MyMedR

Nonvenereal sclerosing lymphangitis of the penis

Yap FB

South. Med. J., 2009 Dec;102(12):1269-71.

PMID: 20016439 DOI: 10.1097/SMJ.0b013e3181bf27f6

A 30-year-old man presented to the genitourinary medicine clinic with the sudden appearance of an asymptomatic, 2 mm wide, flesh-colored, firm, and cord-like lesion encircling the coronal sulcus circumferentially following vigorous sexual intercourse with his wife. An initial diagnosis of sexually transmitted disease-associated penile swelling was entertained. He was given antibiotics for this condition. Failure of resolution and negative screening tests for sexually transmitted diseases prompted a skin biopsy and extensive literature search, with an ultimate diagnosis of nonvenereal sclerosing lymphangitis of the penis, a rare, self-limiting condition. Reassurance and abstinence of sexual intercourse for a few weeks led to complete recovery.

Matched MeSH terms: Penile Diseases/pathology*; Penile Diseases/therapy

Editorial Comment from Dr Goh to Usefulness of sonourethrography for penile abscess as a result of xanthogranulomatous granuloma in the corpus cavernosum of an adult: A case report

Goh EH

Int J Urol, 2015 Aug;22(8):792-3.

PMID: 26010227 DOI: 10.1111/iju.12825

Matched MeSH terms: Penile Diseases/diagnosis*; Penile Diseases/surgery*

MRI findings of penile paraffinoma

Majedah S, Hanafiah M, Awang MK

BMJ Case Rep, 2014;2014.

PMID: 25406214 DOI: 10.1136/bcr-2014-205448

Matched MeSH terms: Penile Diseases/pathology*

Disseminated histoplasmosis presenting as penile ulcer

Jayalakshmi P, Goh KL, Soo-Hoo TS, Daud A

Aust N Z J Med, 1990 Apr;20(2):175-6.

PMID: 2344324

A 59-year-old Chinese man presented with a three month history of penile ulcers and abdominal pain. Syphilis and a gastric malignancy were diagnosed clinically. Biopsy of the genital and stomach ulcers revealed histiocytic granulomata containing numerous intracellular fungal bodies. Histoplasma capsulatum was subsequently cultured from the penile ulcer. Antifungal therapy was instituted. However the patient's general condition deteriorated rapidly and he died within two weeks of admission. A post-mortem liver biopsy showed numerous intracellular fungi.

Matched MeSH terms: Penile Diseases/etiology*

Fulltext High-flow priapism in a 12-year-old boy: Treatment with superselective embolization

Mossadeq AR, Sasikumar R, Nazli MZ, Shafie AM, Ashraf MD

Indian J Urol, 2009 Oct-Dec;25(4):539-40.

PMID: 19955685 DOI: 10.4103/0970-1591.57918

Priapism is caused by an imbalance between penile blood inflow and outflow. There are two types of priapism: low-flow priapism due to venous occlusion and high-flow priapism due to uncontrolled arterial flow to the veins. High-flow priapism most frequently occurs as a result of penile trauma in which the intercavernosal artery disruption causes an arteriocavernosal fistula. It is rarely encountered in the pediatric and prepubertal population. Clinically, it manifests as a painless, prolonged erection after perineal trauma. Treatment ranges from expectant management to open surgical exploration with vessel ligation. We report the successful treatment of high-flow priapism in a 12-year-old prepubertal boy with superselective embolization.

Matched MeSH terms: Penile Diseases

Fulltext Low-grade liquid silicone injections as a penile enhancement procedure: Is bigger better?

Sasidaran R, Zain MA, Basiron NH

Urol Ann, 2012 Sep;4(3):181-6.

PMID: 23248528 DOI: 10.4103/0974-7796.102672

To report our experience with 5 cases of complications of penile enhancement procedures secondary to liquid silicone injections and our method of management of its debilitating effects. All five patients were treated with excision of penile shaft skin down to buck's fascia followed by resurfacing with split thickness skin grafting. We conclude that penile enhancement procedures with liquid silicone by non-medical personnel could result in devastating consequences. We also demonstrate that a simple method of excision of the entire penile shaft skin and resurfacing with split skin grafting showed improvement in cosmetic as well as functional outcome.

