Department of Radiology, Cairo University, Giza, Egypt.
Department of Radiology, Farwaniya Hospital, Al Farwaniyah, Kuwait.
Abdom Radiol (NY). 2021 Apr;46(4):1703-1717. doi: 10.1007/s00261-020-02788-w. Epub 2020 Oct 10.
Despite the extensive controversy and debate of penile girth augmentation, high demands for such procedures are increasing. Penile inflammation is not common sequel after penile filler augmentation, but when it occurs, it has serious complications that sometimes necessitate emergency surgical intervention. Imaging with a variety of modalities, including ultrasonography, magnetic resonance imaging, and ascending urethrogrphy plays a paramount role in the detection and assessment of these conditions. Inflammatory conditions after penile girth augmentation using injectable fillers are ranging from local granuloma to penile abscess formation or diffuse cellulitis that may extend to the scrotum, perineum or deep pelvic organs. Rapid diagnosis and evaluation of extensions are important to avoid associated morbidity and permanent deformity. Our purpose is to provide a practical review of relevant penile anatomy, imaging appearance and injection technique of different types of subcutaneous fillers used in penile girth augmentation, and inflammatory complications that may occur after these procedures. Brief descriptions of patient clinical information and imaging features of inflammatory complications will be included and correlated in actual cases.
尽管阴茎周长增大术存在广泛的争议和争论，但对此类手术的高需求仍在不断增加。阴茎炎症在阴茎填充物增大后并不常见，但当发生时，会产生严重的并发症，有时需要紧急手术干预。各种成像方式，包括超声、磁共振成像和上行尿道造影，在这些情况的检测和评估中发挥着至关重要的作用。使用注射填充物进行阴茎周长增大后的炎症情况从局部肉芽肿到阴茎脓肿形成或弥漫性蜂窝织炎不等，可能会扩展到阴囊、会阴或盆腔深部器官。快速诊断和评估扩展情况对于避免相关发病率和永久性畸形非常重要。我们的目的是提供一个实用的综述，介绍与阴茎周长增大术相关的阴茎解剖结构、不同类型皮下填充物的影像学表现和注射技术，以及这些手术可能发生的炎症并发症。我们将包括并在实际病例中对患者的临床信息和炎症并发症的影像学特征进行简要描述。
