The surgical management of penile oleogranuloma: case series
Suleiman M. Mustafa A. Ainayev Y. Urazova S. Garkalov K. Muldayeva G. Mustafin A. Turebayev D. Zhanbyrbekuly U. Gudeloglu A.
August 2024Springer Nature
International Journal of Impotence Research
2024#36Issue 5509 - 514 pp.
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.
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Department of Urology and Andrology, Astana Medical University, Astana, Kazakhstan
Department of Biomedical Sciences, Nazarbayev School of Medicine, Nazarbayev University, Astana, Kazakhstan
Department of General Medical Practice No. 3, Astana Medical University, Astana, Kazakhstan
Department Family Medicine, Medical University of Karaganda, Karaganda, Kazakhstan
Department of ENT Diseases, Astana Medical University, Astana, Kazakhstan
Department of Surgery with an Angiosurgery and Plastic Surgery Course, Astana Medical University, Astana, Kazakhstan
Faculty of Medicine, Urology, Hacettepe University, Ankara, Turkey
Department of Urology and Andrology
Department of Biomedical Sciences
Department of General Medical Practice No. 3
Department Family Medicine
Department of ENT Diseases
Department of Surgery with an Angiosurgery and Plastic Surgery Course
Faculty of Medicine
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