted to our ward and seen as the outpatient setting for genitalia unrelated problems 1288 boys were included from 0 to 44 months of age . Their stretched penile length measurements were used to establish the normal range mean ± 2SD of penile length for age in prepubertal

Indian boys. All measurements were performed by the same observer under the watchful eyes of the second observer in a warm room and in the presence of a parent.

The child laid supine on examination couch the foreskin was fully retracted. The prepubic subcutaneous fat at the base of phallus was compressed with one end of the measuring tape down to the pubic ramus. Then the penis was fully stretched while holding glans between left thumb and index finger by the observer. The measuring tape was opposed along the side of the stretched phallus by the right hand of the observer. The distance from the lower edge of pubic bone to the tip of the glans (excluding foreskin) was measured. Parental decline to consent for participation in the study or denial of assent by boys aged over 7 years resulted in exclusion from the study. Children who fit under the exclusion criteria were not included in the study.

Mean ± 2 SD was considered as the normal range of penile length for each age bracket mean -2.5 SD and mean +2.5 SD were also calculated to define the cut offs for micropenis and macropenis respectively in each age group.

STATISTICAL ANALYSIS

Platform: x86_64-pc-linux-gnu (64-bit). R Core Team (2018). R: A language and environment for statistical computing. R Foundation for Statistical

Computing, Vienna, Austria. URL https://www.R-project.org/.

To construct penile length reference curves, GAMLSS (Generalized additive models for location, scale and shape) package was used. Rigby R.A. and

Stasinopoulos D.M. (2005). Generalized additive models for location, scale and shape,(with discussion), Appl. Statist., 54, part 3, pp 507-554.

Reference curves were plotted with basic plots available along with

GAMLSS package and also with GGPLOT2 Package in R. Wickham. ggplot2:

Elegant Graphics for Data Analysis. Springer-Verlag New York, 2016.

Data was collected from 1300 children. 1% outliers were removed from data ensuring that each age group including newborns had at least 99 subjects.

Age in months was considered as explanatory variable. Stretched penile length was response variable.

(df) to be predefined by the user. These three parameters (L_df, M_df and S_df)

42 are arguments of the ps() function and they are therefore defined as hyperparameters. Best model fit was determined by choosing correct hyperparameters by using find.hyper() function available in GAMLSS package itself. Slight compromise was made between smoothness of curves and perfection of fit. Descriptive statistical analysis was done for parameters age, weight and height. A linear regression fit was done between height and stretched penile length. Regression equation was calculated from base packages of R

RESULTS

Of the children included in the study group, the age distribution of the subjects are equally distributed at birth,1month to 1year,1-2yr,2-3yr,3-4yr,4-

5yr,5-6yr,6-7yr,7-8yr,8-9yr,9-10yr,10-11yr,11-12yr. 99 samples are included in each age group to avoid errors in sampling and its representative of the entire study population.

For analysis of the data . Age in months was considered as explanatory variable, Stretched penile length was response variable. So the children were categorised monthly from 0 to 144 months.

BAR CHART SHOWING AGE DISTRIBUTION OF THE STUDY

GROUP FROM 0 TO 144 MONTHS

AGE VS SPL SCATTER PLOT

Scatter plot reveals a non linear relationship between age and stretched penile length. SPL increases steeply upto 24months and followed by a steady rise till 12 years.

Z SCORE PLOT

Z scores of the study population were plotted with mean ± 2SD were generally considered normal, but mean ±2.5 SD were also calculated and plotted in a curve.

GROWTH REFERENCE CURVES OF MEAN SPL IN Z SCORE

CENTILES PLOT

The study samples were also plotted in a centile curves at 3rd,10th,25th,50th,

75th, 90th,and 97th centiles.

GROWTH REFERENCE CURVES OF MEAN SPL IN CENTILES

Z SCORES PLOT UPTO 5 YEARS

GROWTH REFERENCE CURVES OF MEAN SPL IN Z SCORE TILL

5 YEARS

Z SCORES of the study population were plotted upto 5 years of age separately to analyse the rate of change in stretched penile length in detail. The change in penile length were higher upto 1year of age and gradual increase upto

2 years. The curve plateaus after 2 years of age showing reduced penile growth after 2years of age

Z SCORE PLOT ABOVE 5 YEARS

GROWTH REFERENCE CURVES OF MEAN SPL IN Z SCORE

ABOVE 5 YEARS

WORM PLOT

When analyzing model fit by going through worm plot one can visualize center of worm hovering around the 0 residuals and extremes are deviating from the center. This gives a distinct shape of “S”. The left bend of the “S” going upwards. This form of worm plot clearly indicates hyper kurtosis in data. This can be prevented to certain extent by choosing BSPE (Box-Cox power exponential distribution) distribution for model fitting and adding tau parameter into final model fitting. But it is computationally intensive and time consuming in fixing hyperparameters. Box-Cox Cole Green (BCCG) distribution concern only three parameters(mean, variation and skewness) of distribution and easy to find hyperparameters in lesser time scale. The final model found is BCCG(3,1,3).

STATURE VS SPL

STATURE VS MEAN SPL

Residuals:

Min IQ MEDIAN 3Q MAX

-1.17326 -0.29872 0.00905 0.28287 1.21611

Coefficients:

Estimate Std.Err t Value P value

Intercept 2.3039650 0.0438308 52.56 <0.001

HEIGHT 0.0296094 0.0003929 75.36 <0.001

● Residual standard error: 0.414 on 1286 degrees of freedom

● Multiple R-squared: 0.8154,

● Adjusted R-squared: 0.8152

● F-statistic: 5679 on 1 and 1286 DF, p-value: < 2.2e-16

Regression Equation:

SPL(CM)=0.0296094*height(cm)+2.3039650

There is significant correlation between height and SPL.

About 82% of changes in SPL can be explained by Height alone.

GROWTH REFERENCES OF MEAN SPL AND SD SCORES

The mean values of penile length of various age groups are shown in the table. Mean value of SPL at birth is 3.59 cm. If it is less than 2.69 cm,it can be defined as micropenis. After 6 months penile length increases by about 0.4 cm, it increases by another 0.4 cm by one year.This increase in penile length could be attributed to hormonal changes during mini puberty at 6 months of age. It increases by about 0.5 cm by second year. Thereafter penile length velocity decreases. At 8 years mean value of stretched penile length is 5.98 cm.From 9-

12 years velocity of penile length increases. At 12 years mean value of stretched penile length is about 6.83 cm.

Age -2.50 -2.00 -1.00 0.00 1.00 2.00 2.50 0 2.69 2.88 3.24 3.59 3.93 4.27 4.43 3M 2.94 3.11 3.47 3.83 4.19 4.56 4.74 6M 3.16 3.32 3.67 4.04 4.42 4.82 5.03 9M 3.35 3.51 3.86 4.23 4.63 5.06 5.28 12M 3.52 3.69 4.03 4.41 4.82 5.27 5.51 18M 3.81 3.98 4.33 4.71 5.14 5.62 5.87 2Y 4.04 4.20 4.56 4.95 5.39 5.86 6.12 3Y 4.32 4.50 4.88 5.28 5.70 6.15 6.38 4Y 4.51 4.69 5.08 5.47 5.88 6.29 6.50 5Y 4.67 4.85 5.23 5.61 6.00 6.39 6.59 6Y 4.85 5.02 5.37 5.73 6.12 6.51 6.72 7Y 5.02 5.18 5.50 5.86 6.24 6.65 6.87 8Y 5.19 5.33 5.64 5.98 6.37 6.81 7.05 9Y 5.33 5.47 5.78 6.12 6.52 6.97 7.23 10Y 5.45 5.61 5.94 6.30 6.70 7.15 7.38 11Y 5.51 5.72 6.13 6.54 6.94 7.33 7.53 12Y 5.19 5.66 6.34 6.83 7.23 7.56 7.71

BOX-COX COLE GREEN (BCCG)

A model object was built in GAMLLS Class.The model class is defined by the Box-Cox Cole Green (BCCG) distribution and penalized splines as smoothing for the distribution parameters L, M and S.Penalized splines are implemented in R as ps() function. Each penalized spline has a degree of freedom (df) to be predefined by the user. These three parameters (L_df, M_df and S_df) are arguments of the ps() function and they are therefore defined as hyperparameters

TABLE SHOWING POWER (L),ADJUSTED MEAN(M),COEFFICIENT OF VARIATION(S) USING BOX COX COLE GREEN DISTRIBUTION IN GAMLLS CLASS AGE IN L M S MONTHS 0 1.31 3.59 0.10 1 1.16 3.67 0.10 2 1.01 3.75 0.09 3 0.88 3.83 0.09 4 0.75 3.90 0.09 5 0.63 3.97 0.09 6 0.52 4.04 0.09 7 0.42 4.11 0.09 8 0.33 4.17 0.09 9 0.24 4.23 0.09 10 0.16 4.30 0.09 11 0.10 4.35 0.09 12 0.04 4.41 0.09 13 -0.02 4.47 0.09

AGE IN L M S MONTHS 14 -0.06 4.52 0.09 15 -0.10 4.57 0.09 16 -0.13 4.62 0.09 17 -0.15 4.67 0.09 18 -0.17 4.71 0.09 19 -0.18 4.76 0.09 20 -0.19 4.80 0.09 21 -0.19 4.84 0.08 22 -0.18 4.88 0.08 23 -0.17 4.92 0.08 24 -0.15 4.95 0.08 25 -0.13 4.99 0.08 26 -0.11 5.02 0.08 27 -0.08 5.05 0.08 28 -0.05 5.08 0.08 29 -0.02 5.11 0.08 30 0.02 5.14 0.08 31 0.05 5.16 0.08 32 0.09 5.19 0.08 33 0.13 5.21 0.08 34 0.18 5.24 0.08 35 0.22 5.26 0.08 36 0.26 5.28 0.08 37 0.30 5.30 0.08 38 0.35 5.32 0.08 39 0.39 5.34 0.08 40 0.43 5.35 0.08 41 0.47 5.37 0.08

AGE IN L M S MONTHS 42 0.51 5.39 0.08 43 0.54 5.40 0.07 44 0.58 5.42 0.07 45 0.61 5.43 0.07 46 0.64 5.45 0.07 47 0.67 5.46 0.07 48 0.69 5.47 0.07 49 0.72 5.49 0.07 50 0.74 5.50 0.07 51 0.75 5.51 0.07 52 0.77 5.52 0.07 53 0.78 5.53 0.07 54 0.79 5.55 0.07 55 0.79 5.56 0.07 56 0.79 5.57 0.07 57 0.79 5.58 0.07 58 0.79 5.59 0.07 59 0.78 5.60 0.07 60 0.77 5.61 0.07 61 0.75 5.62 0.07 62 0.74 5.63 0.07 63 0.72 5.64 0.07 64 0.69 5.65 0.07 65 0.67 5.66 0.07 66 0.64 5.67 0.07 67 0.60 5.68 0.07 68 0.57 5.69 0.07 69 0.53 5.70 0.07

AGE IN L M S MONTHS 70 0.49 5.71 0.07 71 0.45 5.72 0.07 72 0.40 5.73 0.07 73 0.35 5.75 0.06 74 0.30 5.76 0.06 75 0.25 5.77 0.06 76 0.20 5.78 0.06 77 0.14 5.79 0.06 78 0.09 5.80 0.06 79 0.03 5.81 0.06 80 -0.03 5.82 0.06 81 -0.09 5.83 0.06 82 -0.15 5.84 0.06 83 -0.21 5.85 0.06 84 -0.28 5.86 0.06 85 -0.34 5.87 0.06 86 -0.40 5.88 0.06 87 -0.46 5.89 0.06 88 -0.52 5.90 0.06 89 -0.58 5.91 0.06 90 -0.64 5.92 0.06 91 -0.70 5.93 0.06 92 -0.75 5.94 0.06 93 -0.81 5.95 0.06 94 -0.86 5.96 0.06 95 -0.91 5.97 0.06 96 -0.95 5.98 0.06 97 -1.00 5.99 0.06

AGE IN L M S MONTHS 98 -1.04 6.00 0.06 99 -1.07 6.01 0.06 100 -1.11 6.02 0.06 101 -1.13 6.04 0.06 102 -1.16 6.05 0.06 103 -1.18 6.06 0.06 104 -1.19 6.07 0.06 105 -1.20 6.08 0.06 106 -1.21 6.10 0.06 107 -1.21 6.11 0.06 108 -1.20 6.12 0.06 109 -1.19 6.14 0.06 110 -1.17 6.15 0.06 111 -1.14 6.16 0.06 112 -1.11 6.18 0.06 113 -1.06 6.19 0.06 114 -1.02 6.21 0.06 115 -0.96 6.22 0.06 116 -0.90 6.24 0.06 117 -0.83 6.25 0.06 118 -0.75 6.27 0.06 119 -0.66 6.29 0.06 120 -0.57 6.30 0.06 121 -0.46 6.32 0.06 122 -0.35 6.34 0.06 123 -0.23 6.36 0.06 124 -0.10 6.38 0.06 125 0.04 6.40 0.06

AGE IN L M S MONTHS 126 0.19 6.41 0.06 127 0.35 6.43 0.06 128 0.52 6.45 0.06 129 0.69 6.48 0.06 130 0.88 6.50 0.06 131 1.08 6.52 0.06 132 1.28 6.54 0.06 133 1.50 6.56 0.06 134 1.72 6.58 0.06 135 1.95 6.61 0.06 136 2.20 6.63 0.06 137 2.45 6.66 0.06 138 2.71 6.68 0.06 139 2.98 6.70 0.06 140 3.26 6.73 0.06 141 3.55 6.76 0.06 142 3.85 6.78 0.06 143 4.16 6.81 0.06 144 4.48 6.83 0.06

GROWTH REFERENCE OF MEAN SPL FROM 0 TO 144 MONTHS

THE RESULTS of the study in detail of the ZSCORES 0F MEAN

STRECHED PENILE LENGTH and the ±1SD,±2SD,±2.5SD values from 0-144 monthly are given below. This would give a reference range for mean SPL more precisely by age in months and would help in identifying penile abnormalities early and would aid in both early evaluation and to relieve anxiety among parents.

