Kirkham Cali L, Monks Stormy M, Crawford Scott B
Texas Tech University Health Sciences Center El Paso Paul L. Foster School of Medicine, El Paso, TX, USA.
Department of Emergency Medicine, Texas Tech University Health Sciences Center El Paso, 210 N. Rick Francis, El Paso, TX, 79905, USA.
Int J Emerg Med. 2019 Aug 27;12(1):22. doi: 10.1186/s12245-019-0241-z.
Subcutaneous penile modifications (SPMs) are more prevalent in Southeast Asian culture and have been growing in popularity in Western culture. SPMs are often made of domino tiles, or other available pieces of plastic, shaved into a desired shape and placed in unsterile conditions. Previous literature indicates a high risk of infection and the need for surgical removal.
Seven patients presented to the emergency department in the Southwest border region with complications from SPMs. All the patients complained of pain, four presented with signs of infection, and four SPMs required removal in the emergency department. Removal consisted of a dorsal penile nerve block and making an incision over the SPM to remove the foreign body. Three of the patients had their SPMs done during a previous incarceration under unsterile conditions.
SPMs appear to be growing in popularity among Western culture, and emergency department health care providers should be aware of trends in body modifications as well as potential complications. The conditions in which SPMs are often placed pose a high risk for infection. In some cases, placement and/or removal of SPMs pose a risk of damage to the corpora, arteries, and nerves of the penis. In the absence of overt bleeding, or suggestion of neurologic injury, dorsally placed superficial foreign bodies of the penis may be amenable to emergency department removal.
阴茎皮下改造（SPMs）在东南亚文化中更为普遍，且在西方文化中的受欢迎程度也在不断上升。SPMs通常由多米诺骨牌或其他可用的塑料片制成，削成所需形状并在非无菌条件下放置。既往文献表明感染风险高且需要手术取出。
7例患者因SPMs并发症就诊于西南边境地区的急诊科。所有患者均主诉疼痛，4例有感染迹象，4例的SPMs需要在急诊科取出。取出过程包括阴茎背神经阻滞，并在SPMs上方做切口以取出异物。其中3例患者的SPMs是在之前监禁期间于非无菌条件下进行的。
SPMs在西方文化中的受欢迎程度似乎在上升，急诊科医护人员应了解身体改造的趋势以及潜在并发症。SPMs的放置条件通常会带来较高的感染风险。在某些情况下，SPMs的放置和/或取出有损伤阴茎海绵体、动脉和神经的风险。在没有明显出血或神经损伤迹象的情况下，阴茎背侧浅表异物可在急诊科取出。
