Excision and Unilateral Inguinal Skin Graft Reconstruction on a Four-Year Old Penile Granuloma

Abstract

Background: Foreign substance injections into the penile subcutaneous tissue to enlarge the penis frequently produce disastrous complications, such as penile granulomas. Here we reported a case of penile granuloma along with our reconstruction technique. Method: This report presents a 57-year-old male with a 4-year-old granuloma with recurrent ulcers. A penile reconstruction was conducted using unilateral inguinal full-thickness skin graft. Patient was discharged after one week and followed with regular visits to the outpatient clinic for 6 months. Results: No complication was reported post-surgery and wounds recovered well. However, the patient complained on reduced sensation and pain on the penile tip, and inability to erect after 6 weeks post-surgery. After 6 months post-surgery, the patient can retain erection with remaining sexual dissatisfaction. Conclusion: Inguinal full-thickness skin grafts provide adequate coverage for penile reconstruction in granuloma excision. Eventually, regaining sexual function and satisfaction remain an intricate challenge to face.