AGE -2.50 -2.00 -1.00 0.00 1.00 2.00 2.50

0 2.69 2.88 3.24 3.59 3.93 4.27 4.43

1 2.78 2.96 3.32 3.67 4.02 4.37 4.54

2 2.86 3.04 3.39 3.75 4.11 4.46 4.64

3 2.94 3.11 3.47 3.83 4.19 4.56 4.74

4 3.01 3.18 3.54 3.90 4.27 4.65 4.84

5 3.09 3.26 3.61 3.97 4.35 4.74 4.93

6 3.16 3.32 3.67 4.04 4.42 4.82 5.03

7 3.22 3.39 3.74 4.11 4.49 4.90 5.12

8 3.29 3.45 3.80 4.17 4.56 4.98 5.20

9 3.35 3.51 3.86 4.23 4.63 5.06 5.28

10 3.41 3.57 3.92 4.30 4.70 5.13 5.36

11 3.47 3.63 3.98 4.35 4.76 5.20 5.44

12 3.52 3.69 4.03 4.41 4.82 5.27 5.51

13 3.58 3.74 4.09 4.47 4.88 5.34 5.58

14 3.63 3.79 4.14 4.52 4.94 5.40 5.65

AGE -2.50 -2.00 -1.00 0.00 1.00 2.00 2.50

15 3.68 3.84 4.19 4.57 4.99 5.46 5.71

16 3.73 3.89 4.24 4.62 5.04 5.51 5.77

17 3.77 3.93 4.28 4.67 5.09 5.57 5.82

18 3.81 3.98 4.33 4.71 5.14 5.62 5.87

19 3.86 4.02 4.37 4.76 5.19 5.66 5.92

20 3.90 4.06 4.41 4.80 5.23 5.71 5.97

21 3.93 4.10 4.45 4.84 5.27 5.75 6.01

22 3.97 4.13 4.49 4.88 5.31 5.79 6.05

23 4.00 4.17 4.53 4.92 5.35 5.83 6.09

24 4.04 4.20 4.56 4.95 5.39 5.86 6.12

25 4.07 4.23 4.59 4.99 5.42 5.90 6.15

26 4.10 4.27 4.63 5.02 5.45 5.93 6.18

27 4.12 4.29 4.66 5.05 5.48 5.96 6.21

28 4.15 4.32 4.69 5.08 5.51 5.98 6.23

29 4.18 4.35 4.71 5.11 5.54 6.01 6.26

30 4.20 4.37 4.74 5.14 5.57 6.03 6.28

31 4.22 4.40 4.77 5.16 5.59 6.05 6.30

32 4.25 4.42 4.79 5.19 5.62 6.08 6.32

33 4.27 4.44 4.81 5.21 5.64 6.10 6.33

34 4.29 4.46 4.84 5.24 5.66 6.11 6.35

35 4.31 4.48 4.86 5.26 5.68 6.13 6.37

AGE -2.50 -2.00 -1.00 0.00 1.00 2.00 2.50

36 4.32 4.50 4.88 5.28 5.70 6.15 6.38

37 4.34 4.52 4.90 5.30 5.72 6.16 6.39

38 4.36 4.54 4.92 5.32 5.74 6.18 6.40

39 4.38 4.56 4.94 5.34 5.75 6.19 6.42

40 4.39 4.57 4.96 5.35 5.77 6.20 6.43

41 4.41 4.59 4.97 5.37 5.78 6.21 6.44

42 4.42 4.61 4.99 5.39 5.80 6.23 6.45

43 4.44 4.62 5.01 5.40 5.81 6.24 6.45

44 4.45 4.64 5.02 5.42 5.83 6.25 6.46

45 4.46 4.65 5.04 5.43 5.84 6.26 6.47

46 4.48 4.67 5.05 5.45 5.85 6.27 6.48

47 4.49 4.68 5.06 5.46 5.86 6.28 6.49

48 4.51 4.69 5.08 5.47 5.88 6.29 6.50

49 4.52 4.71 5.09 5.49 5.89 6.30 6.50

50 4.53 4.72 5.11 5.50 5.90 6.30 6.51

51 4.55 4.73 5.12 5.51 5.91 6.31 6.52

52 4.56 4.75 5.13 5.52 5.92 6.32 6.53

53 4.57 4.76 5.14 5.53 5.93 6.33 6.53

54 4.59 4.77 5.16 5.55 5.94 6.34 6.54

55 4.60 4.79 5.17 5.56 5.95 6.35 6.55

56 4.61 4.80 5.18 5.57 5.96 6.36 6.56

AGE -2.50 -2.00 -1.00 0.00 1.00 2.00 2.50

57 4.63 4.81 5.19 5.58 5.97 6.37 6.57

58 4.64 4.83 5.21 5.59 5.98 6.37 6.57

59 4.65 4.84 5.22 5.60 5.99 6.38 6.58

60 4.67 4.85 5.23 5.61 6.00 6.39 6.59

61 4.68 4.87 5.24 5.62 6.01 6.40 6.60

62 4.70 4.88 5.25 5.63 6.02 6.41 6.61

63 4.71 4.89 5.26 5.64 6.03 6.42 6.62

64 4.73 4.91 5.28 5.65 6.04 6.43 6.63

65 4.74 4.92 5.29 5.66 6.05 6.44 6.64

66 4.76 4.93 5.30 5.67 6.06 6.45 6.65

67 4.77 4.95 5.31 5.68 6.07 6.46 6.66

68 4.79 4.96 5.32 5.69 6.08 6.47 6.67

69 4.80 4.98 5.33 5.70 6.09 6.48 6.68

70 4.82 4.99 5.35 5.71 6.10 6.49 6.69

71 4.83 5.00 5.36 5.72 6.11 6.50 6.70

72 4.85 5.02 5.37 5.73 6.12 6.51 6.72

73 4.86 5.03 5.38 5.75 6.13 6.52 6.73

74 4.88 5.04 5.39 5.76 6.14 6.53 6.74

75 4.89 5.06 5.40 5.77 6.15 6.54 6.75

76 4.91 5.07 5.41 5.78 6.16 6.56 6.76

77 4.92 5.08 5.43 5.79 6.17 6.57 6.78

AGE -2.50 -2.00 -1.00 0.00 1.00 2.00 2.50

78 4.94 5.10 5.44 5.80 6.18 6.58 6.79

79 4.95 5.11 5.45 5.81 6.19 6.59 6.80

80 4.97 5.12 5.46 5.82 6.20 6.60 6.82

81 4.98 5.14 5.47 5.83 6.21 6.61 6.83

82 4.99 5.15 5.48 5.84 6.22 6.63 6.84

83 5.01 5.16 5.49 5.85 6.23 6.64 6.86

84 5.02 5.18 5.50 5.86 6.24 6.65 6.87

85 5.04 5.19 5.51 5.87 6.25 6.66 6.89

86 5.05 5.20 5.53 5.88 6.26 6.68 6.90

87 5.07 5.22 5.54 5.89 6.27 6.69 6.92

88 5.08 5.23 5.55 5.90 6.28 6.70 6.93

89 5.09 5.24 5.56 5.91 6.29 6.72 6.94

90 5.11 5.25 5.57 5.92 6.30 6.73 6.96

91 5.12 5.27 5.58 5.93 6.31 6.74 6.97

92 5.13 5.28 5.59 5.94 6.32 6.75 6.99

93 5.15 5.29 5.60 5.95 6.33 6.77 7.01

94 5.16 5.30 5.61 5.96 6.35 6.78 7.02

95 5.17 5.32 5.62 5.97 6.36 6.79 7.04

96 5.19 5.33 5.64 5.98 6.37 6.81 7.05

97 5.20 5.34 5.65 5.99 6.38 6.82 7.07

98 5.21 5.35 5.66 6.00 6.39 6.84 7.08

AGE -2.50 -2.00 -1.00 0.00 1.00 2.00 2.50

99 5.22 5.36 5.67 6.01 6.40 6.85 7.10

100 5.24 5.38 5.68 6.02 6.42 6.86 7.11

101 5.25 5.39 5.69 6.04 6.43 6.88 7.13

102 5.26 5.40 5.70 6.05 6.44 6.89 7.14

103 5.27 5.41 5.72 6.06 6.45 6.90 7.16

104 5.28 5.42 5.73 6.07 6.47 6.92 7.17

105 5.30 5.44 5.74 6.08 6.48 6.93 7.19

106 5.31 5.45 5.75 6.10 6.49 6.95 7.20

107 5.32 5.46 5.76 6.11 6.50 6.96 7.22

108 5.33 5.47 5.78 6.12 6.52 6.97 7.23

109 5.34 5.48 5.79 6.14 6.53 6.99 7.24

110 5.35 5.49 5.80 6.15 6.55 7.00 7.26

111 5.36 5.51 5.82 6.16 6.56 7.02 7.27

112 5.37 5.52 5.83 6.18 6.58 7.03 7.29

113 5.39 5.53 5.84 6.19 6.59 7.05 7.30

114 5.40 5.54 5.85 6.21 6.61 7.06 7.31

115 5.41 5.55 5.87 6.22 6.62 7.07 7.32

116 5.42 5.56 5.88 6.24 6.64 7.09 7.34

117 5.43 5.57 5.90 6.25 6.65 7.10 7.35

118 5.43 5.59 5.91 6.27 6.67 7.12 7.36

119 5.44 5.60 5.93 6.29 6.69 7.13 7.37

AGE -2.50 -2.00 -1.00 0.00 1.00 2.00 2.50

120 5.45 5.61 5.94 6.30 6.70 7.15 7.38

121 5.46 5.62 5.96 6.32 6.72 7.16 7.40

122 5.47 5.63 5.97 6.34 6.74 7.18 7.41

123 5.48 5.64 5.99 6.36 6.76 7.19 7.42

124 5.48 5.65 6.00 6.38 6.78 7.21 7.43

125 5.49 5.66 6.02 6.40 6.80 7.22 7.44

126 5.50 5.67 6.03 6.41 6.82 7.24 7.45

127 5.50 5.68 6.05 6.43 6.84 7.25 7.47

128 5.50 5.69 6.07 6.45 6.86 7.27 7.48

129 5.51 5.70 6.08 6.48 6.88 7.28 7.49

130 5.51 5.70 6.10 6.50 6.90 7.30 7.50

131 5.51 5.71 6.12 6.52 6.92 7.32 7.51

132 5.51 5.72 6.13 6.54 6.94 7.33 7.53

133 5.51 5.72 6.15 6.56 6.96 7.35 7.54

134 5.50 5.73 6.17 6.58 6.98 7.37 7.55

135 5.49 5.73 6.18 6.61 7.01 7.38 7.57

136 5.48 5.73 6.20 6.63 7.03 7.40 7.58

137 5.47 5.74 6.22 6.66 7.05 7.42 7.60

138 5.45 5.73 6.24 6.68 7.08 7.44 7.61

139 5.43 5.73 6.25 6.70 7.10 7.46 7.62

140 5.40 5.72 6.27 6.73 7.13 7.48 7.64

AGE -2.50 -2.00 -1.00 0.00 1.00 2.00 2.50

141 5.36 5.71 6.29 6.76 7.15 7.50 7.66

142 5.31 5.70 6.31 6.78 7.18 7.52 7.67

143 5.26 5.68 6.32 6.81 7.20 7.54 7.69

144 5.19 5.66 6.34 6.83 7.23 7.56 7.71

DISCUSSION

In the present climate of globalisation, the definition of ‘normal’ penile size has become a common inquiry among both genders. If a man is preoccupied about his penis being inadequate, whether real or imagined, then this can impact on his interaction with a sexual partner. Additionally, a lack of self-esteem may even interfere with his interaction with professional associates. Moreover, published articles have shown racial penile length differences, which need to be considered.

Recognition of abnormalities of phallic size in prepubertal boys is important because this maybe the only or the earliest discernible clinical manifestation of hypothalamo-pituitary gonadal axis hormonal deficiencies.

Small phallic size is also one of the features of several genetic syndromes, viz.

Klinefelter syndrome, Noonan syndrome, Kallmann’s syndrome, Prader Willi syndrome, Smith Lemli Opitz syndrome, etc. Moreover, parental queries and anxiety regarding the phallic length of their son are common during well child visits and thus it is imperative to establish the standards of penile size. Early diagnosis of abnormalities of penile size is, thus, important both medically and psychologically.

Abnormally early phallic enlargement is suggestive of isosexual precocious puberty like that seen in adrenal tumour.

Micropenis is defined as penile length of less than 2.5 SD for age and macropenis is defined as penile length greater than 2.5 SD for age

Penile dimensions and normal variations in children have been previously reported, but similar data in Indian population is sparse. It is important to establish reference values for penile dimensions in Indian children as significant variations may exist among males from different races and ethnicities right from birth to childhood and adulthood.

The age adjusted values of stretched penile length must be known in order to recognise abnormal penile size.

In Indian children there have been studies to determine the normal values of stretched penile length.

Bhat et al(19) studied around 250 children in northern india from birth to

10 years ,the mean value of penile length were 3.34 cm during infancy, 4.28 during 4 to 5 years of age and 5.25 cm at around 10 years.

Vijay k jaiswal (20)et al studies a total 843 boys from 0 to 18 years of age from western Maharashtra and concluded that mean value of stretched penile length was 4.1 cm at birth ,4.6cm at 5 years of age and 5to 4 cm at 10 years of age and 10,2 cm at 18 years of age.

Vasudevan et al (15) studied 135 newborn and found mean stretched penile length at 3.5 cm at birth.

