The surgical management of penile oleogranuloma: case series.

Autor: Suleiman M; Department of Urology and Andrology, Astana Medical University, Astana, Kazakhstan. makhmudsuleiman@gmail.com., Mustafa A; Department of Biomedical Sciences, Nazarbayev School of Medicine, Nazarbayev University, Astana, Kazakhstan., Ainayev Y; Department of Urology and Andrology, Astana Medical University, Astana, Kazakhstan., Urazova S; Department of General Medical Practice No. 3, Astana Medical University, Astana, Kazakhstan., Garkalov K; Department of General Medical Practice No. 3, Astana Medical University, Astana, Kazakhstan., Muldayeva G; Department Family Medicine, Medical University of Karaganda, Karaganda, Kazakhstan., Mustafin A; Department of ENT Diseases, Astana Medical University, Astana, Kazakhstan., Turebayev D; Department of Surgery with an Angiosurgery and Plastic Surgery Course, Astana Medical University, Astana, Kazakhstan., Zhanbyrbekuly U; Department of Urology and Andrology, Astana Medical University, Astana, Kazakhstan., Gudeloglu A; Faculty of Medicine, Urology, Hacettepe University, Ankara, Turkey.
Jazyk: angličtina
Zdroj: International journal of impotence research [Int J Impot Res] 2024 Aug; Vol. 36 (5), pp. 509-514. Date of Electronic Publication: 2023 Oct 14.
DOI: 10.1038/s41443-023-00779-1
Abstrakt: Oleogranuloma of the penis is a complex set of pathological processes caused by the injection of a foreign substance (gel, balls, rods, etc.) into the penis with the purpose of penile augmentation. In this case series, we investigated a variety of clinical presentations of oleogranuloma and described our experience in managing the complications. We analyzed data on 18 patients with penile self-injections admitted to the hospitals of Astana City, Kazakhstan, during an 11-year period. The mean age of patients at admittance was 37.4 ± 6.4 years. The most common substance of injection was Vaseline (n = 16, 88.9%). The mean interval between the time of injection and the first presentation to the hospital was 10.8 ± 6.5 years. Complications included necrosis (n = 13, 72.2%), pain or swelling (n = 6, 33.3%) and cosmetic dissatisfaction (n = 5, 27.8%). All patients received surgical treatment (n = 18, 100%): simple excision with primary closure was performed for one-half of the patients (n = 9, 50%), while another half of patients underwent the two-stage scrotum skin flap surgery (n = 9, 50%). The findings of this study should raise the awareness about the diverse clinical presentations of penile self-injections among physicians for early diagnosis and timely management.
(© 2023. The Author(s), under exclusive licence to Springer Nature Limited.)
Databáze: MEDLINE
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