Pehlivanov G, Kavaklieva S, Kazandjieva J, Kapnilov D, Tsankov N
Department of Dermatology and Venereology, Medical Faculty, Sofia, Bulgaria.
J Eur Acad Dermatol Venereol. 2008 Jul;22(7):845-51. doi: 10.1111/j.1468-3083.2008.02677.x. Epub 2008 Mar 19.
The practice of insertion of foreign bodies in the penis is well documented, but the clinical characteristics of penile foreign-body granuloma (FBG) and social motivation of the patients has not been studied in large groups.
The aim of this study was to evaluate the clinical and epidemiological profile of patients with penile insertion of foreign bodies and assess the significance of social motivation.
Twenty-five heterosexual male patients, who visited our clinic from 1990 to 2005, were retrospectively studied. All of them had implanted two different types of foreign bodies in their penis and had tattoos in the same area. Twenty-five male patients with genital tattoos served as clinical controls.
The age of peak incidence of patients with penile FBG was 28 years. The youngest patient was 19 years. Twenty-three (23 of 25, 92%) of the patients were from gipsy origin, and two men were of Bulgarian origin. All the patients had risky social behaviour (prisoners and beggars). The motivation of 20 (20 of 25, 80%) of the patients was to enlarge the penile size. Fifteen (15 of 25, 60%) wanted to increase the feelings of the sexual partners. The majority of the patients (23 of 25, 92%) had injection of fatty substances, and 2 (2 of 25, 8%) had undergone implantation of a plastic pellet. In 14 cases (14 of 25, 56%), the insertion of mineral oil was complicated by formation of fistulas and wide ulcers with histological features of FBG.
The reported cases represent an example of the detrimental effects of the insertion of foreign bodies in the penis. Immediate measurements should be performed to prevent severe outcomes.
阴茎内插入异物的行为已有充分记载，但阴茎异物肉芽肿（FBG）的临床特征及患者的社会动机尚未在大样本中进行研究。
本研究旨在评估阴茎插入异物患者的临床和流行病学特征，并评估社会动机的意义。
对1990年至2005年期间到我们诊所就诊的25名异性恋男性患者进行回顾性研究。他们均在阴茎内植入了两种不同类型的异物，并在同一部位有纹身。25名有生殖器纹身的男性患者作为临床对照。
阴茎FBG患者的发病高峰年龄为28岁。最年轻的患者为19岁。23名（25名中的23名，92%）患者来自吉普赛族，2名男性来自保加利亚族。所有患者都有危险的社会行为（囚犯和乞丐）。20名（25名中的20名，80%）患者的动机是增大阴茎尺寸。15名（25名中的15名，60%）患者希望增强性伴侣的感受。大多数患者（25名中的23名，92%）注射了脂肪物质，2名（25名中的2名，8%）植入了塑料颗粒。在14例（25例中的14例，56%）中，矿物油的插入并发了瘘管形成和具有FBG组织学特征的广泛溃疡。
报告的病例代表了阴茎内插入异物的有害影响的一个例子。应立即采取措施以防止严重后果。
