Osama Shaeer1, Kamal Shaeer. 1. Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Egypt. dr.osama@alrijal.com
Abstract
INTRODUCTION: Penile girth augmentation is a domain of extensive controversy and debate. A variety of methods is available for the choice of the surgeon including dermal-fat grafts and flaps. The need for a simple procedure with minimal donor site has lead to proposing injection therapy for penile augmentation, whether by fat or synthetic materials. AIM: This work reports on a male patient suffering a deforming subcutaneous mass in the penis following penile girth augmentation by injection therapy using synthetic material, and describes its management, and pathologic analysis of the extracted tissue. METHODS: The mass was excised through a circumferential subcoronal incision while maintaining skin vascularity and integrity of the corpora. The excised tissue was microscopically examined. MAIN OUTCOME MEASURES: Cosmetic and functional results of surgical correction. RESULTS: Cosmetic and functional outcome were acceptable. Pathology examination revealed features of foreign body granuloma. CONCLUSION: Injection of fillers for girth augmentation of the penile shaft may result in delayed complications including migration, granulomatous reaction, and resorption that may occur beyond the follow-up span of the currently available study that recommends its use.
INTRODUCTION:Penile girth augmentation is a domain of extensive controversy and debate. A variety of methods is available for the choice of the surgeon including dermal-fat grafts and flaps. The need for a simple procedure with minimal donor site has lead to proposing injection therapy for penile augmentation, whether by fat or synthetic materials. AIM: This work reports on a male patient suffering a deforming subcutaneous mass in the penis following penile girth augmentation by injection therapy using synthetic material, and describes its management, and pathologic analysis of the extracted tissue. METHODS: The mass was excised through a circumferential subcoronal incision while maintaining skin vascularity and integrity of the corpora. The excised tissue was microscopically examined. MAIN OUTCOME MEASURES: Cosmetic and functional results of surgical correction. RESULTS: Cosmetic and functional outcome were acceptable. Pathology examination revealed features of foreign body granuloma. CONCLUSION: Injection of fillers for girth augmentation of the penile shaft may result in delayed complications including migration, granulomatous reaction, and resorption that may occur beyond the follow-up span of the currently available study that recommends its use.