These values are when compared to our child group at birth 3.59 cm were similar to Vasudevan et al (15) but were higher than Bharat et al and lower when compared to Jaiswal et al which was 4.1 cm.

At 5 Years of age mean penile values in our study group was 5.61 cm which were more than both Bhat et al (19) and Jaiswal et al (20).

At 10 years of age mean stretched penile length in our study was 6.3 cm which is more than 5.25 cm in bhat et al and 5.4 cm by jaiswal et al.

The difference in these values is probably due to differences in growth parameters between north and south indian population.

In other Asian countries like Korea study by lee et al (18) found that mean stretched penile length of infants at 4.4 cm at 5 years of age 5.8 cm and 11 years was found to be 7.2 cm which when compared to our study was relatively higher

In eastern Europe a study by camurdan et al (16)of 1040 Turkish children in 0-5 years age group mean stretched penile length at birth was 3.65 cm and children at 3 months- 4.26 cm and 6 month – 4.65 cm at 1 year of age -4.82 cm and at 5 years of age it was 6.02 cm which when compared to our study at birth was 3.59 cm and at 3 months 4.04 cm and at 6 months 4.57 cm and at 1 year of age 5.21cm and at 5 years of age 5.61 cm were similar at birth and infancy but at 5 years of age were comparatively lower by 0.4 cm probably due to nutritional factors.

A study on Taiwanese boys by Wang et al. suggested that the average penile length increased with chronological age, which is similar to our findings.

The mean penile length in the study conducted by Gabrich et al. on Brazilian children was 4.7 cm and 7.4 cm during infancy and at 10 year age.

In japan a cross sectional study of 1628 boys between 0- 9 years age group by Ishii et al (21) Concluded that mean stretched penile length at birth ,1 year

,5years to be 3.10 cm 3.61 cm,4.32 cm when where lower than our study group due to difference in ethnicity.

The penile length in study conducted by Analia et al at the Cleaveland clinic ,USA was 3.55 cm during infancy at 4.8 cm at 10 years of age. Gabrich et al who conducted a a study on Brazilian children concluded that the mean penile length was 4.7 cm at birth an 7.4 cm during 10 years of age.

Peyami et al who studied mean stretched penile length in Turkish boys found mean SPL of 4.44 cm during infancy and 6.79 cm at 10 year of age .

The difference in these mean stretched penile length is multifactorial, ethnicity , geographical and nutritional factors.

The method of measurement of stretched penile length like device used in measuring ,degree of stretching plays a factor in determining mean stretched penile length The observer error is also inevitable in any anthropometric studies

Different methodologies adapted for measurements may also influence the results. We used a measuring tape in our study as it achieves highest accuracy in comparison with a vernier calliper as it can be prone to trauma and approximation with pubic ramus is difficult in children more so in obese children, measuring ruler,and spatula are also used in various studies..

All the subjects were examined to exclude any genital, endocrinological, nutritional, or psychosocial disease but since no objective investigations were done to exclude these diseases, few of them may have had some confounding disease influencing the results.

Bhat et al and ishiri et al concluded that stature, weight and BMI has no correlation with mean SPL. Chinkani et al who studied mean SPL in newborn concluded that a direct correlation exists between birth weight, height and penile

72 length. Bhakri et al demonstrated that penile growth follows the pattern of increase in body dimensions in newborns. SPL can be predicted best in relation to body and foot length taken together.

We found that in our study that a positive correlation exists between mean SPL and stature

LIMITATIONS

● Measurement errors are unavoidable in any anthropometric studies.

● Intraobserver variation is plausible.

● The study samples are confined to those seeking medical healthcare to a

particular institution which may be not be representative of the general

population.

● Stretched penile length were measured only upto 12 years so further growth

of penis till adulthood could not be studied.

CONCLUSION

The stretched penile length was 3.58cm at birth,5.61cm at 5years of age,6.3cm at 10 years and 6.83 by 12 years.

The mean penile length values are higher than north Indian children statistically.

In our study we found 80% correlation between height and mean SPL.

The penile length increases with advancing age, but no direct correlation with body weight or BMI could be established.

Penile dimensions in South Indian children were found to be statistically smaller in comparison with most of the previous studies conducted in other countries.

Z scores of mean stretched penile length, growth references, charts in centiles and have been created in south Indian population which will aid in identifying disorders of sexual development particularly micropenis.

BIBLIOGRAPHY

1. Mark A Sperling,pediatric endocrinology

2. Kyriakie sarafoglou,George f,Hoffman,karl s,roth,pediatric

endocrinology and inborn errors of metabolism.

3. Grumbach MM. A window of opportunity: the diagnosis of gonadotropin

deficiency in the male infant. J Clin Endocrinol Metab.

4. Sultan C, Paris F, Jeandel C, Lumbroso S, Galifer RB. Ambiguous

genitalia in the newborn

5. Dan L, Couto-Silva AC, Trivin C, Metz C, Brauner R. Congenital

gonadotropin deficiency in boys: management during childhood. J

Pediatr Endocrinol Metab.

6. Bressani N, di Natale B, Pellini C, Triulzi F, Scotti G, Chiumello G.

Evidence of morphological and functional abnormalities in the

hypothalamus of growth-hormone-deficient children: a combined

magnetic resonance imaging and endocrine study.

7. Hamilton J, Blaser S, Daneman D. MR imaging in idiopathic growth

hormone deficiency. AJNR Am J Neuroradiol.

8. Menon PS, Khat wa UA. The child with micropenis. Indian J

Pediatr. 2000;67:455–460.

9. Burstein S, Grumbach MM, Kaplan SL. Early determination of androgen-

responsiveness is important in the management of microphallus.

10. Guthrie RD, Smith DW, Graham CB. Testosterone treatment for

micropenis during early childhood. J Pediatr.

11. Main KM, Schmidt IM, Skakkebaek NE. A possible role for reproductive

hormones in newborn boys: progressive hypogonadism without the

postnatal testosterone peak. J Clin Endocrinol Metab.

12. Bin-Abbas B, Conte FA, Grumbach MM, Kaplan SL. Congenital

hypogonadotropic hypogonadism and micropenis: effect of testosterone

treatment on adult penile size why sex reversal is not indicated.

13. Arisaka O, Hoshi M, Kanazawa S, Nakajima D, Numata M, Nishikura K,

Oyama M, Nitta A, Kuribayashi T, Kano K, Nakayama Y, Yamashiro Y.

Systemic effects of transdermal testosterone for the treatment of

microphallus in children

14. Borsellino A, Spagnoli A, Vallasciani S, Martini L, Ferro F. Surgical

approach to concealed penis: technical refinements and outcome

15. Vasudevan G, Manivarmane, Bhat BV, Bhatia BD, Kumar S. Genital

standards for south Indian male newborns Indian. Indian J

Pediatr. 1995;62:593–6. [PubMed: 10829928]

16. Camurdan AD, Oz MO, Ilhan MN, Camurdan OM, Sahin F, Beyazova U.

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19. Bhat A , et al.Indian Jun01.2015 apr-jun

20. Stretched Penile Length and Testicular Size from Birth to 18 Years in

Boys from Western Maharashtra Vijay K. Jaiswal, Vaman Khadilkar,

[...], and Nikhil Lohiya

21. Tomohiro ishii nobutake matsuo mikako inokuchi tomonobu hasegawa A

cross sectional growth reference and chart of stretched penile length for

Japanese boys age of 0- 7 years .

22. Hinman F., Jr Microphallus: characteristics and choice of treatment from

a study of 20 cases.

23. Song R, Gao Y, Song Y, Yu Y, Song Y. The forearm flap. Clin Plast

Surg. 1982;9:21–26

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reconstruction: evaluation of the most accepted techniques. Urol

J. 2010;7:71–78.

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Blondeel P, Hamdi M, Roche N, Weyers S, De Cuypere G. Penile

reconstruction: is the radial forearm flap really the standard

technique? Plast Reconstr Surg.

ANNEXURE 1 : PROFORMA

SERIAL NUMBER:

NAME:

AGE:

DOB:

PATIENT PHONE NO:

Anthropometry:

Height in cm

Weight in kg-

BMI

WHO GROWTH CHART PERCENTILES

Weight for age

Weight for height-

ANNEXURE II : PARTICIPANT INFORMATION SHEET

Study place : I.C.H, Egmore, Chennai-8.

Title of the study

TO ESTABLISH STRECTHED PENILE LENGTH NOMOGRAM IN SOUTH INDIAN CHILDREN AGED 0-12 YEARS

Name of the investigator: DR.TAMIZHARASAN E

Name of the Participant: Age: Sex:

Hospital number:

1. I have read and understood the patient information sheet provided to me regarding the participation of my child in the study. 2. I have been explained about the nature of the study and had my questions answered to my satisfaction. 3. I have been explained about my rights and responsibilities by the investigator. 4. I will allow my child to cooperate with the investigator and undergo clinical tests subjected during the study whole heartedly. 5. I have been advised about the risks associated with my child’s participation in this study.* 6. I am aware of the fact that I can opt out of the study at any time without having to give any reason and this will not affect my child’s future treatment in this hospital. * 7. I hereby give permission to the investigators to release the information obtained from my child as result of participation in this study to medical journals/conference proceedings. 8. I understand that my child’s identity will be kept confidential if my child’s data are publicly presented/published.

9. I have decided my child can participate in the research study. I am aware that if I have any question during this study, I should contact the investigator. 10. By signing this consent form I attest that the information given in this document has been clearly explained to me and understood by me, I will be given a copy of this consent document.

Name : Signature :

Date :

Name : Signature :

Date :

Name : Signature :

Date :

Name : Signature :

Date :

தகவல் ப羿வம்

ஆய்ힿடம்:

அர毁埁ழந்தைகள் நல ம쏁ை்鏁வமதை மற்쟁ம் ஆராய்ச்殿

நிதலயம், எ폁ம்ꯂர்,சசை்தை-

믁தன்மம ஆராய்ச்殿யாளர்: ம쏁ை்鏁வர். jkpourd; E

பங்埁 பப쟁பவரின் பபயர்:

வய鏁:

பா쮿னம்:

ம쏁த்鏁வமமன எண் :

ஆய்ힿன் ந ாக்கம்:

Mz; Foe;ijfspd; ePl;lg;gl;l Mz; Fwpapd; msT fz;lwpjy;

ஆய்ힿன் பசய்믁மை:

இப்பரிசசாைதை뾿ல் ஈ翁ப翁ை்ைப்ப翁ம் 埁ழந்தை뾿ை்

믁폁 ힿவரங்கள், சநாய் வரலா쟁, மற்쟁ம் அைற்埁ண்டாை

ம쏁ை்鏁வரிை்சசாைதை ힿவரங்கள, இச்சசாைதைக்சகை

ைைியாக ஒ鏁க்கப்பட்ட ப羿வை்鎿ல் ப鎿யப்ப翁ம்.

அைை் சைாடர்ச்殿யாக,அக்埁ழந்தைக쿁க்埁 எ폁ம்ꯂர்

அர毁埁ழந்தைகள்நல ம쏁ை்鏁வமதைக்சகை உண்டாக்கப்பட்ட தவை்鎿ய ힿ鎿믁தறப்ப羿埁쏁鎿 மா鎿ரிகள்

மற்쟁ம் ஊ翁க鎿ர் படம்,கணிைிவ펿 உட쯁쟁ப்ꯁ

ஊ翁க鎿ர்படம் ஆ垿யதவ சமற்சகாள்ளப்ப翁ம்.

ꮿற埁 பரிசசாைதை뾿ல் ஈ翁ப翁ை்ைப்ப翁ம் 埁ழந்தைகள் ம쏁ை்鏁வமதை뾿ல் ைங்垿뾿쏁க்埁ம் காலம் வதர

சைாடர்ச்殿யாக கண்காணிப்ꮿல் தவக்கப்ப翁ம். சநா뾿ை்

சைாடர்ச்殿யாக ஏற்ப翁ம் ힿதளퟁகதளக் கண்ட잿ய,

ம쏁ை்鏁வமை뾿쮿쏁ந்鏁 சவளிசய쟁ம் சபா鏁 ம쏁ை்鏁வ

பரிசசாைதை சமற்சகாள்ளப்ப翁ம்.

ஆய் ힿல் பங்நகை்க ம쟁த்தல்

இந்ை ஆய்ힿல் பங்கசகற்ப鏁 믁ற்잿쯁ம் உங்கள鏁

சசாந்ை ힿ쏁ப்பசம. ைாங்கள் இந்ை ஆராய்ச்殿뾿ல் இ쏁ந்鏁

எப்சபா鏁சவண்翁மாைா쯁ம் ힿல垿க்சகாள்ளலாம். அவ்வா쟁

இந்ை ஆராய்ச்殿뾿ல் இ쏁ந்鏁 ힿல垿க்சகாள்வைால் உங்கள் 埁ழந்தை சப쟁ம் ம쏁ை்鏁வ 殿垿ச்தச뾿ல் எந்ை மாற்ற믁ம்

இ쏁க்கா鏁.

பங்கேற்பதின்இலாபநஷ்டங்ேள்:இந்தஆய்வில்பங்கேற்பதால்

உங்ேள் 埁ழந்ததக்埁 எந்த கநர羿 ம쏁த்鏁வ பலꟁம்

ேிதடயா鏁.ஆனால் இந்த ஆராய்ச்殿뾿쮿쏁ந்鏁 சபறப்ப翁ம் , ைகவல்கள் வ쏁ங்காலை்鎿ல் இ鏁 சபாை்ற埁ழந்ததேளின் ( ). சிேிச்தசக்埁 பலை் அளிக்கலாம் உங்கள் 埁ழந்தை உள்பட இந்ை மதற믁க இலாப믁ம், இவ்வா쟁 ம쏁ை்鏁வ வளர்ச்殿뾿ல்

. பங்埁சபற்ற சப쏁தம뿁ம் உங்கதள சச쏁ம் ஆய்வின்

믁羿ퟁேள் ஆய்ퟁ நடக்埁ம்கபாகதா(கததவஏற்ப羿ன் ) அல்ல鏁 ஆய்ퟁ

믁羿ந்த பின்னகராதங்ே쿁க்埁 ததரிவிக்ேப்ப翁ம்.

