Cutaneous Hemangioma of the Penis Successfully Treated with Sclerotherapy and Ligation

Abstract

A cutaneous hemangioma of the penis extending from the proximal portion of the glans to the prepuce of an 18-year-old man was successfully treated by sclerotherapy with polidocanol and interrupted ligation of the hemangioma.

An unusual cause of paraphimosis: hemangioma of the glans penis

“…It is difficult to distinguish a hemangioma from spongiosum tissue. There is still controversy about whether penile hemangiomas are true neoplasms or result from the herniation of the corpus spongiosum or from vascularization caused by a hematoma or thrombus [7][8][9][10]. It is generally considered that penile hemangiomas are mulberry-sized, purple, elevated, compressible lesions that are often associated with a defect in the underlying tunica albuginea.…”

Sclerotherapy for Penile Venous Malformations

“…Nd:YAG laser treatment has been reported to be effective and safe; however, it is associated with a high risk of scarring and a high incidence of recurrence 10,11 . Sclerotherapy has recently been reported as a good option in the treatment of vascular malformations and has provided excellent aesthetic and functional results even for lesions situated on the glans 4–7 . Direct intralesional injection of a sclerosing agent makes it possible to obliterate blood vessels by local endothelial destruction, with sludging of red blood cells and subsequent thrombosis, eventually leading to intimal fibrosis.…”

“…10,11 Sclerotherapy has recently been reported as a good option in the treatment of vascular malformations and has provided excellent aesthetic and functional results even for lesions situated on the glans. [4][5][6][7] Direct intralesional injection of a sclerosing agent makes it possible to obliterate blood vessels by local endothelial destruction, with sludging of red blood cells and subsequent thrombosis, eventually leading to intimal fibrosis. In compliant patients, it can be safely performed under local anesthesia on an outpatient basis, as in the case reported here.…”

“…Although they are usually small in size and of little clinical importance, they may give rise to psychological discomfort and occasionally require emergency surgery if traumatized 1–3 . Therapeutic options include surgery, electrofulguration, cryotherapy, and recently laser treatment and sclerotherapy 4–7 . Sclerotherapy seems to be effective and economical, with fewer risks than other treatments; although being new, it has been used in a relatively small number of cases and never in dermatology 4–7 .…”

“…[1][2][3] Therapeutic options include surgery, electrofulguration, cryotherapy, and recently laser treatment and sclerotherapy. [4][5][6][7] Sclerotherapy seems to be effective and economical, with fewer risks than other treatments; although being new, it has been used in a relatively small number of cases and never in dermatology. [4][5][6][7] We report a recent case of large vascular malformation of the glans treated by sclerotherapy.…”