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Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(4):702-709.
Published online June 1, 1998.
Clinical analysis for cases of penile foreign body injection and its treatmetn with skin graft.
No authors listed
Abstract
There are many documented case failures of penile enlargement due to illegal medical practitioner injecting foreign bodies as main source of augmentation materials. The most common foreign body materials used for penile augmentation are paraffin, silicone, and vaseline. The foreign bodies such as paraffin, silicone, and vaseline are insoluble, non-stimulated, and non-metabolizable materials. Because of their physical characteristics, it is quite common for illegal medical practitioner to utilize these materials as main source of augmentation materials. However, there are many side effects involved with these materials. The side effects are tissue inflammation, necrosis, granuloma formation, hypersensitivity reaction, embolism, deformity, and carcinoma. Furthermore, if these materials are injected in gross amount, a pressure necrosis could occur. Such like foreign bodies can scar the tissue for life and metastasize to other parts of the body such as mons pubis, inguinal area, and scrotum. Foreign bodies that have been embedded for long period of time can penetrate even deeper into the tissue, metastasize even further region, evolved to grannuloma, and occasionally, invades the lymph nodes and evolved to malignant tumor. The most ideal treatment is to extract injected foreign materials and excise involved tissue at the earliest recognition of symptoms.We applied medium and full thickness skin graft and tie-over dressing on the denuded penis after complete excision of foreign body and granulomatous tissue. Following are the results of our study. 1) Study results revealed highest incidences among 3rd and 4th decades, and incidence among second decade is on the rise. 2) Most common symptoms are foreign body sensation, pruritus, skin necrosis, secondary infection, and dysuria. 3) Foreign materials that have been embedded for long duration can penetrate even deeper into the tissue and metastasize even further region. 4) Obtained functional and aesthetic results with skin graft after removal of foreign materials and involved tissue.
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