关键词: paraffinoma penile augmentation penile reconstruction siliconoma

Mesh : Adult Erectile Dysfunction / etiology surgery Granuloma, Foreign-Body / etiology surgery Humans Injections, Subcutaneous / adverse effects Male Oils / administration & dosage adverse effects Olive Oil / administration & dosage adverse effects Organ Size Paraffin / administration & dosage adverse effects Penile Diseases / etiology surgery Penis / anatomy & histology pathology surgery Petrolatum / administration & dosage adverse effects Reconstructive Surgical Procedures / methods Scrotum / pathology surgery Silicones / administration & dosage adverse effects Treatment Outcome Urologic Surgical Procedures, Male / methods Young Adult

来  源:   DOI:10.1111/and.13109   PDF(Sci-hub)

Abstract:
The purpose of this study was to present our series of patients with disastrous consequences of failed penile self-augmentation and suggested surgical reconstruction. Ten patients with median age of 23 years and a variety of penile and scrotal deformities due to injections of several substances had undergone successful surgical reconstruction of external genitalia. The injections were self-performed in nine cases and the patients reported from 4 to 20 substance injections throughout the penile shaft. Three patients presented with fibrotic scirrhous masses in their scrotum, although they did not report any injections in scrotal area. All patients underwent extended penile-shaft skin excision, while all palpable scrotal lesions were removed in one-by-one fashion, as an attempt to destroy the less possible scrotal tissue. All patients were discharged on first post-operative day and reassessed at 2 months post-operatively. As a result, penile self-augmentation with injected substances may cause severe complications. Our proposed single-staged procedure seems safe and effective.
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