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COMPLICATIONS FOLLOWING LOCAL APPLICATION OF INORGANIC MATERIAL INTO THE SUBCUTANEOUS TISSUE OF PENIS


Authors: Kristýna Kalusová 1;  Ivan Trávníček 1;  Lada Eberlová 2;  Kristýna Pivovarčíková 3;  Ondřej Hes 3;  Viktor Eret 1;  Tomáš Pitra 1;  Milan Hora 1
Authors‘ workplace: Urologická klinika LF UK a FN, Plzeň 1;  Ústav anatomie LF UK, Plzeň 2;  Šiklův ústav patologie LF UK a FN, Plzeň 3
Published in: Ces Urol 2015; 19(1): 64-68
Category: Case report

Overview

The aim of this communication is to describe severe complications caused by the local application of inorganic material into the subcutaneous penile tissue. Three patients (mean age 31 years) with local complications after the injection of boric ointment (acidum boricum) into the subcutaneous tissue of the penis are described. According to our experience, this condition is limited to a group of socially weak patients who underwent this intervention in order to increase the volume of their penis. The injection of this inorganic material leads to severe inflammatory changes at the site of application. After several months (years) these deposits disintegrated into ulcerative lesions, which would not heal. Surgical treatment is always recommended in these cases – excision of the ulcerative lesion, alternative – defect coverage with split-thickness skin graft.

KEY WORDS:
Boric ointment, tissue disintegration, chronic local inflammation, ulcerative lessions, pearling, imprisonment, prison behaviour, diameter of penis.


Sources

1. Kočovská P, Toufarová P, Klečka J, Chudáček Z, Hora M. Cizí tělesa zavedená do urogenitálního traktu za účelem sexuální stimulace, Ces Urol, 2013, 17(1): 28–35.

2. Fischer N, Hauser S, Brede O, et al. Implantation of arteficial penile nobles-a review of literature. J Sex Med. 2010 Nov, 7(11): 3565–3571.

3. Kudláčková Š, Fiala R. Automutilace zevního genitálu. Ces Urol, 2002; 6(1): 8–10.

4. Nguven DP, Desai BK, Falgiani M. Visual Diagnosis: Pearling: a case study. Int J Emerg Med. 2011 Dec 8; 4: 74.

Labels
Paediatric urologist Nephrology Urology
Topics Journals
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