இரேசியத்தன்தம:

இந்த ஆராய்ச்殿뾿ல் ஈ翁ப翁ம் உங்கள் 埁ழந்தை뾿ை் அதைை்鏁 ைகவல்க쿁ம் இவ்வாராய்ச்殿க்காக மட்翁சம

பயை்ப翁ை்ைப்ப翁ம். இந்ைரக殿யங்கள் உங்கள் சம்மைம்

இல்லாமல் சவளி뾿டப்படமாட்டா鏁, ரக殿யங்கள்

பா鏁காக்கப்ப翁ம்.

பங்கேற்பவர்உரிதம:

தங்ேள் 埁ழந்தத பற்றிய விவரம் ததரிய ஆய்ퟁ

ம쏁த்鏁வதர அ迁ேலாம்.

ஆய்வாளரின்தபயர் :ம쏁த்鏁வர். jkpourd; E

தேப்கபசிஎண்: 9487518005

믁ேவரி : 믁鏁நிதலபட்டகமற்ப羿ப்ꯁமாணவர்,

அர毁埁ழந்ததேள் நல ஆராய்ச்சி நிதலயம் மற்쟁ம் 埁ழந்தத

நல ம쏁த்鏁வமதன ,

எ폁ம்ꯂர் , தசன்தன-8.

ஆய்வாளரின் தேதயாப்பம் தபற்கறாரின் தேதயாப்பம்

நாள் :

இடம் :

ANNEXURE III : ஒப்ꯁதல்ப羿வம்

ஆய்விடம் : அர毁埁ழந்ததேள் நல ம쏁த்鏁வமதன மற்쟁ம் ஆராய்ச்சி நிதலயம், எ폁ம்ꯂர் , தசன்தன

ஆய்வாளர் : ம쏁த்鏁வர் . jkpourd; E

பங்埁தப쟁பவரின் தபயர் :

வய鏁 :

பாலினம் :

ம쏁த்鏁வமதன எண் :

ஆய்ퟁததலப்ꯁ: Mz; Foe;ijfspd; ePl;lg;gl;l Mz; Fwpapd; msT fz;lwpjy;

1) எனக்埁 தரப்பட்ட ஆராய்ச்சியில் பங்埁தப쟁கவார்க்ோன தேவல்

ப羿வத்தத 믁폁தமயாே ப羿த்鏁 ꯁரிந்鏁தோண்கடன்.

2) ஆராய்ச்சியின் தன்தம 믁폁தமயாேퟁம் விரிவாேퟁம்

எ翁த்鏁தரக்ேப்பட்ட鏁.

3) என鏁 எல்லாகேள்விே쿁க்埁ம் விதடயளிக்ேப்பட்ட鏁.

4) ஆய்வாளர் என் உரிதமேதள뿁ம் , தபா쟁ப்ꯁேதள뿁ம் நன்埁

விளக்ேினார்

5) நான் , என்埁ழந்தத , ஆய்வாள쏁க்埁 믁폁

ஒத்鏁தழப்ꯁதோ翁க்ேퟁம் , பரிகசாததன தசய்鏁 தோள்ளퟁம்

அꟁமதிக்ேிகறன்.

6) என் 埁ழந்ததக்埁 இரத்த பரிகசாததன , ஊ翁ேதிர்படம் , ேணினி

வழி ஊ翁ேதிர்படம் மற்쟁ம் கததவக்ோன பரிகசாததனேள்

தசய்鏁க்தோள்ள 믁폁மன鏁டன் சம்மதம் ததரிவிக்ேிகறன்.

7) என鏁埁ழந்தத ஆராய்ச்சியில் பங்கேற்பதால் ஏற்ப翁ம்

சாதேபாதேங்ேதள ஆய்வாளர் விளக்ேிக்埂ற

அறிந்鏁தோண்கடன்

8) எப்தபா폁鏁 கவண்翁மானா쯁ம் என் 埁ழந்தததய இந்த

ஆய்வில் இ쏁ந்鏁 விலக்ேிதோள்ளலாம் என்பதத அறிகவன் .

அவ்வா쟁 விளக்ேிக்தோள்வதால் 埁ழந்ததக்埁 தோ翁க்ேப்ப翁ம்

சிேிச்தசயில் எந்த மாற்ற믁ம் இ쏁க்ோ鏁 என

அறிந்鏁தோண்கடன்

9) இந்த ஆய்ퟁக்ோே தபறப்ப翁ம் என் 埁ழந்ததயின் தேவல்ேதள

ஆய்விதழ்ேளிகலகயா , ே쏁த்தரங்ேிகலகயா தவளியி翁வதில்

எனக்埁 எந்தவித ம쟁ப்கபா , ஆட்கசபதணகயா இல்தல .

10) என் 埁ழந்ததயின் தன் அதடயாளங்ேள் ஆய்விதழ்ேளிகலகயா,

ே쏁த்தரங்ேிகலகயா தவளியிடப்படமாட்டா鏁 என எனக்埁

உ쟁தியளிக்ேப்பட்ட鏁

11) எனக்埁 இந்த ஆராய்ச்சி埁றித்தனசந்கதேம் இ쏁ந்தால் உடகன

ஆய்வாளதர கேட்翁 ததளிퟁப翁த்திதோள்ளலாம் என

உ쟁தியளிக்ேப்பட்ட鏁

12) இந்த ஒப்ꯁதல் ப羿வத்தில் தேதயாப்பமி翁வதின் 믂லம் இந்த

ப羿வத்தில் உள்ளதவயாퟁம் எனக்埁 ததளிவாே

எ翁த்鏁தரக்ேப்பட்ட鏁 , அதத நான் நன்埁 ꯁரிந்鏁தோண்கடன்

என ததரிவித்鏁க்தோள்ேிகறன்.

கநாயாளியின்தபற்கறார் / தேதயாப்பம்/தப쏁விரல்毁வ翁 பா鏁ோவலர் தபயர்

கததி

ஆராய்ச்சியாளர் தபயர் தேதயாப்பம்/தப쏁விரல்毁வ翁

கததி

சாட்சி 1 தபயர் தேதயாப்பம்/தப쏁விரல்毁வ翁

கததி

2 / சாட்சி தபயர் தேதயாப்பம் தப쏁விரல்毁வ翁

கததி

ANNEXURE IV : MASTER CHART

S.NO. NAME AGE WEIGHT HEIGHT SPL 1 KAVIN 112 29 127 5.7 2 RAVIKISHORE 109 26 125 6.4 3 NAVEEN 115 30 131 6.5 4 KARTHICK 116 30 131 6.5 5 BHUVANESH 120 34 134 6.2 6 AZEEM 117 31 133 5.6 7 ARAVIND 116 30 133 7.1 8 HARIKRISHNA 112 28 127 6.7 9 RAJKUMAR 111 27 126 6.8 10 MUTHUVEL 118 32 129 6.3 11 KATHIR 119 33 128 5.8 12 RAKESH 114 29 127 5.9 13 RAJA 113 28 127 5.5 14 VISHNU 110 26 126 5.7 15 MOHAN 119 31 135 7 16 RAJSEKAR 120 35 135 6.1 17 ARUN 118 31 133 6.2 18 VISHAL 117 30 133 5.9 19 SURYA 119 33 134 6 20 MUGILAN 115 29 132 6.1 21 SUJITH 116 30 132 6.2 22 SUGAN 115 31 132 6.5 23 ARJUN 111 26 128 6.1 24 MITHRAN 118 32 133 5.9 25 HARICHARAN 112 27 128 5.8 26 AGILAN 114 29 128 6.4 27 AMUTHAN 113 27 128 6.5 28 SIVA 119 32 134 6.1 29 MICHAEL 116 29 132 5.7 30 VIVEK GOKUL 117 30 132 6.9 31 ABDUL 118 31 133 6.4 32 CHANDRAN 110 26 125 7.1 33 SHARATH 113 28 128 6.3 34 GOPI 115 30 129 6.2 35 KUMAR 111 26 125 6.4 36 VIJAYBASKAR 112 26 126 6.7 37 SENTHIL 114 28 128 5.9 38 RAMESH 118 31 133 6.2 39 SARAVANAN 116 28 132 6.4

S.NO. NAME AGE WEIGHT HEIGHT SPL 40 RAMTHILAK 117 28 132 6.1 41 SANJAY 110 27 125 5.9 42 THAMEEM 115 30 128 6 43 SATHISH 119 33 133 5.8 44 RAGURAM 114 28 127 6.3 45 RAVIKISHORE 113 27 127 6.1 46 BASKAR 121 34 135 5.8 47 ANILKUMAR 122 33 135 6.5 48 JOHNSON 120 33 134 6.2 49 KAMALESH 116 28 130 6.2 50 VASANTH 111 27 128 6.6 51 RAGHUL 113 27 128 6.3 52 JAWAHAR 118 32 133 5.9 53 PRITHIVI 119 32 133 6.2 54 KANNAN 120 33 134 5.8 55 ELAVARASAN 117 28 132 6 56 SAMUEL 112 27 128 6.1 57 SARAVANAN 116 28 130 5.9 58 SIVA 114 27 128 5.7 59 SAISUNNDHAR 112 26 127 6.2 60 ARUL 118 32 132 6 61 RAMKUMAR 115 30 128 6.3 62 SRINIVAS 120 33 135 6.5 63 SRIDHAR 122 33 135 5.9 64 NITHIN 113 26 127 5.9 65 FAROOQ 121 33 136 6 66 BILAL 111 27 127 6.3 67 WINSTON 117 29 133 6.5 68 ELAMARAN 114 27 130 6.1 69 NANDHAN 119 33 134 6.1 70 PRAVEENRAJ 120 33 134 5.9 71 GOKULKANNAN 122 33 132 5.7 72 SYED 117 30 131 6 73 VENKATESH 113 27 126 6.3 74 YOGESH 111 26 126 6.1 75 DESILVA 118 29 133 6.4 76 MURUGAN 120 30 134 6.6 77 PRAKASH 114 27 128 5.9 78 LALITH 118 32 133 5.8 79 DEEPAN 119 32 133 6 80 SUDEEP 113 27 127 6.4

S.NO. NAME AGE WEIGHT HEIGHT SPL 81 MITHILESH 112 26 127 6.9 82 MUKESH 116 28 129 6.2 83 DINESH 115 31 128 5.5 84 DILIP 111 27 125 5.8 85 JEEVAN 117 29 129 6.2 86 RAMSUNDAR 121 32 135 5.9 87 MUTHUKUMAR 120 32 135 6 88 SHANKAR 122 33 136 6.1 89 DEEPAK 111 27 125 6.2 90 BALAJI 118 29 130 5.8 91 VISHNUBALU 119 30 131 5.8 92 RAJASANKARAN 117 28 130 6 93 MADESH 112 26 125 5.9 94 GOWTHAM 116 28 127 6.1 95 ZEESHAN 113 27 126 6.2 96 BILAL 115 29 129 6.8 97 SAMI 114 28 127 6.2 98 SARVESH 120 33 134 6.4 99 THANGADURAI 114 29 128 6.1 100 RAHUL 111 27 126 5.5 101 ASHWIN 127 26 138 7.3 102 NANDHAKUMAR 121 28 140 7.1 103 ISHAN 129 29 139 6.5 104 KARAN 130 30 141 5.7 105 KAVINESH 132 31 145 7.3 106 ABDUL AMEED 131 32 143 6.8 107 PARVESH 125 27 139 6.5 108 VINAY 128 29 130 6.9 109 IBRAHIM 123 27 136 5.8 110 AFSAL 127 28 138 6.1 111 YOGARAJ 121 25 140 5.9 112 AKIL 128 26 141 6.3 113 HARI 131 29 142 6.5 114 NIVAS 126 29 137 6.3 115 SUGAN 124 25 136 6 116 SUJAY 129 28 137 7.1 117 DEEPAKRAJ 124 33 140 5.7 118 BHARATHY 123 29 138 7.3 119 GOKUL 126 25 136 5.8 120 VINOTHGOWTHAM 128 26 139 6.2 121 AJAYKRISHNA 130 28 135 6.5

S.NO. NAME AGE WEIGHT HEIGHT SPL 122 GUGAN 131 29 138 7.1 123 ASHWIN 127 26 136 7.3 124 GOPI 121 28 139 6 125 GANESH 129 29 140 6.5 126 HARESH 130 31 142 6.2 127 JAISHANKAR 132 36 145 6.8 128 VIVIN 128 27 136 7.2 129 YOGADEEPAN 125 26 138 6.5 130 VIGNESHWARAN 122 28 141 6.6 131 RAJADURAI 127 29 140 6.1 132 SIBI 122 26 139 5.8 133 DINESH 124 30 135 6.4 134 KAMALANATHAN 125 25 135 6.9 135 SUDAN 121 26 138 6.6 136 SURESH 127 31 141 6.3 137 MAGESH 124 37 149 6.1 138 KARTHIKEYAN 125 33 139 6.6 139 RAGU 129 36 145 6.3 140 KANNAN 130 38 148 6.7 141 SHANKAR 132 35 141 6.9 142 VENKAT 126 26 135 7.1 143 AHAMED 128 25 139 7 144 YASAR 123 25 135 6.6 145 SALMAN 127 26 138 6 146 SARAN 126 29 140 6.3 147 VARUN 132 30 141 6.7 148 VICTOR 130 36 148 6.8 149 REYNALD 124 25 135 7.2 150 MITHRESH 122 27 137 5.8 151 NITHIN 125 26 134 6 152 VIGNESHWARAN 127 27 137 6.2 153 PAVALAN 123 29 139 6.5 154 PREM 128 36 145 6.6 155 YUVAN 124 25 125 6.9 156 PADMESH 129 40 149 5.5 157 HARI 130 33 142 6.4 158 LOKESH 121 27 131 6.6 159 SANDESH 131 30 139 6.5 160 CHANDRU 126 36 148 6.8 161 SANDEEP 129 30 149 6.7 162 CHIDAMBARAM 126 38 150 6.3

