Sclerosing Lipogranuloma of the Penis and Scrotum

Carlson, Hjalmar E.

doi:10.1016/s0022-5347(17)62590-4

Cited by 11 publications

(9 citation statements)

References 4 publications

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“…This simple procedure is almost always performed by an untrained person without regard to sterility and usually under inadequate hygienic conditions. Accordingly, the complication rate is far from negligible and severe complications are relatively common . Since such procedures are usually illegal, the procedure and its complications are generally kept secret.…”

Section: Discussionmentioning

confidence: 99%

“…Since such procedures are usually illegal, the procedure and its complications are generally kept secret. The few available publications mainly relate to case reports, with accounts of the surgical procedures or complications .…”

Section: Discussionmentioning

confidence: 99%

“…The numerous complications include acquired phimosis, pain, inflammation of the skin, difficulties during sexual intercourse, granuloma, ulcer, skin necrosis, and gangrene. Most of the few available publications are case reports . We earlier assessed the incidence, morbidity, motivations, satisfaction rates, sexual distress, and functioning in the affected population in Hungarian prisons .…”

Section: Introductionmentioning

confidence: 99%

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Surgical Solutions for the Complications of the Vaseline Self-Injection of the Penis

Bajory

Mohos

Rosecker

et al. 2013

The Journal of Sexual Medicine

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Introduction Penile girth enhancement by the injection of Vaseline is an existing practice. Many cases develop severe complications that need surgery. Aim To report on the reconstructive surgical solutions of the complications of Vaseline self-injection and the outcomes. To develop a modification of a one-step reconstruction method involving the use of pedicled scrotal flaps. Main Outcome Measures The complications and their surgical solutions were classified as regards severity and difficulty. The outcomes were observed and a newly introduced one-step surgical method was investigated. Methods Seventy-eight consecutive patients (87.2% of them with a history of imprisonment) were divided into three groups. In group A, aesthetic penile defects or phimosis caused by the Vaseline necessitated circumcision or local excision. In group B, the whole penile skin was involved, and total skin removal and two- or (a newly modified) one-step reconstructive surgery were performed. In group C, both the whole penile skin and the scrotum were involved: complete skin removal and skin grafting or skin pedicled flap transplantation were carried out. Results In five cases in group B, postoperative skin necrosis made a second operation necessary. There was one intraoperative urethral injury, where a urethral fistula developed and a second urethral reconstruction was performed. There was no major complication with the newly developed one-stage pedicled flap procedure. At the end of the therapy, all the cases were healed. All of the patients reported successful sexual intercourse after the operations and 91% were satisfied with the result. Conclusions The complications depend mainly on the amount of Vaseline injected, the hygienic circumstances, and the personal tolerability. In the worst cases, only radical skin removal and skin transplantation can solve the problem. The newly developed one-step arterial branch-preserving scrotal skin flap reconstruction appears to be a suitable and cost-effective solution for these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical Solutions for the Complications of the Vaseline Self-Injection of the Penis

Bajory

Mohos

Rosecker

et al. 2013

The Journal of Sexual Medicine

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“…The consequences of foreign body reaction can be the acute inflammation and then after a few months chronic inflammation the fibrosis and the microcirculatory disturbances occure in the affected skin. Histologically the damage is a sclerosing lipogranuloma (Santos et al, 2003;Steffens et al, 2000;Cohen et al, 2001;Kelemen et al, 2006;Carlson, 1968;Nakamura et al, 1985;Imbert et al, 2010;Soyer et al;1988). The early reaction is that the penis swells; the skin becomes red, hot and painful.…”

Section: Vaselinementioning

confidence: 99%

“…The patients can have fever then ulcers, abscesses and fistulas may develop. After the acute symptoms complications may develop such as phimosis, urinating difficulty, scarring, chronic ulcers, skin necrosis, gangrene and erectile dysfunction (Santos et al, 2003;Carlson, 1968). The complications rarely evolve immediately, but after months or years later The self-injection of vaseline is made by the patients to emphasize their masculinity, but instead of the desired effect often complications ensue.…”

Section: Vaselinementioning

confidence: 99%