Penile Girth Injection Complications: A Case Report

Bryce, Alden Baird; Robertson, Nick; Gregory, Adam

doi:10.1016/j.esxm.2021.100445

Cited by 5 publications

(3 citation statements)

References 9 publications

(10 reference statements)

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“…Інфікування при ін'єкціях ГК в м'які тканини пеніса низька, оскільки спостерігається у 1,5 % пацієнтів [42]. У дослідженні [43] інфекційний процес розвивався лише у двох пацієнтів, причому обидва пацієнти були хворі на цукровий діабет і мали статевий акт через 1-2 місяці після операції.…”

Section: ускладнення після ін'єкцій гіалуроновою кислотоюunclassified

“…та ін. [45], такі ускладнення, як підшкірні вузлики та інфекції, частіше зустрічалися у дослідженнях [43]. У дослідженні Kim J.J. et al [38], початкову та додаткову ін'єкції ГК через 2 тижні робили через канюляцію з розмірами 27G та 30G відповідно, залежно від використовуваного гелю ГК.…”

Section: ускладнення після ін'єкцій гіалуроновою кислотоюunclassified

“…Крім того, ін'єкцію гелю ГК проводили в головку статевого члена без накладання швів. За даними [43] показано, що ін'єкція кореня пеніса за допомогою канюлі 18G забезпечує легкість рівномірного розподілу ГК. Однак недоліком є те, що у деяких пацієнтів місця ін'єкцій не загоюються спонтанно, а це може бути місцем інфікування флорою лобкового волосся за відсутності підготовки шкіри.…”

Section: ускладнення після ін'єкцій гіалуроновою кислотоюunclassified

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Complications After Penis Enhancement With Hyaluronic Acid: A Literature Review

Lytvak,

Shaprynskyi,

Markova

et al. 2023

EUMJ

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Introduction. The penis is a symbol of the primal sense of male fertility and sexual activity, which affects the sense of male personality and the ability to satisfy a partner. Some patients experience discomfort, even if their penis is within the normal size range from an anatomical point of view. The reason for the spread of penis enlargement procedures is related to the feeling of masculinity that the appearance of the genitals can give a man, as well as a changed perception of his body. Penis enlargement procedures are becoming more and more common among men who seek to achieve a more desirable aesthetic of their male organ. In addition, penis enlargement methods remain a controversial issue, as they do not have clear indications and can cause complications. Materials and methods. This study reviewed the literature on complications after penile enhancement with hyaluronic acid (HA). To achieve this goal, we conducted a systematic search for scientific medical information in English-language databases such as MEDLINE, Embase, AMED (Allied and Complementary Medicine), and HMIC (Health Management Information Consortium). We analyzed all articles that met the specified search parameters. In addition, we manually searched for relevant references in the found texts. Results. The use of HA injections for penis enlargement in men shows a low rate of complications both in the early- and long-term period after the procedure. In a small percentage of patients, early and expected side effects included swelling, bruising, subcutaneous nodules, and infections. In this work, radical ways of their correction are proposed for all types of complications, which makes the use of HA safe and effective for penis enlargement. Conclusions. Nowadays, there is a lack of high-level evidence-based information on complications after HA injections. Due to the growing demand for these procedures, the issue of their safety is relevant. According to the available statistics, the overall incidence of complications after HA injections is spontaneous without further side effects. If complications are detected, the prognosis after treatment is satisfactory. As a result, there are no standardized surgical protocols and recommendations for penile enhancement with hyaluronic acid in the world.

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Section: ускладнення після ін'єкцій гіалуроновою кислотоюunclassified

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Complications After Penis Enhancement With Hyaluronic Acid: A Literature Review

Lytvak,

Shaprynskyi,

Markova

et al. 2023

EUMJ

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Hyaluronic acid

2022

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Complications and outcomes following injection of foreign material into the male external genitalia for augmentation: a single-centre experience and systematic review

et al. 2023

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Injection of exogenous material into the penis and scrotum has been performed for augmentation purposes. Complications include cosmetic dissatisfaction, penile necrosis and lymphoedema. We report the complications and outcomes from a single centre with an updated systematic review of the literature. A retrospective review of all cases presenting with foreign substance injection into the genitalia, over a 10-year period was performed. Thirty-five patients with a mean (standard deviation (SD); range) age of 36.9 (±9.1; 22–61) years at presentation were included. The mean (SD; range) time between injection and presentation was 7.8 (±5.8; 1 day–20 years) years. The most common injected substance was silicone (n = 16, 45.7%) and liquid paraffin (n = 8, 22.9%). The penile shaft (94.3%) was the most injected site. The most common presentations were cosmetic dissatisfaction (57.1%) and pain and/or swelling (45.7%). Surgery was required in 32 (91.4%) cases. Primary procedures included local excision and primary closure (n = 19, 59.4%), circumcision (n = 5, 15.6%), excision with a split skin graft or a scrotal flap reconstruction (n = 5, 15.6%). Three (8.6%) patients presented with necrosis and required acute debridement. Overall, 18 patients had more than 1 procedure, and 8 patients required 3 or more procedures. A systematic search of the literature identified 887 articles of which 68 studies were included for analysis. The most common substance injected was paraffin (47.7%), followed by silicone (15.8%). The majority of patients (77.9%) presented with pain, swelling or penile deformity. 78.8% of the patients underwent surgical treatment, which included excision and primary closure with or without the use of skin grafts (85.1% of all procedures), the use of flaps (12.3%) and penile amputation (n = 2). Complications of foreign body injection into the male genitalia can be serious resulting in necrosis and autoamputation. Surgical intervention is often required to excise abnormal tissue to manage pain and improve cosmesis.

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Penile Girth Injection Complications: A Case Report

Cited by 5 publications

References 9 publications

Complications After Penis Enhancement With Hyaluronic Acid: A Literature Review

Complications After Penis Enhancement With Hyaluronic Acid: A Literature Review

Hyaluronic acid

Complications and outcomes following injection of foreign material into the male external genitalia for augmentation: a single-centre experience and systematic review

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