Akkus Emre, Iscimen Aydin, Tasli Levent, Hattat Halim
Department of Urology, Cerrahpasa School of Medicine, Cerrahpasa, Istanbul, Turkey.
J Sex Med. 2006 Jan;3(1):170-2. doi: 10.1111/j.1743-6109.2005.00096.x.
We present a 42-year-old circumcised man with a 10-cm firm, irregular penile mass associated with multiple penile ulcers, voiding difficulty, and erectile dysfunction. He reluctantly admitted that 8 months previously, he had multiple mineral-oil (vaseline) self-injections to the penis, for penile enlargement purposes. Histopathological examination revealed the condition was consistent with mineral-oil granuloma (paraffinoma). The patient did not accept surgical intervention; therefore, we performed local therapy (intralesional triamcinolone) and hot-water baths. Paraffinoma results from mineral-oil injections. Such injections are rare; however, they are still being performed in some countries in Eastern Europe and the Far East such as Korea. Increased physician and public awareness are needed for prevention and treatment of complications of this physically and psychologically debilitating and destructive problem.
我们报告一名42岁的包皮环切男性，其阴茎有一个10厘米大小、质地坚硬、形状不规则的肿物，伴有多处阴茎溃疡、排尿困难和勃起功能障碍。他勉强承认8个月前，为了增大阴茎，他曾多次自行向阴茎注射矿物油（凡士林）。组织病理学检查显示该病症符合矿物油肉芽肿（石蜡瘤）。患者不接受手术干预；因此，我们进行了局部治疗（病灶内注射曲安奈德）和热水浴。石蜡瘤是由矿物油注射引起的。这种注射很少见；然而，在东欧和远东的一些国家如韩国仍有人进行。对于预防和治疗这个在身体和心理上使人衰弱且具有破坏性问题的并发症，需要提高医生和公众的认识。