S.NO. NAME AGE WEIGHT HEIGHT SPL 163 SAIKISHORE 121 25 135 6.2 164 ASHRAF 128 26 138 6.4 165 KENNY 130 38 140 5.9 166 JANAKIRAMAN 122 26 136 6 167 RAVINDRAN 125 27 140 6.3 168 MURALI 128 25 135 6.7 169 GURUVIGNESH 127 26 138 6.3 170 JERRYTHOMAS 126 28 135 7.1 171 YUVAN 126 27 140 7 172 NARENDRAN 129 29 139 6.5 173 RAJU 130 34 146 6.9 174 THIYAGESH 121 26 139 6.4 175 DANIEL 122 28 141 6.2 176 IMMANUAEL 123 29 135 6.4 177 IMRAN 131 34 148 6 178 JOVINESH 132 36 150 6.7 179 BHUVANESH 127 27 143 6.2 180 THILAK 128 29 142 5.9 181 KATHIR 121 33 140 6 182 NANDAKUMAR 125 29 138 6.3 183 AVINASH 128 34 146 7 184 RAGAV 126 32 143 7.2 185 VIKRAM 129 39 149 7.3 186 UDAY 130 42 151 6.8 187 ANIRUDH 132 48 153 6.7 188 SHELTON 127 26 138 6.9 189 SALMAN 122 25 135 5.9 190 AJITH 123 30 146 6.3 191 JERIN 129 37 149 6.8 192 JAISITHRAM 126 29 139 6.9 193 JERIN STEVE 128 26 138 6.6 194 LUKERAVI 121 25 135 6.3 195 VELMURUGAN 126 29 141 6.6 196 ASHOK 124 32 140 6.7 197 AKILESH 132 31 141 6.9 198 RAMPRAKASH 131 38 147 7.2 199 RAGAV 130 37 149 7 200 RAMACHANDRAN 133 35 148 6 201 GOPAL 134 36 146 5.8 202 BHARATH 144 41 149 7.1 203 NAVEENDASAN 141 43 152 6.9

S.NO. NAME AGE WEIGHT HEIGHT SPL 204 KAMESH 143 44 155 6.4 205 SUDHAKAR 133 37 144 5.1 206 MUTHURAJ 137 39 142 7 207 VIJAYA BARATHY 133 41 143 6 208 VINODHKUMAR 138 43 148 6.5 209 VINAY 142 46 149 7.3 210 SILAMBARASAN 135 48 152 6.7 211 SOLOMEN 139 50 153 7.1 212 ARULGANESH 140 51 154 5.9 213 SUNDAR 144 54 155 7.2 214 SUJAY 134 45 146 5.8 215 NIVESH 133 48 148 6.6 216 ROSHAN 135 35 135 6.7 217 ROHIT 137 38 138 6.3 218 ESWAR 138 40 139 6.4 219 KUMAR 140 42 148 5.9 220 GURUPRASAD 144 45 146 6.7 221 PRASANTH 141 42 149 6.9 222 PUVIARASAN 136 37 138 6.5 223 DINESHKUMAR 134 36 142 6 224 WINSTON 138 38 138 6.8 225 MANIKAVEL 140 43 149 6.5 226 SHANMUGAM 143 44 148 7.4 227 SARAVANAVEL 142 46 146 7 228 DEEPAK 136 36 139 6.4 229 NEERAJ 138 38 138 6.8 230 VIJAYARAGAV 135 35 141 6.5 231 RITHAN 139 39 145 6.6 232 KEERTAN 140 43 151 6.8 233 KAMALESHWARAN 141 46 155 6.7 234 MUKESH 140 43 152 6.6 235 KRISHNAN 133 37 140 6 236 SANTHOSH 135 38 144 5.9 237 SAMUVEL 136 39 145 6.2 238 GOWSIK 138 37 149 6.1 239 EDWIN 139 44 153 6.5 240 RIYAS 142 48 154 7.3 241 HARISH 141 49 155 7 242 IMMANUVEL 139 41 153 6.9 243 JOSEPH 135 37 149 6.3 244 RITHISH 137 41 152 6.7

S.NO. NAME AGE WEIGHT HEIGHT SPL 245 REVANTH 137 42 153 7 246 RITHVIK 141 46 154 7.4 247 VIJAYAKANTH 140 43 141 6.9 248 ADHARVA 134 39 149 5.9 249 RISHVANTH 133 37 153 6 250 DILIPKUMAR 137 42 149 6.3 251 STEFEN 139 44 150 6.9 252 RAKSHAN 144 48 155 7.1 253 SOUNDAR 142 46 154 6.8 254 AAKASH 139 39 146 6.3 255 DIWAKAR 133 35 138 7.1 256 GODWIK 144 48 152 6.1 257 HARSHAN 142 46 155 6.5 258 LOHITH 138 39 142 6 259 ROSHAN 140 40 144 7 260 SABARIVASAN 135 42 154 7.3 261 JOHITH 133 43 152 7.1 262 HASHAVARDHAN 136 49 155 7.3 263 PRABHAS 141 48 154 7 264 KUMARESAN 143 49 155 6.8 265 KEERTHIKUMAR 134 46 154 6.6 266 DILAKVISHNU 139 41 149 6.9 267 KANAKAVEL 140 43 152 7.1 268 HAMBRITH 144 44 154 7 269 EZHIL 141 48 155 6.9 270 KISHOREKUMAR 137 49 151 6.7 271 DHAKSHITH 133 38 146 6.8 272 RHISHITH 135 37 142 7 273 SARVESHWARAN 138 38 144 7 274 MADHAVAN 136 36 145 6.5 275 GODSON 140 42 147 5.9 276 BOOBATHI 137 39 143 5.5 277 POOVEL 134 35 142 7 278 PURUSHOTHAMAN 142 39 148 7.2 279 SAIABISHEK 144 41 146 6.4 280 ADHITHYA 141 46 152 6.8 281 KAMALESHWARAN 139 45 149 6.5 282 GOGITH 135 38 142 6.9 283 DHASWANTH 133 39 143 7 284 DHAMOTHARAN 138 37 143 7.4 285 NIVESH 141 42 152 7

S.NO. NAME AGE WEIGHT HEIGHT SPL 286 MOHANRAJ 135 37 154 6.2 287 VARUN 137 40 153 6.1 288 YASWANTH 133 39 147 6.5 289 BUVANESHWARAN 140 50 155 6.8 290 SIBHI 142 45 154 7 291 SIVABALAN 144 47 154 7.2 292 SRIMURUGAN 138 39 142 7 293 SURENDARAN 134 41 149 6.9 294 BAVISH 143 47 150 6.4 295 BENIDICT 141 46 149 6.1 296 SATHYAPRAKASH 139 38 141 6.8 297 SRIVASRHAN 134 39 146 6.6 298 UKESH 143 42 149 7.3 299 YOGAPRASATH 92 23 120 6 300 JEEVA 85 22 122 5.5 301 YOGAPRASATH 89 30 121 5.6 302 SIVARAGAV 96 32 123 6.2 303 SRIPRASATH 94 33 124 6.7 304 KEVIN 91 31 124 6.1 305 POOVESH 86 24 126 5.4 306 GOGUL 89 28 128 5.1 307 SARANRAJ 92 30 131 5.6 308 THULASIRAMAN 95 27 129 5.5 309 MOHITH 85 29 132 5.6 310 THARUN 88 30 133 6.8 311 TAMILSEVAN 91 21 122 6.1 312 JUDITH 94 34 134 6.5 313 KENNADY 87 27 132 6.2 314 JEEVANRAJ 90 31 133 5.9 GOWTHAM 315 KISHORE 93 32 132 5.6 316 MADHAN 93 29 128 6.1 317 MADHESH 90 30 134 6 318 JEBIN MESHA 96 26 131 5.6 319 SRITHAR 87 29 134 5.7 320 DHARSHAN 85 28 133 7 321 SURJITH 91 31 132 5.4 322 MANOJ 88 28 129 5.8 323 PAVANRAJ 94 32 131 6.3 324 PRAKASH 86 33 134 5.2 325 JOBIN 89 31 127 6

S.NO. NAME AGE WEIGHT HEIGHT SPL 326 SIDHARH 95 25 126 6.2 327 RISHI 92 33 134 5.5 328 MANOBHARATHI 90 29 130 5.8 329 MICHELRAJ 85 27 128 5.9 330 PETER 88 24 126 6.1 331 SIVANESH 92 27 131 6.4 332 PUGHAL 96 31 135 6.2 333 ILAVARASAN 95 28 130 5.9 334 RAJKUMAR 91 24 126 5.9 335 RAJESH 87 28 129 6 336 GUBRA 85 33 132 5.8 337 KAVIN 89 28 134 5.7 338 SAJHAHAN 93 31 133 5.9 339 GANAKAVEL 86 26 129 6 340 ABDULLA 90 32 134 6.2 341 PREM 94 28 129 6.3 342 PARIKRISHNA 91 24 127 6.3 343 VIKAS 89 27 129 6.5 344 SALIM 93 29 133 6.7 345 ABINAV 95 25 128 6.1 346 VETRI 87 30 131 6 MOHAMMAD 347 MUSTAFA 85 33 134 5.9 348 ABISHEK 89 32 132 5.5 349 GIBRAN 96 26 129 5.3 350 AVINASH 86 24 128 5.7 351 ALWIN 94 28 130 5.9 352 ASHIQ 90 32 136 5.5 353 BALAJI 92 29 134 5.3 354 ALTHAF 88 31 133 5.8 355 CHIRANJEEVEE 85 32 135 5.9 356 BALA 90 30 132 6.3 357 BALVISH 95 31 134 6 358 CHARLES 96 29 131 6.5 359 SIMON 91 28 129 6.9 360 ALVIN 86 27 130 6.1 361 SURIYA 93 33 133 7.1 362 BEVAN 91 31 129 6.2 363 DINESH 90 33 130 5.4 364 KANNAN 88 27 129 5.5 365 KRISHNA 87 31 134 5.7

S.NO. NAME AGE WEIGHT HEIGHT SPL 366 KEVIN 85 33 133 5.9 367 ASHOK 89 29 129 6 368 KAVIARASU 86 26 127 5.9 369 SURESH 96 28 129 6.1 370 HARIBASKAR 94 24 126 6.3 371 NITHISH 92 27 130 6.5 372 JASHWIN 91 31 133 5.9 373 ASHWIN 93 33 135 5.8 374 NARENDAR 90 31 134 6 375 RINSON 89 29 127 6.1 376 THOMAS 88 28 131 6.2 377 SIVA 85 25 127 6.5 378 VIVESH 92 33 134 6.3 379 BALASUNDAR 87 27 129 5.9 380 TRISHNA 88 32 134 6.3 381 NAGESH 87 29 133 5.8 382 HARSHA 84 34 134 5.9 383 JOSHAN 91 26 128 5.2 384 NIRANJAN 94 34 135 6 385 JANET 96 26 129 6.5 386 VELU 95 32 135 6.8 387 KARTHI 89 29 132 6.1 388 SIVASELVAN 92 32 135 6.3 389 THYANESH 86 26 127 6.3 390 SIVAKARTHIKEYAN 94 32 124 6.1 391 JANA 91 31 125 5.9 392 ANISH 88 28 120 5.8 393 AATHVIK 85 26 121 5.5 394 JITHIN 87 29 122 5.9 395 VISHWA 90 31 125 6 396 KAMALESH 96 30 126 6.4 397 GURUMOORTHY 95 27 121 6.6 398 SURENDHAR 107 30 127 6.3 399 DHRUV 97 24 122 5.5 400 EZHUMALAI 99 26 130 5.6 401 KABILAN 100 29 131 6.4 402 ABISHEK 108 33 134 6.7 403 MOHAMMED 101 30 129 6.1 404 DEEPAK 105 35 135 5.9 405 KALAIARASU 103 34 134 5.9 406 DANIEL 98 25 126 5.8

S.NO. NAME AGE WEIGHT HEIGHT SPL 407 LOKESH 107 34 132 6.7 408 YOGESH 104 33 133 6.5 409 DHARUN 101 32 130 5.8 410 ARUN 99 29 128 6.2 411 NETHAJI 104 35 135 6.5 412 MITHUN 97 27 129 5.9 413 MONISH 102 34 132 6.1 414 ROHIT 101 30 130 6.2 415 AHMED 102 31 131 5.9 416 PRAJESH 105 34 129 5.8 417 RITHVIK 98 29 124 5.6 418 YUGENDRAN 106 35 125 6.4 419 KISHORE 108 35 134 6.7 420 RAHUL 99 29 126 6.3 421 ARSHAD 107 32 134 5.8 422 NITHISH 97 27 126 5.8 423 VARUN 100 35 135 5.6 424 MATHEW 99 31 133 6.3 425 RITHISH 98 30 127 6.4 426 JEEVA 106 29 131 6.5 427 VISHWA 103 32 134 6.5 428 SANJAY 100 27 129 6.1 429 OJASHWIN 97 25 126 6 430 YUVAN 101 29 127 5.9 431 HARINIVAS 104 34 135 6 432 SHYAM 107 35 132 6.4 433 RAVI 108 35 135 5.8 434 DYLAN 99 27 129 5.5 435 JANESH 97 26 124 5.9 436 SANJU 101 29 128 6.3 437 SARAN 98 28 127 6.1 438 SARAVANAN 103 33 134 6 439 KUMAR 105 35 130 6.5 440 LAKSHAN 107 34 129 5.7 441 VINITH 106 33 129 5.9 442 MITHRAN 102 31 133 5.6 443 GOWTHAM 101 29 131 6.7 444 AKITHAN 104 35 135 6.1 445 TAMIZH 106 32 132 6.4 446 PRANESH 100 30 131 5.9 447 KUMARESH 97 28 129 5.5

