Neurorehabilitation Unit, IRCCS Centro Neurolesi Bonino-Pulejo, S.S. 113 Via Palermo, Cda Casazza, 98124, Messina, Italy.
Arch Sex Behav. 2012 Jun;41(3):737-9. doi: 10.1007/s10508-011-9812-7. Epub 2011 Jul 27.
Chronic penile lymphedema arises from the abnormal retention of lymphatic fluid in the subcutaneous tissues and may be secondary to local and systemic medical conditions such as sexually transmitted diseases, filariasis, malignancy, local radiotherapy, and surgery. This case report aims to consider compulsive masturbation as a possible cause of chronic penile edema. A 40-year-old man was referred to our institute for behavioral disturbance, including compulsive masturbation. Neuropsychiatric evaluation showed moderate mental retardation, mild dysarthria and limb incoordination, anxiety, depressed mood, and impulse dyscontrol. Brain MRI pointed out diffuse white matter lesions. Urogenital examination revealed an uncircumcised penis with non-tender edema of the shaft and prepuce with areas of lichenification. Since the most common local and systemic causes of edema were excluded, chronic penile edema due to compulsive masturbation was diagnosed and the compulsive behavior treated with an antidepressant and low-dose neuroleptics. Compulsive masturbation should be taken into account when counselling patients with penile edema.
慢性阴茎淋巴水肿是由于淋巴液在皮下组织中异常潴留引起的，可能继发于局部和全身疾病，如性传播疾病、丝虫病、恶性肿瘤、局部放疗和手术。本病例报告旨在探讨强迫性自慰可能是导致慢性阴茎水肿的原因之一。一名 40 岁男子因行为障碍（包括强迫性自慰）被转介至我院。神经精神评估显示中度智力迟钝、轻度构音障碍和肢体不协调、焦虑、抑郁情绪和冲动控制障碍。脑 MRI 提示弥漫性白质病变。泌尿生殖检查显示未行包皮环切术的阴茎，伴有阴茎干和包皮非触痛性水肿，并有苔藓样变区域。由于排除了最常见的局部和全身水肿原因，诊断为慢性阴茎水肿继发于强迫性自慰，并采用抗抑郁药和低剂量神经阻滞剂治疗强迫性行为。在为阴茎水肿患者提供咨询时，应考虑到强迫性自慰的因素。
