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阴茎皮下注射石蜡后阴茎石蜡瘤的微创外科治疗

Minimal surgical management of penile paraffinoma after subcutaneous penile paraffin injection.

作者信息

Dellis Athanasios E, Nastos Konstantinos, Mastorakos Demetrios, Dellaportas Dionysios, Papatsoris Athanasios, Arkoumanis Panagiotis T

机构信息

Second Department of Surgery, Aretaieion Academic Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

First Department of Urology, Laikon General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Arab J Urol. 2017 Sep 18;15(4):387-390. doi: 10.1016/j.aju.2017.08.003. eCollection 2017 Dec.

DOI:10.1016/j.aju.2017.08.003
PMID:29234545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5717453/
Abstract

OBJECTIVES

To describe our reconstructive technique, without flap or graft use, after penile self-augmentation with injected substances, such as paraffin, which are still performed with unfortunate consequences.

PATIENT AND METHODS

Successful single-stage minimal surgical management of an already twice unsuccessfully managed ulcerative penile paraffinoma in a 38-year-old Greek man.

RESULTS

The patient was discharged with no postoperative complications, with a five-item version of the International Index of Erectile Function score of 23/25 (i.e. normal erectile function) and flaccid penile length of 5 cm.

CONCLUSIONS

Penile paraffinoma is a serious complication that can be successfully managed with a single-stage minimal surgical procedure, with normal aesthetic and functional results.

摘要

目的

描述我们在阴茎因注射石蜡等物质进行自体增大后(此类操作仍会导致不良后果),不使用皮瓣或移植物的重建技术。

患者与方法

对一名38岁希腊男性已两次治疗失败的溃疡性阴茎石蜡瘤成功进行单阶段微创外科治疗。

结果

患者出院时无术后并发症,国际勃起功能指数五项版本评分为23/25(即勃起功能正常),疲软阴茎长度为5厘米。

结论

阴茎石蜡瘤是一种严重并发症,可通过单阶段微创外科手术成功治疗,获得正常的美学和功能效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba93/5717453/9bbbf7ad1825/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba93/5717453/9cca1f5553fc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba93/5717453/8f7ff744024c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba93/5717453/9bbbf7ad1825/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba93/5717453/9cca1f5553fc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba93/5717453/8f7ff744024c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba93/5717453/9bbbf7ad1825/gr3.jpg

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本文引用的文献

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Ann Plast Surg. 2014 Dec;73(6):692-5. doi: 10.1097/SAP.0b013e31828637d3.
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Penile paraffinoma.阴茎石蜡瘤
阴茎石蜡瘤重建手术中的阴茎皮肤保存技术。
Investig Clin Urol. 2019 Mar;60(2):133-137. doi: 10.4111/icu.2019.60.2.133. Epub 2019 Jan 25.
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Mineral Oil-induced Sclerosing Lipogranuloma of the Penis.矿物油诱导的阴茎硬化性脂膜炎
J Clin Aesthet Dermatol. 2010 Sep;3(9):41-4.
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Augmentation Phalloplasty Patient Selection and Satisfaction Inventory: a novel questionnaire to evaluate patients considered for augmentation phalloplasty surgery because of penile dysmorphophobia.阴茎增大成形术患者选择与满意度量表:一种用于评估因阴茎畸形恐惧症而考虑接受阴茎增大成形术的患者的新型问卷。
Urology. 2007 Aug;70(2):221-6. doi: 10.1016/j.urology.2007.03.053.
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Paraffinoma and ulcer of the external genitalia after self-injection of vaseline.自行注射凡士林后发生的外生殖器石蜡瘤及溃疡
J Sex Med. 2006 Jan;3(1):170-2. doi: 10.1111/j.1743-6109.2005.00096.x.
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A new technique for augmentation phalloplasty: albugineal surgery with bilateral saphenous grafts--three years of experience.一种阴茎增大成形术的新技术:白膜手术联合双侧隐静脉移植——三年经验
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