S.NO. NAME AGE WEIGHT HEIGHT SPL 448 PRAVEEN 103 32 129 5.7 449 PREMKUMAR 108 29 130 6.2 450 PRASANNA 108 35 132 6.2 451 RAJEEV 103 33 134 6 452 INIYAN 98 28 129 6.5 453 SADHVIK 104 32 131 5.6 454 JOSEPH 97 34 135 6.1 455 SARVESH 99 29 130 5.8 456 DHANUSH 100 30 131 5.6 457 VIKRAM 104 32 128 6.1 458 AJIN 108 34 129 6.3 459 ROOBAN 102 32 133 5.8 460 SREE 99 29 128 5.5 461 SRIHARISH 97 29 128 5.9 462 JEGAN 104 32 131 6.3 463 JAGADEESH 98 30 129 6.1 464 GOPI 107 35 135 6.1 465 GOKUL 103 32 133 6 466 ABILASH 101 31 132 5.5 467 NILAN 101 31 131 5.9 468 MUTHU 100 29 129 6.4 469 ROOBESH 107 35 132 6.2 470 JAYAMITHRAN 106 34 133 6.1 471 EESHWAR 102 32 133 6 472 RAVINDHAR 105 35 135 6.6 473 HRITHISH 103 33 131 5.7 474 JASHWANTH 97 28 125 5.9 475 GOPINATH 99 26 128 6 476 LAKSHMAN 106 28 127 5.8 477 MEIHARI 102 29 128 6.3 478 GUNA 107 32 130 6.1 479 VASANTH 98 28 129 5.9 480 AKSHAY 101 31 132 5.6 481 VAITHEESH 108 35 134 5.9 482 VENKATESH 102 30 131 5.1 483 DHARSHAN 98 28 127 5.5 484 MUGEN 97 29 129 5.8 485 AARYAN 106 32 130 6.5 486 HARSHITH 105 34 134 6.8 487 KAMAL 103 33 131 6.3 488 ISHAAN 99 29 129 5.9

S.NO. NAME AGE WEIGHT HEIGHT SPL 489 NITHIN RAJ 107 32 134 6.1 490 RAJESHKANNA 102 29 130 6.4 491 RAJKAMAL 101 30 131 5.9 492 LOKESHKUMAR 106 32 130 6.1 493 YAASH 104 35 134 6.8 494 MAHESH 98 28 128 5.8 495 ARJUN 100 25 125 5.9 496 HARISHKUMAR 99 22 122 6 497 Tharun 48 16.5 102 6.2 498 vijay 38 15.5 94 4.7 499 Ajith 46 16.5 102 6.2 500 Sriram 40 15.5 100 5.8 501 Babu 39 14.5 98 5.1 502 Senthil 37 15 94 5.7 503 Sujith 39 14 95 5.2 504 Bharath 37 15.5 96 4.9 505 Baskar 41 16.5 100 5.5 506 Sugumar 43 15 102 4.9 507 Santhosh 42 16 103 4.5 508 Shivam 44 17 105 5.7 509 Baradhan 39 15 102 4.3 510 Balaji 45 16.5 104.5 5.5 511 Jeeva 46 15.5 106 5 512 Anuj 47 16 103 6.5 513 Dharshan 43 15 101 6 514 Pream 40 16.3 102.5 4.7 515 Vasanth 39 17.8 98.5 4.6 516 Sudhakaran 48 18 99.5 5.8 517 Dineshkumar 44 13.5 103.5 5.4 518 Manoj 45 16 102.5 5.8 519 Rajagopal 38 15 94.5 4.5 520 Sathya 46 18 99.5 5.8 521 Gugan 47 15 103 5.6 522 Arulpriyan 42 16 100 4.7 523 Rajasekar 40 13 102 6.2 524 Rajesh 39 16 99 6 525 Suresh 41 15 99.5 4.7 526 Lakshmipathy 42 13 100 4.9 527 Aadhi 45 15 104 5.3 528 Aarav 43 12 103.5 5.5 529 Abdul 47 16 105.5 5.7

100

S.NO. NAME AGE WEIGHT HEIGHT SPL 530 Anwar 46 15 103 5.8 531 Adithya 39 13 98.5 5.2 532 Aadvik 40 14.5 99.5 5.9 533 Anirudh 43 15.5 99 4.8 534 Akmal 44 16.5 100 5.3 535 Kamalesh 38 14 99.5 4.9 536 lakshmanan 41 15 100.5 5.7 537 Balraj 45 16.5 101 6.1 538 Balaji 48 17 105 5.7 539 Shekar 42 15.5 102 5 540 Chandran 46 16.5 104 5.1 541 Cheran 41 15 101 4.6 542 Dhanush 42 15 102 4.9 543 Tamilselvan 44 16 104 5 544 Elavarasan 46 17 105 5.3 545 Arun 40 16 103 5.5 546 Fayaz 38 15 101 5.1 547 Sharuk 39 14 99.5 5.8 548 Murugaselvam 44 13.5 101.5 6.2 549 Anandhkumar 47 17.8 103.5 4.7 550 Vicky 48 17 105 5.8 551 Jaiganesh 43 14 106 5.2 552 Gopi 45 15.5 106 5.1 553 Saravanan 44 15.5 104 4.9 554 Baireasan 46 17.5 104 5 555 Mogan 42 16 102 5.5 556 Vignesh 41 15.5 102.5 5.2 557 Prakash 40 17.5 100 5.1 558 Chidhambaram 40 16.5 100.5 5.7 559 Putharaj 39 16.5 96.5 4.8 560 Francis 37 15 97.5 4.6 561 Antony 38 13.5 98.5 5.3 562 Rajan 41 14 101 5.9 563 Ravi 42 15 100 6.1 564 Girish 44 16 104 4.7 565 Krish 47 17.5 103 5 566 Gridharan 37 14 93 5.1 567 Harish 47 17.5 100.5 5.2 568 Anish 44 17 102.5 5.6 569 Hariharan 41 15 99 5 570 Anbu 43 16.5 99.5 5.1

101

S.NO. NAME AGE WEIGHT HEIGHT SPL 571 Chezhiyan 38 14 94 4.8 572 Rajendran 47 16 105.5 5.7 573 Murugan 43 15 104 4.8 574 Mukesh 46 17 104 5.5 575 Mariyadoss 48 16.5 105 5.6 576 Vivek 40 15 102 5.7 577 Jaikumar 37 14 96 5.5 578 Narayanan 39 15 98 5.7 579 Ramesh 41 14.5 100 5.3 580 Udhayakumar 47 16.5 105 5.7 581 Samuel 45 16 104 5.3 582 Kumar 44 15.5 103.5 5.5 583 kumareasan 43 15.5 102 5.2 584 Sathyaraj 38 14 96 4.9 585 Mahesh 39 16.5 99 4.6 586 Aravindh 40 16 100 5 587 Ashokkumar 45 13 103 5.3 588 Kumaravel 42 15 103 5.5 589 Mani 48 14 105.5 5.1 590 Suhail 47 14.5 104 5.5 591 Subash 46 13 103.5 5.2 592 Ariyappan 43 13 102 5.2 593 Rajan 45 14 101.5 5.1 594 Arunachalam 41 15.5 101 4.8 595 Samraj 40 15 100 4.6 596 Ayyapan 49 15 101 4.9 597 Madhesh 51 17 110 5.1 598 Bakthavatchalam 55 16 115 5.3 599 Chandran 53 18 104 5.5 600 Nandhakumar 60 14 115 6.1 601 Naveenkumar 59 19 110 6 602 senthilkumar 51 17 103 5.2 603 Gunasekaran 53 16 110 5.5 604 Arumugam 49 15 112 5 605 Nagaraj 50 18 109 6 606 Yuvaraj 52 19 111 5.8 607 Arjun 54 22 118 5.7 608 Jaiseelan 50 18 115 4.6 609 Barani 59 18 112 6.9 610 Madhusudan 58 16 113 6.2 611 Shankar 57 17 115 5.1

102

S.NO. NAME AGE WEIGHT HEIGHT SPL 612 Zameer 52 19 110 4.8 613 Willson 59 22 115 5.5 614 Punithkumar 60 19 115 5.2 615 Kabilan 56 20 110 4.8 616 Sasikumar 52 21 109 5.3 617 Ashwin 55 17 103 5 618 Devarjun 56 19 106 5.4 619 Ranjith 57 20 108 5.9 620 Rathnam 51 16 100 5.8 621 Vishvanathan 50 17 101 5.3 622 Ramamoorthy 57 19 108 5.7 623 Parthiban 54 22 104 5.2 624 Srinivasan 58 20 110 5.6 625 Murugesan 49 16 108 5.2 626 Dhurairaj 52 17 110 5.7 627 Venkatesh 55 19 108 6 628 Vasu 58 20 109 5.5 629 Pandiaraj 60 22 110 5.8 630 Gnanam 57 20 115 5.2 631 Tamil 54 18 104 5.5 632 Varun 51 17 106 5.3 633 Annadhurai 59 22 115 5.7 634 Gowtham 56 20 104 5.8 635 Madhankumar 53 17 106 5 636 Murugavel 50 15 107 5.4 637 Palani 49 13 100 5.7 638 Bhupal 50 15 101 5.7 639 Srini 54 17 102 5.2 640 Prashanth 58 20 110 5.7 641 Sivaneasan 60 22 115 5.8 642 Srikanth 56 16 109 5.1 643 Santhanam 52 14 106 5.3 644 Surya 51 13 103 5.7 645 Vishnu 55 18 110 5.5 646 Prithvi 59 21 114 5.3 647 Madhan 53 19 104 4.9 648 Soundhar 57 21 108 5.1 649 Surendar 55 20 106 5.2 650 Rajkumar 58 22 110 5.7 651 Karthik 51 20 108 4.8 652 Vinoth 53 19 102 5

103

S.NO. NAME AGE WEIGHT HEIGHT SPL 653 Selvam 52 16 104 4.8 654 Somuraj 55 18 108 5.2 655 Dhayanandhan 57 19 114 5.3 656 Koushik 58 22 112 5.5 657 Kumar 59 21 115 5.1 658 Sasi 60 19 110 5.8 659 Deepak 54 18 106 5.7 660 Dilip 58 20 107 5.3 661 Pounraj 52 16 103 5.7 662 Selvapandiyan 51 17 102 5.6 663 Ilandhirayan 55 17 105 5.2 664 Udhaya 57 19 108 4.9 665 Tamilarasan 56 16 110 4.6 666 Mugilan 58 22 111 6.3 667 Dinesh 60 21 115 5.6 668 Pugzhal 54 18 108 6.1 669 Pannerselvam 53 19 103 5.5 670 Dhayalan 49 16 105 5.3 671 Krishna 50 18 102 5.1 672 Mugen 55 19 106 5.2 673 Mugilarasan 57 18 113 5.8 674 Kalaivanan 59 20 115 5.6 675 Kavishankar 52 19 109 5.2 676 Arumairaj 54 18 104 5.5 677 Rishikesh 56 16 108 5.1 678 Rishi 51 17 103 4.9 679 Udhith 50 13 101 5.2 680 Naresh 58 20 114 5.7 681 Murali 53 18 109 5.2 682 Praveen 49 14 101 5.4 683 William 56 16 108 5.6 684 Balu 52 17 103 5.2 685 Balamurugan 51 18 102 5.1 686 Dhanasekar 50 18 103 5 687 Dharamaraj 59 20 110 5.4 688 Gokul 52 17 111 5.5 689 Jagdhesh 51 14 104 5.9 690 Kavin 57 20 106 5.4 691 Kishore 60 22 115 6.2 692 Muralidharan 53 17 104 5.2 693 Prathap 49 16 100 5

104

S.NO. NAME AGE WEIGHT HEIGHT SPL 694 Prabhakaran 60 22 115 5.4 695 Arunprakash 70 24 110 6.2 696 Aadalarasan 68 23 106 5.5 697 Sabarish 72 24 108 6.4 698 Kesavan 71 22 119 6.4 699 Saranraj 62 17 118 5.4 700 Mohamed 65 19 107 5.9 701 Ahmed 66 20 106 5.6 702 Prabhu 69 21 116 6.1 703 Devaraj 71 22 117 5.5 704 Deva 61 17 107 5.8 705 Aadavan 68 20 109 5.4 706 Abdul wahid 63 17 104 5.2 707 Azharudin 64 18 106 5.5 708 Gopal 70 24 119 5.1 709 Jaison 61 17 107 5.7 710 Rohit 67 19 109 5.7 711 Madhavan 68 20 105 7 712 Nakul 63 22 105 5.7 713 Nithish 61 16 105 5.1 714 Ragavan 70 23 118 5.6 715 Sakthivel 62 16 106 5.7 716 Sakthikumar 65 18 109 5.4 717 Aadarsh 61 19 106 5.8 718 Aakash 63 22 105 5.7 719 Agilan 65 17 106 5.3 720 Balakrishnan 68 19 110 5.6 721 Badhrinath 64 16 107 5.6 722 Dhamodharan 72 24 110 5.3 723 Faruk 71 20 119 5.8 724 Gajendran 61 16 107 5.9 725 kannan 68 19 109 5.8 726 Ganesh 64 21 107 5.5 727 Madhav 62 20 108 6 728 Nagesh 65 16 106 6.2 729 Nagendran 67 17 110 5.8 730 Pagalavan 66 18 114 5.6 731 Radhakrishnan 66 16 118 5.9 732 Sabari 62 17 106 6.1 733 Sadhasivam 63 18 107 5.5 734 Vaasu 66 20 109 5.2

