Yang Bo, Ke Ying, Qiu Aixin, Wen Lijie, Xv Xiaolong, Liu Xiaoyun, Zhang Yue
Department of Urology, The Second Hospital of Dalian Medical University, Dalian, 116021, China.
Basic Clin Androl. 2024 May 6;34(1):9. doi: 10.1186/s12610-024-00224-3.
Only a few cases have been reported about active foreign body implantation in the cavernous body of the penis.
A 47-year-old man inserted two needles from the glans penis into the bilateral penile sponge body. Subsequently, two needles migrated through the penile cavernous body into the pelvic cavity. Attempts to remove the needles through the penis were unsuccessful. Eventually, after a duration exceeding one month, the displaced needles were removed in stages from the buttocks.
A few cases of intracavernosal-injection-therapy-associated needle breakage and retention have been reported globally. And this is the first case in China documenting the migration of foreign bodies within the penile region. In this condition, it is of utmost importance to engage the expertise of experienced andrologists to minimize the risk of excessive manipulation, thereby ensuring that inadvertent deep penetration of the needle into the penile tissue is prevented. In case the foreign body has migrated deeper into the tissues and the patient does not exhibit any specific symptoms or risks of macrovascular injury-related bleeding, close surveillance of its movement can be implemented. Surgical intervention can be initiated once the foreign body has reached a suitable position. Moreover, a psychiatric evaluation should be recommended for patient to discover any underlying mental health disorders.
关于阴茎海绵体内主动异物植入的报道仅有少数病例。
一名47岁男性将两根针从阴茎头插入双侧阴茎海绵体。随后，两根针经阴茎海绵体迁移至盆腔。试图经阴茎取出针未成功。最终，在超过一个月后，移位的针分阶段从臀部取出。
全球已报道了几例与海绵体内注射治疗相关的针断裂和滞留病例。这是中国首例记录阴茎区域内异物迁移的病例。在此情况下，至关重要的是聘请经验丰富的男科学家的专业知识，以尽量减少过度操作的风险，从而确保防止针意外深入阴茎组织。如果异物已迁移至更深的组织且患者未表现出任何特定症状或与大血管损伤相关出血的风险，可以对其移动进行密切监测。一旦异物到达合适位置，即可开始手术干预。此外，应建议对患者进行精神评估，以发现任何潜在的心理健康障碍。
