An unusual course after an injection of industrial silicone for penile augmentation

Authors

  • Yu Seob Shin Department of Urology, Chonbuk National University Medical School, and Institute for Medical Sciences, Chonbuk National University and Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju 561-712, South Korea.
  • Jae Hyung You Department of Urology, Chonbuk National University Medical School, and Institute for Medical Sciences, Chonbuk National University and Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju 561-712, South Korea.
  • Hwang Choi Department of Urology, Armed Forces Capital Hospital, Seongnam, Korea.
  • Li Tao Zhang Department of Urology, Chonbuk National University Medical School, and Institute for Medical Sciences, Chonbuk National University and Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju 561-712, South Korea.
  • Chen Zhao Departments of Urology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, and Shanghai Institute of Andrology, Shanghai 200001, China.
  • In Sung Choi Department of Urology, Chonbuk National University Medical School, and Institute for Medical Sciences, Chonbuk National University and Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju 561-712, South Korea.
  • Jong Kwan Park Department of Urology, Chonbuk National University Medical School, and Institute for Medical Sciences, Chonbuk National University and Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju 561-712, South Korea.

DOI:

https://doi.org/10.5489/cuaj.2615

Keywords:

Penis, Silicone, Augmentation, T-style anastomosis, Inverted V incision

Abstract

A 48-year-old male patient had an injection of industrial silicone under the penile skin for augmentation by non-medical practitioners a week before. There was complete necrosis of the dorsal part of the penile skin and soft tissue. In a penile magnetic resonance image, big masses of silicone under the penile skin were found and a part of the silicone was partially exposed. Debridement of the necrotic tissue was done. As the right side of the tunica albuginea was thin-walled, a silicone-induced infection developed. Because of this, the wet dressing was done daily without closing the wound for the next 23 days. Finally, both scrotal skins were drawn and sutured to the dorsal glandular skin after the total penile skin was completely removed and sutured with T-style anastomosis. The ventral flap was anastomosed to the ventral glandular skin with the end-to-end technique with inverted V incision at 1 cm proximal from the sutured margin. Flaps survived completely without skin necrosis or dehiscence.

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Published

2015-03-11

How to Cite

Shin, Y. S., You, J. H., Choi, H., Zhang, L. T., Zhao, C., Choi, I. S., & Park, J. K. (2015). An unusual course after an injection of industrial silicone for penile augmentation. Canadian Urological Association Journal, 9(3-4), e145–7. https://doi.org/10.5489/cuaj.2615

Issue

Vol. 9 No. 3-4 (2015): CUAJ March

Section

Case Report

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