Sukop A, Heracek J, Mestak O, Borský J, Bayer J, Schwarzmannová K
Acta Chir Plast. 2013;55(2):31-3.
Complications resulting from enlargement of the penis by applications of unknown types of silicone and mineral oils are well described. Surgical removal of the tissue altered by inflammation leads to the development of defects of various sizes, often circular from the glans penis to the scrotum. The options of subsequent surgical treatment described in literature are not very extensive. Most defects are managed with skin grafting, rarely V-Y advancement or bilateral scrotal flaps.
We present a 36-year-old patient after application of unknown silicone material into the penis for cosmetic enlargement. After the application developed severe inflammation with ulceration and necrosis around the penis. Conservative treatment was not effective, therefore, the infiltrated skin with subcutaneous tissue of the entire penis was surgically removed. The resulting defect was covered by implantation of the penis under the skin of the scrotum.
There were no complications in the postoperative course, pain that was present before the surgery immediately subsided. Skin suture healed completely within 14 days. Three months after the surgery the patient returned to normal sexual life.
Implantation of the penis under the skin of the scrotum is a fast, safe and effective method that can treat most of the circular skin defects of the penis. Scrotal skin is thin, soft, elastic and creates abundant and good cover around the entire penis.
应用不明类型的硅酮和矿物油增大阴茎所导致的并发症已有详尽描述。手术切除因炎症而改变的组织会导致出现各种大小的缺损，通常从阴茎头到阴囊呈圆形。文献中描述的后续手术治疗选择并不多。大多数缺损采用植皮治疗，很少采用V - Y推进术或双侧阴囊皮瓣。
我们报告一名36岁患者，其为了美观增大阴茎而应用了不明硅酮材料。应用后阴茎周围出现严重炎症并伴有溃疡和坏死。保守治疗无效，因此，手术切除了整个阴茎的浸润皮肤及皮下组织。通过将阴茎植入阴囊皮下覆盖由此产生的缺损。
术后过程无并发症，术前存在的疼痛立即缓解。皮肤缝线在14天内完全愈合。术后三个月患者恢复正常性生活。
将阴茎植入阴囊皮下是一种快速、安全且有效的方法，可治疗大多数阴茎圆形皮肤缺损。阴囊皮肤薄、软、有弹性，能在整个阴茎周围形成丰富且良好的覆盖。
