Inn Fam Xeng, Imran Farrah-Hani, Ali Mohd Faizal, Ih Rizuana, Z Zulkifli
Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
Malays J Med Sci. 2012 Oct;19(4):81-3.
Throughout history, a proportion of men appear to correlate penis size and dimensions directly with physical fitness and sexual prowess. Foreign materials, such as paraffin oil, paraffin balm, mineral oils, and silicone, have been used to promise an improvement in penile shaft contour and dimensions. These materials are injected directly into the penis; inducing granuloma formation to achieve increased penis length and girth. However, the result is a severely disfigured and swollen penis, which cannot achieve erection. Local complications of penile lipogranuloma include infection, ulceration, local migration, and cavernosal invasion; leading to functional impairment. Meanwhile, systemic complications include foreign body embolization, organ infarct, and death. Penile lipogranuloma is best treated surgically. Granulomatous skin needs to be completely excised; wound closure with a scrotal skin flap, Cecil's inlay operation and split thickness skin graft commonly used options. Our case series has shown that penile lipogranuloma, induced by subcutaneous foreign body injections into the penile shaft, and its subsequent adverse outcomes to patients and their partners.
纵观历史，一部分男性似乎将阴茎的大小和尺寸直接与身体健康和性能力联系起来。诸如石蜡油、石蜡膏、矿物油和硅胶等异物被用于承诺改善阴茎杆的外形和尺寸。这些材料被直接注入阴茎；引发肉芽肿形成以实现阴茎长度和周长的增加。然而，结果是阴茎严重变形和肿胀，无法勃起。阴茎脂肪肉芽肿的局部并发症包括感染、溃疡、局部迁移和海绵体侵犯；导致功能障碍。同时，全身并发症包括异物栓塞、器官梗死和死亡。阴茎脂肪肉芽肿最好通过手术治疗。肉芽肿性皮肤需要完全切除；常用阴囊皮瓣、塞西尔镶嵌手术和中厚皮片移植进行伤口闭合。我们的病例系列表明，阴茎杆皮下异物注射所致的阴茎脂肪肉芽肿及其对患者及其伴侣随后产生的不良后果。
