Simanov R N, Malyshev E V, Smirnova D V
Petrozavodsk State University.
Petrozavodsk, Republic of Karelia, Russia.
Urologiia. 2024 May(2):60-64.
Sclerosing oleogranuloma of the penis is a rare benign condition characterized by the formation of rough and dense infiltrates in the male genital area following injection of foreign materials under the skin for the purpose of augmentation. It predominantly affects males of reproductive age. Diagnosis is based on patients history, examination and histological findings. Treatment involves excision of the granuloma and affected tissues with surgical margins followed by reconstruction of the penis and scrotum. A clinical case of the treatment of giant oleogranuloma of the penis and scrotum in a 21-year-old man clinically manifested by painful multiple lesions under the skin with ulceration along the coronal sulcus, pain, deterioration of the quality of life and cosmetic issues is presented in the article. For surgical treatment, the one-stage Sapozhkov-Reich procedure was performed for the first time at the urology department of the Republican Hospital named after V.A. Baranov, Petrozavodsk. Keywords: sclerosing lipogranuloma of the penis, sclerosing lipogranuloma of the scrotum, penis augmentation, injections into the penis, vaselinome, one-stage Sapozhkov-Reich procedure Author contributions. Simanov R.N. - idea, concept and design of writing the article, literature review, collection and processing of information and materials, description of a clinical case, analysis of patient carts, surgical treatment, writing text and preparing illustrative materials for publication; 60% of the work. Malyshev E.V. - surgical treatment, collection and processing of information, description of a clinical case; 20% of the work. Smirnova D.V. - collection and processing of clinical data, assistance in writing an article, preparation of a description of histological examination and micropreparations, creation of microphotographs, preparation of illustrative materials for publication; 20% of the work.
阴茎硬化性油肉芽肿是一种罕见的良性疾病，其特征是为了增大阴茎而在皮下注射异物后，男性生殖器区域形成粗糙且致密的浸润。它主要影响育龄男性。诊断基于患者病史、体格检查和组织学检查结果。治疗包括切除肉芽肿及受累组织并确保手术切缘，随后进行阴茎和阴囊重建。本文介绍了一名21岁男性阴茎和阴囊巨大油肉芽肿的临床病例，临床表现为皮肤下多个疼痛性病变，冠状沟处有溃疡，伴有疼痛、生活质量下降和外观问题。在以V.A.巴拉诺夫命名的彼尔姆边疆区共和医院泌尿外科，首次采用一期萨波日科夫 - 赖希手术进行手术治疗。关键词：阴茎硬化性脂肪肉芽肿、阴囊硬化性脂肪肉芽肿、阴茎增大、阴茎注射、凡士林瘤、一期萨波日科夫 - 赖希手术 作者贡献。西马诺夫R.N. - 文章撰写的构思、概念和设计，文献综述，信息和材料的收集与处理，临床病例描述，患者病历分析，手术治疗，撰写文本并准备发表用的说明材料；工作的60%。马雷舍夫E.V. - 手术治疗，信息收集与处理，临床病例描述；工作的20%。斯米尔诺娃D.V. - 临床数据收集与处理，协助撰写文章，准备组织学检查和显微标本描述，制作显微照片，准备发表用的说明材料；工作的20%。
