Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n° 1, 71122, Foggia, Italy.
BMC Urol. 2013 Dec 1;13:66. doi: 10.1186/1471-2490-13-66.
Penile self-injection of various oils is still carried out among Eastern Europe people for penile girth augmentation despite the potential destructive complications of this practice are well known. Penile reactions to such foreign bodies include scarring, abscess formation, ulceration, and even Fournier's gangrene; voiding problems due to mineral oil self-injection have been reported only once. To our knowledge, we describe the first case of paraffin self-injection for penile girth augmentation presenting with acute urinary retention.
A 27-year-old Romanian man presented with severe penile pain and acute urinary retention five years after having practiced repeated penile self-injections of paraffin for penile girth augmentation. The penile shaft was massively enlarged, fibrotic and phymotic; urethral catheterization failed due to severe stricture of the proximal pendulum urethra. The patients refused placement of a suprapubic catheter and underwent immediate penile surgical exploration. The scarred tissue between dartos and Buck's fascia and a fibrotic ring occluding the urethra were removed and the penile skin reconstructed. Pathology confirmed the diagnosis of paraffinoma. The patient resumed normal voiding immediately after catheter removal on second postoperative day; he was very pleased with cosmetic, sexual and voiding results at six weeks, six months and 1 year follow-up.
The present report describes a novel complication of penile self-injection for penile girth augmentation. Because of the increasing number of patients seeking penile augmentation, physicians dealing with sexual medicine should pay more attention to such request to prevent the use of non medical treatments that can turn into medical disasters.
尽管这种做法的潜在破坏性并发症众所周知，但东欧人仍在进行各种油类的阴茎自我注射，以增加阴茎周长。这种异物会引起阴茎反应，包括疤痕、脓肿形成、溃疡，甚至 Fournier 坏疽；仅报道过一次因矿物油自我注射导致的排尿问题。据我们所知，我们描述了首例因阴茎周长增大而进行石蜡自我注射导致急性尿潴留的病例。
一名 27 岁的罗马尼亚男子因反复进行阴茎自我注射石蜡以增加阴茎周长，五年后出现严重的阴茎疼痛和急性尿潴留。阴茎干明显增大，纤维化和纤维性；由于近端悬垂尿道严重狭窄，导尿管插入失败。患者拒绝放置耻骨上导管，并立即进行阴茎手术探查。去除了在 Dartos 和 Buck's 筋膜之间的疤痕组织和阻塞尿道的纤维环，并重建了阴茎皮肤。病理检查证实了石蜡瘤的诊断。患者在第二次术后第二天拔除导尿管后立即恢复正常排尿；他在六周、六个月和一年随访时对美容、性生活和排尿结果非常满意。
本报告描述了一种用于阴茎周长增大的阴茎自我注射的新并发症。由于寻求阴茎增大的患者数量不断增加，处理性医学的医生应更加关注此类要求，以防止使用可能变成医疗灾难的非医疗治疗方法。
