RESUMEN
Diffuse neonatal hemangiomatosis (DNH) is a rare condition characterized by the concomitant development of multiple cutaneous infantile hemangiomas (IH) and visceral hemangiomas. Recently, an association between erythropoietin treatment and an increased incidence of infantile hemangioma was noted. A Japanese male infant was born via cesarean section at 27 weeks of gestation. Following the commencement of erythropoietin treatment for anemia of prematurity, he developed multiple cutaneous hemangiomas, high cardiac output heart failure and hepatomegaly. Abdominal imaging indicated comorbidity of diffuse infantile hepatic hemannigomas, resulting in the final diagnosis of DNH. The discontinuation of erythropoietin treatment and long-term therapy with propranolol improved the hepatic lesions and cutaneous hemangiomas. The possibility of multiple organ involvement and the exacerbating effects of erythropoietin treatment should be considered in cases in which multiple cutaneous hemangiomas develop in preterm infants receiving erythropoietin treatment.
Asunto(s)
Eritropoyetina/efectos adversos , Hemangioma/inducido químicamente , Recién Nacido de muy Bajo Peso , Inestabilidad de la Articulación/inducido químicamente , Fimosis/inducido químicamente , Anomalías Cutáneas/inducido químicamente , Antagonistas Adrenérgicos beta/uso terapéutico , Anemia Neonatal/tratamiento farmacológico , Edad Gestacional , Hemangioma/diagnóstico , Hemangioma/tratamiento farmacológico , Humanos , Recién Nacido , Recien Nacido Prematuro , Inestabilidad de la Articulación/diagnóstico , Inestabilidad de la Articulación/tratamiento farmacológico , Imagen por Resonancia Magnética , Masculino , Fimosis/diagnóstico , Fimosis/tratamiento farmacológico , Propranolol/uso terapéutico , Anomalías Cutáneas/diagnóstico , Anomalías Cutáneas/tratamiento farmacológicoRESUMEN
We report the case of a 24-year-old rumanian patient who came to the emergency department complaining of glans penis pain and tight phimosis; he claimed to have undergone an injection of vaseline under penis skin. We review the literature on various nonmedical practices of penile foreign body injection to enlarge and thicken the penis.
Asunto(s)
Vaselina/efectos adversos , Fimosis/inducido químicamente , Edema/inducido químicamente , Edema/cirugía , Humanos , Inyecciones Subcutáneas , Masculino , Pene , Fimosis/cirugía , Adulto JovenRESUMEN
INTRODUCTION: Penile girth enhancement by the injection of Vaseline is an existing practice. Many cases develop severe complications that need surgery. AIM: To report on the reconstructive surgical solutions of the complications of Vaseline self-injection and the outcomes. To develop a modification of a one-step reconstruction method involving the use of pedicled scrotal flaps. MAIN OUTCOME MEASURES: The complications and their surgical solutions were classified as regards severity and difficulty. The outcomes were observed and a newly introduced one-step surgical method was investigated. METHODS: Seventy-eight consecutive patients (87.2% of them with a history of imprisonment) were divided into three groups. In group A, aesthetic penile defects or phimosis caused by the Vaseline necessitated circumcision or local excision. In group B, the whole penile skin was involved, and total skin removal and two- or (a newly modified) one-step reconstructive surgery were performed. In group C, both the whole penile skin and the scrotum were involved: complete skin removal and skin grafting or skin pedicled flap transplantation were carried out. RESULTS: In five cases in group B, postoperative skin necrosis made a second operation necessary. There was one intraoperative urethral injury, where a urethral fistula developed and a second urethral reconstruction was performed. There was no major complication with the newly developed one-stage pedicled flap procedure. At the end of the therapy, all the cases were healed. All of the patients reported successful sexual intercourse after the operations and 91% were satisfied with the result. CONCLUSIONS: The complications depend mainly on the amount of Vaseline injected, the hygienic circumstances, and the personal tolerability. In the worst cases, only radical skin removal and skin transplantation can solve the problem. The newly developed one-step arterial branch-preserving scrotal skin flap reconstruction appears to be a suitable and cost-effective solution for these patients.