105

S.NO. NAME AGE WEIGHT HEIGHT SPL 735 Perumal 63 24 106 5.8 736 Faiyazil 61 19 105 5.6 737 Aadhikesavan 68 24 109 5.9 738 Peter 65 20 110 5.7 739 Varunesh 67 25 117 5.7 740 Kavin 69 24 120 5.3 741 Pranav 72 24 120 6.2 742 kavinesh 71 23 119 6 743 Janarthanan 70 19 120 5.9 744 Ramakrishnan 62 18 109 6.1 745 Ramkumar 64 17 110 6.8 746 Aadhvik 69 22 120 5.4 747 Sri 64 19 109 5.6 748 Thangamani 71 24 119 5.8 749 Sridhar 68 20 117 5.6 750 Parameshwaran 61 19 106 6.1 751 Ragav 63 17 108 6.5 752 Moorthy 65 19 110 6.4 753 Magesh 67 19 110 5.8 754 Navaneedhan 71 20 117 5.7 755 Kalaialagan 69 18 110 5.5 756 kavi 70 21 107 5.9 757 Pandian 72 22 120 5.7 758 Jagan 66 23 118 5.2 759 kaviarasu 68 24 109 5.8 760 Nazeer 64 21 109 5.7 761 Subramani 62 18 110 5.9 762 Sathish 63 17 105 6.2 763 Alex 66 20 109 6 764 Sivasubramanian 69 19 110 6.1 765 Shankarganesh 72 20 120 5.6 766 Amarnath 71 22 119 5.5 767 Ravikumar 68 20 118 5.7 768 Bavesh 65 19 109 5.3 769 Sampath 72 24 118 5.3 770 Selvakumar 63 20 106 5.1 771 Jithesh 66 18 108 5.6 772 Jaganadhan 69 19 117 5.9 773 Raghul 61 16 107 6.5 774 Ragupathi 64 17 106 4.9 775 Sibiraj 67 21 109 5.1

106

S.NO. NAME AGE WEIGHT HEIGHT SPL 776 Padmanapan 70 24 118 5.7 777 Daniel 64 17 110 5.2 778 Gokulraj 68 19 109 5.5 779 Mohanvignesh 71 24 120 5 780 Vadivel 71 21 119 5.9 781 Ashok 67 18 116 6.1 782 Senthilnadhan 63 18 115 5.7 783 Stalin 62 16 108 5.7 784 Murugan 66 18 109 5.8 785 Dhamu 70 24 119 5.1 786 Muthukumar 61 16 107 5.5 787 Muzamil 65 16 109 5.9 788 Devan 69 19 110 6.2 789 Kalyan 71 23 118 5.4 790 Sidharth 72 24 120 6.3 791 Silambarasan 66 20 107 5.6 792 Muthu 63 21 108 5.5 793 Karthikeyan 65 19 107 5.7 794 Nijandhan 73 22 112 5.6 795 Atharva 84 34 125 6.9 796 Thirupathi 75 24 114 6.1 797 Venkatachalam 77 27 117 6.5 798 Vinayagan 79 29 119 6.2 799 Manikandan 81 31 121 5.9 800 Venkatappan 83 29 122 5.6 801 Ravi 80 29 121 6.2 802 Raja 82 27 120 6.1 803 Sarathy 78 25 119 5.2 804 Someshwaran 76 26 117 5.7 805 Balu 74 23 114 5.4 806 Palanisamy 84 30 121 6.1 807 Sethupathy 81 33 124 6.1 808 Puviarasan 78 26 119 7.5 809 Munusamy 75 32 122 6 810 Magendran 73 22 112 5.1 811 Muniraj 76 23 113 5.2 812 Sundaram 79 33 124 5.4 813 Ragu 82 24 125 6.1 814 Arivalagan 83 27 123 7 815 Arasu 80 31 120 6.5 816 Kalai 77 26 119 4.5

107

S.NO. NAME AGE WEIGHT HEIGHT SPL 817 Vinothkumar 74 23 116 6.9 818 Thiru 75 25 115 6 819 Vivekanandhan 78 27 118 6.2 820 Varun 81 30 121 5.6 821 Aarif 84 33 125 5.7 822 George 73 25 116 5.9 823 Madhav 77 31 123 6 824 Nishanth 81 29 122 6.2 825 John 74 26 118 5.2 826 Ranbir 78 34 121 5.4 827 Rishi 82 29 123 5.7 828 Sai 75 22 115 5.9 829 Husain 79 24 119 6 830 Yogesh 83 35 125 6.3 831 James 84 31 124 5.6 832 Lokesh 80 27 120 5.7 833 Ibrahim 76 24 117 5.5 834 Henry 83 32 124 6 835 Sebastian 81 31 122 6.2 836 Loganathan 79 27 119 5.8 837 David 77 24 118 5.2 838 Abinesh 75 22 115 5.5 839 Akbar 73 22 113 6.2 840 Jonathan 76 23 115 6.4 841 Durairaj 74 28 116 6.1 842 Kuralarasan 80 31 120 5.9 843 Thiyagu 78 27 119 6.2 844 Indrakumar 82 34 122 5.8 845 Mariadoss 84 27 124 5.6 846 Premkumar 75 26 115 5.9 847 Arul 84 29 124 6.4 848 Arunkumar 83 28 122 6.1 849 Fredrick 73 24 114 6.2 850 Sangamesh 72 22 112 6 851 Nicholas 74 27 116 5.5 852 Durai 82 31 122 5.8 853 Sudalai 75 25 116 5.2 854 Kalivaradhan 81 33 123 5.5 855 Thiyagarajan 76 29 117 5.8 856 Kandhasamy 80 25 120 5.1 857 Siva 77 27 114 5.5

108

S.NO. NAME AGE WEIGHT HEIGHT SPL 858 Pragadhesh 79 32 120 5.8 859 Santhoshkumar 78 34 121 5.8 860 Jai 84 35 124 5.6 861 Arulkumar 76 25 115 5.9 862 Gowrishankar 77 32 119 6.2 863 Thaneshwaran 75 23 115 6 864 Selva 78 29 118 6.1 865 Guna 74 25 114 5.8 866 Bhuvaneshwaran 79 32 120 6.3 867 kamal 73 24 112 6.1 868 Sivakumar 80 28 120 6 869 Dharmaraj 81 32 121 5.9 870 Selvakumar 83 30 124 5.7 871 Christopher 82 33 123 5.8 872 Pragadheshwaran 84 35 125 6 873 Vimal 83 33 122 6.3 874 Nawaz 77 26 118 5.5 875 Saran 73 24 113 5.1 876 Daya 74 22 115 5.9 877 Sakthi 79 31 120 6 878 Dhasarathan 81 23 120 6.2 879 Mylesamy 82 22 123 6.1 880 Prasanthkumar 80 23 119 6.5 881 Sathyanathan 81 31 120 5.9 882 Aadhi 78 29 119 5.6 883 Vetri 76 26 117 5.2 884 Jagan 75 24 116 5.1 885 Sundar 79 28 118 5.5 886 Kiran 76 27 117 5.6 887 Sarath 78 26 119 5.8 888 Sabari 80 28 120 5.4 889 Selvaprakash 82 32 123 5.1 890 Vimalesh 84 34 125 6.4 891 Thomas 73 22 114 6.1 892 Bala 74 24 115 6.4 893 Sivamani 26 11.8 86 4.8 894 Kadhir 25 11.2 85 4.6 895 Ezhil 36 14 95 5.6 896 Prathapkumar 34 14 93.2 5.2 897 Prasad 32 12 92 5.4 898 Ravichandran 35 13.5 94 5.5

109

S.NO. NAME AGE WEIGHT HEIGHT SPL 899 Prabhu 33 13.2 92.5 5.6 900 Guru 31 14 90 5.2 901 Varadhan 30 12 89.5 5.1 902 Barathkumar 27 11.5 86 5.5 903 Mahendran 29 12 85.5 4.9 904 Boopathy 28 12 86 4.8 905 Dharmadurai 25 13 86 5.3 906 Suryakumar 28 13 90 5.1 907 Jeevanandham 31 13.5 91 5.1 908 Sam 34 14 92 4.5 909 Boopalan 32 14.5 93 3.5 910 Suryaprakash 35 13 94.5 5 911 Niyaz 36 15 95 5 912 Vetriselvan 30 14 80 5.2 913 Dilipan 33 13 93 4.7 914 Dandapani 29 12 89 5.5 915 Dharshad 27 11 87 5.1 916 Raman 28 12.2 86.5 5.8 917 krishnan 25 2 85.5 4.7 918 Arivanandham 26 12 85 4.6 919 Vimalkumar 27 12 86 4.8 920 Balasubramanian 31 13 93 5 921 Hariprasad 35 14 94 5.3 922 Vetrimaran 36 15 95 5.2 923 Ganesh 32 13 92 5.7 924 Sabarish 28 12 86 5.6 925 Kadhireasan 26 11 85 5.1 926 Sarathkumar 30 12 91.5 5.8 927 Shanmugam 34 13 95 4.8 928 Dilipkumar 25 11 82.5 5 929 Ravanan 36 14 89.5 5.3 930 Sabapathy 35 15 94.5 5.5 931 Pugzhalendhi 26 12 86 5.6 932 Parthasarathy 27 12.5 86 4.9 933 Puviarasan 34 13.5 93 5.2 934 Boominathan 33 13 94 5.3 935 Karnagaran 32 12.5 92 5.1 936 Devadas 28 12 85 4.9 937 Dev kumar 29 13 90 5 938 Dhanraj 31 13 94 5.2 939 Dinakaran 30 12 90 5.5

110

S.NO. NAME AGE WEIGHT HEIGHT SPL 940 Rafiq 34 14 92 5.7 941 Raghunath 36 14.5 94.5 5.4 942 Rahul 30 12 90 5.1 943 Rajeev 32 11 93.2 4.7 944 Rajeswaran 28 11 88.5 6 945 Tilak 26 11.5 86.5 5.9 946 Ezhilarasan 27 12 87 4.1 947 Sabhapathi 25 11 86 4.5 948 Saiprasad 29 13 89 5.3 949 Sanjeev 31 13 91 5.8 950 Vaibhav 33 14 89.5 5.4 951 Sathyan 35 15 93.5 4.8 952 Maari 26 12 87.5 4.5 953 Naren 36 15 86.5 5.2 954 Nedumaran 25 14 85 5.4 955 Nirmal 35 14 93 5.5 956 Akhil 34 12.5 93 5.7 957 Palani 27 11.5 85 5.3 958 Pavankumar 33 12 93 5.7 959 Prabhu 28 12 88 5.2 960 Pradeep 32 14 92 4.8 961 Pugal 29 12 87 4.6 962 Raghu 31 14 91 5.1 963 Rameshkumar 30 12 89 5.5 964 Prabhas 29 12 88 5.8 965 Raghuram 30 13 91 6.1 966 Raghunandan 28 12 88 4.7 967 Ramcharan 31 13 90 4.9 968 Kailash 27 11 90 5.2 969 Kamaraj 32 13 91 5.6 970 Keerthiraj 26 12 88 5.8 971 Dhuruvan 33 14 92 5.4 972 mohan 25 11 84 5.1 973 prakash 34 15 94 4.9 974 anbu 29 11.5 89 4.6 975 Aravind 35 14 94 5 976 Palani 36 15 94 5.2 977 Harish 30 12 91 5.6 978 Ramu 34 13 92 5.2 979 Nithesh 29 12 87 4.6 980 Sarathy 31 15 88 4.2

111

S.NO. NAME AGE WEIGHT HEIGHT SPL 981 Anbarasan 30 12 90 4.8 982 Kishore 25 11 85 4.9 983 Murugan 27 12 88 5 984 Parathasarathy 29 13 89 5.2 985 Rangasamy 26 11 86 4.8 986 Sathyaseelan 36 15 93 5.5 987 Perumal 35 15 92 5.3 988 Rajesh 33 14 90 5.7 989 Lakshman 34 14 92 5.8 990 Suresh 31 12 90 5 991 Mohammed 30 12 89 5.1 992 Arumugam 24 12 85 5.1 993 Afnan 22 11 82 5.2 994 Kavinesh 21 11.5 80 6.3 995 Krishnan 13 10 76 4.7 996 Hari kishore 14 10.5 75 4.9 997 Balaji 15 10.3 77 5.4 998 Vijay 17 10 78 5.3 999 Parthiban 16 10.4 75 5.5 1000 Barani 18 11 80 4.8 1001 Jeeva 23 11.5 83 5.1 1002 Sathya 20 11 82 4.9 1003 Murugesan 19 10.5 79 5.2 1004 Lokesh 24 12 85 5.2 1005 Praveen 23 11.5 80 4.7 1006 Murali 22 12 81 5.5 1007 Balamurugan 21 11 80 5.1 1008 Silambarasan 20 11 79 5 1009 Karthikeyan 13 10 76 4.8 1010 Madesh 14 10 75 4.4 1011 Dinesh 15 9.8 76 4.5 1012 Dharun 16 10 77 5 1013 Leo prince 17 10 78 4.6 1014 Mubarak 18 10 76 4.5 1015 Gowtham 19 10.5 78 4.5 1016 Senthil 24 12 84 4 1017 Paari 21 12 79 4.5 1018 Pugalendhi 18 11 80 5 1019 Dineshkumar 15 10.5 78 5.1 1020 Jeff walter 13 9.5 75 4.7 1021 Santhosh 16 10 75 4.6

