Sclerotherapy of hemangioma of the glans penis

Cavernous Hemangioma of the Scrotum Treated with Local Steroid: Case Report

“…Savoca et al reported a case of a large hemangioma of the glans penis that had been treated by means of repeated injections of 2% polidocanol under local anesthesia. 13 Radiation was used in the past but is no longer recomended except for lesions with scarring, ulceration and malignant skin changes.…”

An unusual cause of paraphimosis: hemangioma of the glans penis

“…It is difficult to distinguish a hemangioma from spongiosum tissue. There is still controversy about whether penile hemangiomas are true neoplasms or result from the herniation of the corpus spongiosum or from vascularization caused by a hematoma or thrombus [7][8][9][10]. It is generally considered that penile hemangiomas are mulberry-sized, purple, elevated, compressible lesions that are often associated with a defect in the underlying tunica albuginea.…”

“…Furthermore, it should be considered for voluminous hemangiomas as well. The risk of large volume of skin loss or development of the undesirable scar tissue formation replaced the surgical option with fulguration of the lesion, cryosurgery, laser ablation, or sclerotherapy [9,[11][12][13]. Laser therapy is a safe method in the treatment of vascular lesions of children [14].…”

“…They conclude that intralesional sclerotherapy is a cost-effective modality in case of the unavailability of other techniques such as electrofulguration or laser coagulation. Recently, Savoca et al informed that repeated injections of 2% polidocanol have the same effect in large glanular hemangiomas [9]. Sclerotherapy carries the risk of the necrosis of adjacent tissues such as corpus spongiosum of the glans and corpus cavernosum of the penis.…”

Cavernous hemangioma of the glans penis: Concomitant surgical excision with circumcision in an uncircumcised patient

“…Furthermore, it is re-applicable in case of failure. But, intralesional sclerotherapy can be related to complications such as cutaneous necrosis, ulceration, and hyperpigmentation [9,10]. …”