Foreign‐body granuloma of the penis in sexually active individuals (penile paraffinoma)

Pehlivanov, G; Kavaklieva, Svetlana; Kazandjieva, Jana; Kapnilov, D; Tsankov, Nikolaï

doi:10.1111/j.1468-3083.2008.02677.x

Cited by 56 publications

(56 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since then, further cases of paraffin injection into the penis (principally in an attempt to increase penile girth) have been reported although the few major series from parts of Asia and Eastern Europe indicate a relatively higher prevalence of this practice in those regions. [6][7][8] The term 'grease gun injury' refers to an injury sustained by the use of such a tool to inject substances such as automobile fluids into the penis at high pressure, again for the purposes of penile augmentation.…”

Section: Discussionmentioning

confidence: 99%

“…14 The characteristic pathological reaction seen in tissues exposed to mineral oils is referred to synonymously in the literature as 'oleogranuloma', 'paraffinoma' and 'sclerosing lipogranuloma'. 6,17,18 The term 'Swiss cheese appearance' refers to the presence of large, seemingly empty vacuolar spaces surrounded by dense fibrous tissue. The use of oil specific stains (eg Oil Red O) has shown the presence of encysted oils.…”

Section: 10mentioning

confidence: 99%

See 1 more Smart Citation

Self injection of foreign materials into the penis

Ahmed

Freeman

Kirkham

et al. 2017

annals

View full text Add to dashboard Cite

Injection of the subcutaneous tissues of the penis for penile girth augmentation has been practised for a number of years both lay people and medical practitioners. However, with the recognition of complications, the practiceis encountered less frequently. We report a series of five patients who presented having injected foreign materials into the subcutaneous tissues of their penises, including paraffin and mineral oils. These patients had a variable time course of presentation ranging from 1 day following injection to over 26 years. Self-injection of the subcutaneous tissues of the penis is an unusual presentation for a penile mass and swelling but should be considered as a differential diagnosis in patients with a long latent period to presentation or with characteristic magnetic resonance imaging and histological appearances. KEYWORDSSilicones -Andrology -Self-Injurious Behaviour -Disease -Penis Soft tissue injection of exogenous substances such as paraffin, mineral oils and silicone have been used for many years to improve body shape and contour by laypeople as well as medical practitioners.1 The availability, low cost, immediate cosmetic effect and relatively painless application of these substances have meant that they have been seen as materials of choice for individuals looking to undergo cosmetic augmentation. 2 The injection of paraffin into the breast parenchyma was once commonplace, both in women and male-tofemale transsexuals. 2,3 This was particularly popular in the 1950s and 1960s, and is still popular in parts of Asia today. 2,4We present a series of five men who injected foreign substances into the penis for the purposes of penile augmentation. They had widely differing latency periods prior to presentation and presented in a variety of ways. Case 1A 28-year-old man presented to the emergency department with an overnight history of urinary retention and abdominal discomfort after 'applying a cream' to his penis. Physical examination revealed a grossly swollen, tender and erythematous penis and scrotum without involvement of the testicles. The penile oedema resulted in a phimosis. A small puncture site was visible at the base of the penis and on closer questioning, the patient admitted to having injected baby oil into the penoscrotal subcutaneous tissue.Magnetic resonance imaging (MRI) revealed that the injected material extended from the level of the glans penis to the base of the penis and measured approximately 1.2cm in depth (Fig 1). The corpora cavernosa and corpus spongiosum were spared.A course of intravenous hydrocortisone and antibiotics was started to limit the acutely developing cellulitis and lymphoedema. The patient was kept under observation for a few days and although the erythema and lymphoedema began to settle, several areas of skin necrosis developed on the penile shaft.Nine days after the initial admission, the penile abscesses were drained of both pus and the injected material. The multiple lesions on the penile shaft were debrided of necrotic skin and dartos. This wa...

show abstract

Section: Discussionmentioning

confidence: 99%

Section: 10mentioning

confidence: 99%

Self injection of foreign materials into the penis

Ahmed

Freeman

Kirkham

et al. 2017

annals

View full text Add to dashboard Cite

show abstract

“…Nem elhanyagolható a fájdalom tûrésének beavatási szertartás-szerû mivolta, ill. a választott példakép követése sem -fôként börtönökben -mint motiváció, ennél a jellemzôen alacsony szocializáltságú, börtönviselt, fiatal felnôtt csoportnál (1,3). A férfiakat a legtöbb tanulmány szerint a penis megnagyobbítása hajtja (betegeink 97,18%-a), de leírtak szexuális potencianövelés, erektilis diszfunkció javítás, vagy a szexuális partnernek való örömszerzés céljából elvégzett beavatkozásokat is (1,3). Két betegünknél, elmondásuk szerint orvosi beavatkozás-ként végezték a mûtétet darázscsípés, ill. ejaculatio praecox kezelésére, azonban errôl dokumentációt felmutatni nem tudtak.…”

Section: Megbeszélésunclassified

“…erectilis disfunctio kezelésére -egyes távol-keleti országokban, kelet-európai és ázsiai országokban (1,5,6). Magyarországon a beavatkozás napjainkban reneszánszát éli: vagy "tapasztalt" laikusok vég-zik el saját férfi közösségeikben (pl.…”

unclassified

Paraffinoma of the penis – STD coinfections analysis

Pónyai¹,

Kelemen²,

Nemes-Nikodém³

et al. 2013

BVSZ

View full text Add to dashboard Cite

ÖSSZEFOGLALÁS Key words: foreign body granuloma -STD -syphilis HCV -paraffinoma -sclerosing lipogranulomaA férfi nemi szerv volumenének mesterséges manipulá-lása nem a XXI. század újdonsága. Elôször 1899-ben Gersuny alkalmazott idegen anyag injektálást, tuberculosis miatt eltávolított testis miatt, a scrotum volumenének rekonstrukciója céljából. A kezdetben használt vaselint késôbb, Eckstein javaslatára a kedvezôbb olvadási hômér-sékletû (65 °C) paraffinnal helyettesítették, amely testhô-mérsékleten nem változtatta meg az alakját, így nem ván-dorolt el a beadás helyérôl (1, 2).A korai sikereken felbuzdulva az eljárást rendszeresen alkalmazták tüneti kezelésként (hernia, farkastorok, ejaculatio praecox, incontinencia, vagy akár syphilis kezelésére), intramuscularis injekciók vivôanyagaként, hasi adhaesiók megakadályozására, ill. a késôbbiekben kozmetológiai céllal ráncfeltöltésre, alopecia kezelésére, izom-, mell-és penis növelésre. A beavatkozás az alig egy évtizeddel késôbb már megjelenô, és pontosan dokumentált késôi szövôdmények ellenére is egészen az 1920-as évekig divatos maradt (2, 3).

show abstract

“…The population in question rarely seeks for help, therefore there are no adequate literature data about the incidence and the frequency of complications of vaseline self-injection. There are only a few publications in the literature, which are mostly case reports focusing on the surgical procedures and complications (Tóth et al, 1984;May and Pickering, 1956;Wiwanitkit, 2004;Pehlivanov et al, 2008;Al-Ansari et al;Karakan et al, 2012;Torricelli et al, 2013). The treatment is surgical, as conservative treatment is not a permanent solution.…”

Section: Vaselinementioning

confidence: 99%