Penile Sclerosing Lipogranuloma : A Case Report
-
Baginda Pascal Agung Hamonangan Manik(1*)
RSU Leona Kupang
-
Arley Sadra Telussa(2)
dr Ben Mboi General Hospital
(*) Corresponding Author
Abstract
Background: penile injection with foreign materials mainly done by non-medical personnel with the aim to enlarge penis size. Complications occur by this injection of foreign materials called Penile Sclerosing Lipogranuloma.
Case illustration: A 22-year-old male came presented with main complain of multiple masses in his penis. Previous history of disease also denied by the patient. Patient said that 4 years ago, he underwent a penile enlargement injection in his penile shaft. This injection performed by non-medical personnel. In physical examination, multiple large masses palpable almost along the penile shaft, masses were firm on palpation. A wide excision on the damaged skin was performed and scrotal flap was used to cover the exposed area in the penile shaft.
Discussion: we performed wide excision followed by scrotal flap to cover the exposed area. We considered this technique is suitable for this patient because the scrotal skin is healthy and enough to cover the exposed area on penile shaft.
Conclusion: Surgical treatment is considered the best treatment to treat Penile Sclerosing Lipogranuloma. Surgical treatment aimed to remove the damaged skin part and fibrotic tissue caused by foreign material.
Downloads
References
2. Vardi Y, Harshai Y, Gil T, Gruenwald I. A Critical Analysis of Penile Enhancement Procedures for Patients with Normal Penile Size: Surgical Techniques, Success, and Complications. Vol. 54, European Urology. Elsevier; 2008. p. 1042–50.
3. Sejben Dr. I, Rácz A, Svébis M, Patyi M, Cserni G. Petroleum jelly-induced penile paraffinoma with inguinal lymphadenitis mimicking incarcerated inguinal hernia. J Can Urol Assoc. 2012;6(4):10–2.
4. Vardi Y, Lowenstein L. Penile enlargement surgery - Fact or illusion? Vol. 2, Nature Clinical Practice Urology. 2005. p. 114–5.
5. Foxton G, Vinciullo C, Tait CP, Sinniah R. Sclerosing lipogranuloma of the penis. Australas J Dermatol. 2011;52(3):12–4.
6. Kadouch JA, Van Rozelaar L, Kanhai RJC, Sawor JH, Karim RB. Complications of penis or scrotum enlargement due to injections with permanent filling substances. Dermatologic Surg. 2012 Jul;38(7 PART 2):1244–50.
7. Kim SW, Yoon B Il, Ha US, Kim SW, Cho YH, Sohn DW. Treatment of paraffin-induced lipogranuloma of the penis by bipedicled scrotal flap with Y-V incision. Ann Plast Surg. 2014;73(6):692–5.
8. Downey AP, Osman NI, Mangera A, Inman RD, Reid S V, Chapple CR. Penile Paraffinoma. 2018; Available from: https://doi.org/10.1016/j.
9. Fakin R, Zimmermann S, Jindarak S, Lindenblatt N, Giovanoli P, Suwajo P. Reconstruction of Penile Shaft Defects Following Silicone Injection by Bipedicled Anterior Scrotal Flap. J Urol [Internet]. 2017;197(4):1166–70. Available from: http://dx.doi.org/10.1016/j.juro.2016.11.093
Copyright (c) 2026 Cendana Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Notice
This work is licensed under a Creative Commons Attribution 4.0 International License.