112

S.NO. NAME AGE WEIGHT HEIGHT SPL 1022 Jaya kumar 22 11.5 80 5.3 1023 Kumaresh 19 10 78 4.2 1024 Dhanasekar 14 10 76 4.8 1025 Arunkumar 17 11 75 5.1 1026 Ashok 20 11.5 80 6.3 1027 Durai 23 12 84 5.1 1028 Sarvesh 24 11.5 87 4.3 1029 Suhan 13 9.5 74 4.6 1030 Mohit krishna 23 12 82 4.8 1031 Chandra kumar 14 10 77 5 1032 Krisnamoorthy 22 12 80 5.1 1033 Tirupathi 15 10 75 5.2 1034 Murugesan 21 11.5 81 4.8 1035 Muralidharan 16 11 78 4.6 1036 Pushparaj 20 12 79 5 1037 Stalin 17 11 77 4.9 1038 Dhilipan 19 11 78 5.1 1039 Chandran 18 11 80 4.7 1040 Shanmugam 13 10 76 4.5 1041 Shivakumar 15 10 75 4.2 1042 Prasanth 17 10.5 77 4.6 1043 Surya 21 11.5 81 4.9 1044 Deepak 23 12 85 4.8 1045 Kasi 19 11 80 5.2 1046 Desilva 24 12 86 5.5 1047 Kailash 22 11.5 82 5.1 1048 Manikandan 20 11 80 4.8 1049 Sivabharathi 18 11 790 4.5 1050 Yokesh 16 10 78 4.1 1051 Ramasamy 14 9.5 76 4.8 1052 Karthikeyan 15 10 75 5.1 1053 Anand 19 11 78 4.9 1054 Vinayak 23 12 83 5.2 1055 Shivam 14 10 78 4.8 1056 Sriram 18 10.5 78 5 1057 Prakash 22 11 81 4.8 1058 Mohan 16 10 79 4.6 1059 Rakesh 20 11 81 5.2 1060 Karnan 24 11.5 85 5.5 1061 Suresh 13 10 76 5.3 1062 Sarathy 17 11 77 5.1

113

S.NO. NAME AGE WEIGHT HEIGHT SPL 1063 Arasu 21 11.5 81 5 1064 Arumugam 13 10 74 4.9 1065 Muthu 23 12 83 5.2 1066 Palani 24 11.5 85 5.5 1067 Bharathi 14 10 76 4.3 1068 Selvam 15 10 77 5.8 1069 Balamurugan 22 12 81 4.7 1070 Manibharathi 16 10.5 79 4.9 1071 Sarathkumar 21 11.5 80 4.4 1072 Mithran 17 10 77 4.2 1073 Deepak 20 11 79 4.7 1074 thiruchelvam 18 11 80 4.9 1075 tamilarasan 19 11 82 5.1 1076 yuvnesh 23 12 85 5.2 1077 yokesh 24 12 87 5.1 1078 yogasabari 17 11 78 4.9 1079 thirunavukarsu 13 10 75 5.2 1080 lalithkishore 17 10 77 4.8 1081 sabarish 19 11 80 4.9 1082 krishnan 14 10 78 5 1083 sababathy 16 10 79 4.6 1084 karthik 15 10 76 4.3 1085 hariharasudhan 18 11 80 4.7 1086 aravinth 21 12 81 5.1 1087 seenivasan 23 11.5 84 5.2 1088 sanjay 20 11.5 81 4.8 1089 balaji 22 12 82 4.7 1090 mahendran 24 12 85 4.9 1091 kavibalan 3 4.6 59 4.3 1092 santhosh 1 3.5 53 3.8 1093 kannan 5 6.3 61 4.5 1094 perumal 6 6.9 65 4.5 1095 raghul 8 7.5 68 5.1 1096 narendran 4 5 62 4.3 1097 naveen 7 7 65 4.2 1098 bhuvanesh 2 4 56 3.9 1099 rajesh 3 4.7 59 3.9 1100 kumar 1 4 53 3.7 1101 manikam 9 8.6 70 4.8 1102 tamizh 6 6 65 4.2 1103 ashok 9 8.6 68 4.5

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S.NO. NAME AGE WEIGHT HEIGHT SPL 1104 kishore 10 9 70 4.2 1105 neelavarthan 5 5 64 4.1 1106 yokesh 12 10 75 4.6 1107 rajkumar 11 10.4 73 4.4 1108 muthuraja 9 8 68 4.5 1109 kannathasan 5 5.6 63 4.2 1110 kavimani 1 3.5 53 2.7 1111 sharath 2 4 56 3 1112 vivek 11 9 74 5.3 1113 annamalai 8 8.9 68 5.5 1114 govinth 2 4.1 57 3.1 1115 harikumar 3 4.6 59 3.9 1116 yugabarathi 5 6.3 62 4 1117 gokul 4 5.5 60 4.7 1118 karthikeyan 9 9.5 69 5.1 1119 manibarathi 6 6.7 63 4 1120 muniyandi 3 4.5 59 3.7 1121 pragadeesh 8 7.5 69 5.2 1122 vetrivelan 7 7.2 67 4.5 1123 venkatesh 10 8.7 69 4.9 1124 nikhil 5 5 61 4.4 1125 manikandan 11 9.4 71 5 1126 anath 2 3.8 58 3.4 1127 balaji 3 4.5 60 3.5 1128 bhatavatchelam 5 6.2 62 4.5 1129 devesh 4 5.7 58 3.3 1130 kaushal 3 4.2 57 3.4 1131 kavinesh 9 9 69 5.2 1132 vikram 8 8.5 67 4.8 1133 gowri 7 7.7 65 4.9 1134 krishnan 10 9 70 4.3 1135 lohith 11 10 72 4.2 1136 muniyandi 12 10 76 4.5 1137 manikandan 5 6 62 4.5 1138 poovarasan 6 7 64 4.3 1139 kishore 3 5 58 3.9 1140 harish 7 7.5 65 4.3 1141 mathhew 2 4.1 54 3.4 1142 rakesh 1 3.7 52 3.6 1143 sharma 1 3.5 53 3.4 1144 shanmugam 2 4 56 3.8

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S.NO. NAME AGE WEIGHT HEIGHT SPL 1145 prithivraj 3 4.5 58 4.1 1146 kavinkumar 6 6 63 4.6 1147 gopal 4 5 59 3.9 1148 manish 5 6 61 3.4 1149 ramakrishnan 3 5 61 3.7 1150 niranjan 6 6.5 65 4.2 1151 vamsikrishnan 7 7 67 4.8 1152 nishant 3 0.5 60 3.6 1153 Aravinth 5 5.5 63 3.9 1154 kumarasamy 7 6.5 66 4.1 1155 balasabapathy 8 7.5 67 4.6 1156 muthukumar 9 9.5 68 4.1 1157 rahul 4 4.5 65 3.8 1158 praveenkumar 10 9 70 4.5 1159 srikanth 8 7.5 69 4.2 1160 saravanan 11 9.5 74 4.7 1161 govinth 12 9 73 5.1 1162 kirthik 4 5 58 3.9 1163 mannikandan 5 5.5 59 3.7 1164 thejesh 2 4 52 3.5 1165 poovazagan 3 4.5 58 3.8 1166 moorthy 7 7.5 64 4.2 1167 balaganesh 8 8 68 4.6 1168 muthupandi 9 8.5 66 4.1 1169 venkatesh 7 7 62 3.8 1170 manoranjan 6 6.5 63 4.3 1171 pugazh 10 9 69 4.6 1172 srinivasan 7 7 68 4.1 1173 muthu 2 3.8 57 3.6 1174 kishore 3 4 58 3.8 1175 neelakandan 1 3.5 51 4.1 1176 charan teja 4 4.5 59 4 1177 kavimani 5 6 63 4.2 1178 harshavardhan 2 4 54 3.9 1179 kavin 4 4.5 58 4.2 1180 lohganayagan 6 6 61 4.3 1181 pavithran 4 5 59 4.1 1182 punniyamoorthi 1 3.5 51 3.9 1183 gnanaselvan 6 5.5 63 4.6 1184 ganesh 7 6.5 66 4.2 1185 shivan 5 5.5 61 3.8

116

S.NO. NAME AGE WEIGHT HEIGHT SPL 1186 balamoorthy 7 6.5 64 4.4 1187 kunal 2 4 53 3.9 1188 krishnan 6 6 65 4.2 1189 prakash 3 4.5 60 4.1 1190 B/O Lakshmi 0 2.7 47 3.8 1191 B/O Parvathi 0 3.2 50 2.5 1192 B/O Devi 0 3.5 51 3.4 1193 B/O kamatchi 0 2.6 47 3.4 1194 B/O Manimegalai 0 2.8 48 3.3 1195 B/O Angeline 0 2.9 48 3.7 1196 B/O Anushya 0 2.6 47 3.7 1197 B/O Harshini 0 3.9 51 3.1 1198 B/O Priya 0 3.5 50 3.8 1199 B/O Thenmoli 0 3.4 50 3.8 1200 B/O Bhavani 0 2.9 47 3.9 1201 B/O Anupriya 0 4 51 3.5 1202 B/O Dheepa 0 3.1 48 3.3 1203 B/O Radha 0 3.3 49 3.7 1204 B/O Padma 0 3.8 49 3.7 1205 B/O Nivetha 0 2.8 47 3.6 1206 B/O Athifa 0 2.7 48 3.4 1207 B/O Latha 0 3.9 51 4 1208 B/O Ramya devi 0 3.3 50 3.3 1209 B/O Shalini 0 3.5 50 3.2 1210 B/O Tharani 0 3.6 51 3.5 1211 B/O Ramapriya 0 2.8 47 3.5 1212 B/O Durga 0 2.9 48 3.8 1213 B/O Vaidhegi 0 2.8 48 3.6 1214 B/O Sridevi 0 3.2 51 3.8 1215 B/O Malathi 0 3.5 51 3.6 1216 B/O Ramani 0 3.4 50 3.3 1217 B/O Bhavana 0 3 49 3.7 1218 B/O Manjula 0 3.3 51 2.9 1219 B/O Prema 0 2.9 48 3.4 1220 B/O Kalaiyarasi 0 3.3 51 3.8 1221 B/O Kiruthika 0 3.5 51 3.9 1222 B/O Gayathri 0 2.9 47 3.3 1223 B/O Harini 0 2.9 47 3.6 1224 B/O Nalini 0 2.8 48 3.7 1225 B/O Kamala 0 2.7 47 3.8 1226 B/O Savithri 0 3.6 50 3.4

117

S.NO. NAME AGE WEIGHT HEIGHT SPL 1227 B/O Suganya 0 3.7 50 4 1228 B/O Vidhya 0 3.1 49 3.4 1229 B/O Sangeetha 0 3 48 3.3 1230 B/O Porkodi 0 2.9 48 3.3 1231 B/O Arulmoli 0 2.9 48 3.6 1232 B/O Parkavi 0 2.8 47 3.4 1233 B/O Amsa 0 3.2 50 3.3 1234 B/O Sheeba 0 3.2 51 4 1235 B/O Vishnupriya 0 3.5 51 3.2 1236 B/O Farhat 0 3.3 50 3.8 1237 B/O Vinitha 0 3.8 50 3.1 1238 B/O Melba 0 3.7 50 3.7 1239 B/O Sivaranjini 0 2.8 49 3.3 1240 B/O Amudha 0 2.9 48 3.4 1241 B/O Brindha 0 2.9 47 3.8 1242 B/O Subashini 0 2.8 48 3.4 1243 B/O Tamil arasi 0 3 49 3.8 1244 B/O Keerthana 0 2.9 47 2.5 1245 B/O Chithra 0 2.7 48 2.9 1246 B/O Swetha 0 3.3 51 3.5 1247 B/O Manimala 0 3.6 50 3.3 1248 B/O Aishwarya 0 3.5 49 3.1 1249 B/O Kanaga 0 2.7 47 3.7 1250 B/O Banumathi 0 3.6 51 3.5 1251 B/O Mallika 0 3.8 50 2.8 1252 B/O Jaya 0 3.9 51 3.6 1253 B/O Punitha 0 3.5 50 3.9 1254 B/O Saroja 0 3.6 51 4 1255 B/O Tamil selvi 0 3.9 49 3.2 1256 B/O Saranya 0 2.9 47 3.5 1257 B/O Bharathi 0 2.8 48 2.8 1258 B/O Sumathi 0 2.9 50 3.3 1259 B/O Radhika 0 3.1 48 3.4 1260 B/O Bama 0 2.8 47 2.9 1261 B/O Madhumitha 0 2.7 49 3.2 1262 B/O Ragavi 0 2.7 47 3.4 1263 B/O Thamarai 0 2.9 48 3.1 1264 B/O Devi 0 2.8 50 3.7 1265 B/O Yazhini 0 2.9 49 3.6 1266 B/O Iniya 0 2.8 47 3 1267 B/O Roshini 0 2.9 48 3.1

118

S.NO. NAME AGE WEIGHT HEIGHT SPL 1268 B/O Sangavi 0 3 50 3.3 1269 B/O Selvi 0 2.9 47 3.5 1270 B/O Malini 0 3.1 49 3.2 1271 B/O Manohari 0 3.5 51 3.6 1272 B/O Geetha 0 3.3 50 3.8 1273 B/O Roja 0 3.5 49 3.4 1274 B/O Pushpa 0 2.8 47 3.2 1275 B/O Abinaya 0 2.9 47 2.9 1276 B/O Kayal vizhi 0 2.9 48 2.8 1277 B/O Anandhi 0 3 50 3 1278 B/O Uma rani 0 2.9 47 3.1 1279 B/O Vasantha 0 3.2 49 3.6 1280 B/O Dheivanai 0 2.9 48 3.4 1281 B/O Monika 0 2.7 47 3.1 1282 B/O Priyadharshini 0 2.9 47 3.3 1283 B/O Sathya 0 2.7 48 3.5 1284 B/O Kanimoli 0 2.7 47 3.1 1285 B/O Gunavathi 0 2.9 49 3.4 1286 B/O Rosy 0 2.9 49 3.5 1287 B/O Jeevitha 0 3.5 51 3.1 1288 B/O Kaviya 0 3.3 50 3.7

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