Asunto(s)
Emolientes/efectos adversos , Enfermedades del Pene/inducido químicamente , Enfermedades del Pene/cirugía , Pene/cirugía , Vaselina/efectos adversos , Circuncisión Masculina , Emolientes/administración & dosificación , Estética , Granuloma/inducido químicamente , Granuloma/cirugía , Humanos , Inyecciones Subcutáneas/efectos adversos , Tiempo de Internación , Masculino , Necrosis/inducido químicamente , Necrosis/cirugía , Satisfacción del Paciente , Vaselina/administración & dosificación , Fimosis/inducido químicamente , Fimosis/cirugía , Prisioneros , Estudios Prospectivos , Úlcera Cutánea/inducido químicamente , Úlcera Cutánea/cirugía , Colgajos QuirúrgicosRESUMEN
INTRODUCTION: Vaseline self-injection into the penis is currently a popular procedure in prisons. Since such injections are illegal, severe complications of the procedure can often remain hidden. AIM: To identify the incidence, motivation, and morbidity of Vaseline self-injection into the penis among inmates. METHODS: A total of 4,735 inmates at the largest Hungarian prisons were asked to complete a questionnaire relating to their sexual life, whether they had self-injected Vaseline into their penis, the motivation leading them to resort to Vaseline self-injection, any complications observed and the level of satisfaction attained. MAIN OUTCOME MEASURES: A 17-point questionnaire on the circumstances, motivations, and complications of Vaseline self-injection among prisoners. RESULTS: Of the 1,905 responders, 15.7% admitted Vaseline self-injection. Only around one-fifth of the Vaseline injected subjects had not been satisfied with the original size of their penis and their sexual life up to the time of the injection, a proportion similar to that among Vaseline nonusers. While the satisfaction with the sexual life became significantly worse after the Vaseline injection, the satisfaction with the penis size did not change and an erectile dysfunction developed de novo in 21.4% of cases. The most common motivation for self-injection was a recommendation by another inmate; it was rarely recommended by a sexual partner. Complications had developed among 25.4% of the Vaseline users and 50.3% of them were not satisfied with the result of the Vaseline injection. Of the Vaseline users, 22.4% regretted the self-injection, while the rate among those who had developed complications was 53%. CONCLUSIONS: The self-injection of Vaseline into the penile skin proved to be somewhat of a trend among these inmates. The complications depended mainly on the amount of Vaseline injected, the poor hygienic circumstances, and the personal tolerability. Increased awareness is needed for the prevention of this social, psychological, and physical problem.
Asunto(s)
Disfunción Eréctil/inducido químicamente , Enfermedades del Pene/inducido químicamente , Pene/efectos de los fármacos , Vaselina/administración & dosificación , Vaselina/toxicidad , Prisiones/estadística & datos numéricos , Automedicación/estadística & datos numéricos , Adolescente , Adulto , Anciano , Estudios Transversales , Disfunción Eréctil/epidemiología , Gangrena/inducido químicamente , Gangrena/epidemiología , Granuloma/inducido químicamente , Granuloma/epidemiología , Humanos , Hungría , Incidencia , Inyecciones Subcutáneas/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Motivación , Necrosis , Enfermedades del Pene/epidemiología , Fimosis/inducido químicamente , Fimosis/epidemiología , Piel/efectos de los fármacos , Piel/patología , Úlcera Cutánea/inducido químicamente , Úlcera Cutánea/epidemiología , Encuestas y Cuestionarios , Adulto JovenRESUMEN
A 19-year-old man presented with phimosis and painful swelling of the penis four weeks after augmentation with silicone in Thailand. Histology revealed a foreign body reaction to silicone. Infectious causes were ruled out. Granulomatous foreign body reactions to silicone are common, but there are few case reports on reactions following silicone injection for penis enlargement. Foreign body reactions should be included in the differential diagnosis of penis swelling.
Asunto(s)
Reacción a Cuerpo Extraño/inducido químicamente , Enfermedades del Pene/inducido químicamente , Geles de Silicona/toxicidad , Diagnóstico Diferencial , Edema/inducido químicamente , Edema/diagnóstico , Edema/patología , Reacción a Cuerpo Extraño/diagnóstico , Reacción a Cuerpo Extraño/patología , Humanos , Inyecciones Subcutáneas , Imagen por Resonancia Magnética , Masculino , Enfermedades del Pene/diagnóstico , Enfermedades del Pene/patología , Pene/efectos de los fármacos , Pene/patología , Fimosis/inducido químicamente , Fimosis/diagnóstico , Fimosis/patología , Geles de Silicona/administración & dosificación , Piel/efectos de los fármacos , Piel/patología , Adulto JovenRESUMEN
We report the 2nd case of titanium balanitis reported in the world literature. Clinically the patient presented with phimosis: histologically the titanium was surrounded by a mixed granulomatous inflammatory reaction. Topical titanium preparations may lead to phimosis and therefore we thought it important to bring this potential iatrogenic complication to further notice.