Matched MeSH terms: Penile Diseases

Fulltext Ultrasound evaluation of penile fractures

Kachewar S, Kulkarni D

Biomed Imaging Interv J, 2011 Oct;7(4):e27.

PMID: 22279504 DOI: 10.2349/biij.7.4.e27

This short case report discusses the various aspects of penile fracture, which is a rare entity. Nevertheless, the incidence of penile fractures is on the rise due to the increased use of performance-enhancing drugs. An individual with a penile fracture should seek immediate medical referral. Prompt diagnosis and management is necessary to prevent undesirable after-effects as discussed. Emphasis is made on how imaging with ultrasound enables a quick and complete assessment of this mishap.

Matched MeSH terms: Penile Diseases

Fulltext Penile paraffinoma

Manjit S, Vikramjit S, Clarence LC

Med J Malaysia, 2015 Dec;70(6):361-2.

PMID: 26988211 MyJurnal

Penile augmentation with injection of paraffin is a common practice in South East Asia. Penile paraffinoma occurring due to injection of liquid paraffin to enhance the size of the penis is an uncommon condition. Normally, this procedure is carried out by nonmedical personnel, without the prior knowledge or consultation of any urologist. The occurrence of such a deforming procedure is not commonly known to the medical profession in Malaysia.

Matched MeSH terms: Penile Diseases

Fulltext Role of Penile Doppler as a Diagnostic Tool in Penile Fracture

Hassali MA, Nouri AI, Hamzah AA, Verma AK

J Med Ultrasound, 2018 03 28;26(1):48-51.

PMID: 30065514 DOI: 10.4103/JMU.JMU_9_18

Penile fracture is defined as a traumatic rupture of either corpus cavernosum or the tunica albuginea; sometimes it can be both. It may be caused by exotic masturbation acts, sexual intercourse, or other trauma to this area. This can be accompanied by injury to the urethra, which is the cause of hematuria as a symptom for some patients. Typically, diagnosis of penile rupture or fracture depends on clinical examination and history told by the patients. We are stating the importance of medical imaging in the diagnosis of patients with penile fracture by presenting a case of patient suffered from penile fracture after a fall on his penis where it affected the erection of two-third of his penis. In which, the proper diagnosis by imaging studies and taking actions accordingly can save the patients from unnecessary surgeries that indeed increase the bill of the medical care directly and indirectly. Therefore, most patients can be diagnosed cost-effectively and treated surgically without a need to delay surgery, which is often the case if one was to resort to other investigations. Investigations such as retrograde urethrography for suspected urethral injury should only be used when the diagnosis of penile fracture is in doubt.

Matched MeSH terms: Penile Diseases

Fulltext A rare cause of acute urinary retention in a young man: A median raphe penile cyst

Kamarulzaman MN, Chik A, Ghazali H

Malays Fam Physician, 2021 Mar 25;16(1):114-116.

PMID: 33948149 DOI: 10.51866/cr1016

Background: A penile median raphe cyst is an uncommon congenital lesion that is formed due to failure of the median raphe to close completely during embryo development. The majority of the cysts are asymptomatic and often go unnoticed. Here, we report acute urinary retention as a very rare complication of a penile median raphe cyst.

Case presentation: A 21-year-old single man presented with a sudden onset of acute urinary retention of one days' duration. Urethral catheterization was done at the Emergency Department and this drained 800 ml of urine. On further questioning, he claimed that he had had a painless nodule at the glans penis since childhood. The swelling increased in size in the past week causing discomfort. He denied any history of genitalia trauma or recent sexual intercourse. On examination, there was a bluish lesion over the ventral aspect of the glans penis measuring about 3 x 2 cm. The lesion was later excised and histopathology revealed a median raphe cyst of the penis.

Conclusion: A penile median raphe cyst is a rare lesion. Acute urinary retention caused by this lesion is very rare.

Matched MeSH terms: Penile Diseases

Fulltext Penile augmentation with resultant foreign material granuloma and sequalae

Inn FX, Imran FH, Ali MF, Ih R, Z Z

Malays J Med Sci, 2012 Oct;19(4):81-3.

PMID: 23613653 MyJurnal

Throughout history, a proportion of men appear to correlate penis size and dimensions directly with physical fitness and sexual prowess. Foreign materials, such as paraffin oil, paraffin balm, mineral oils, and silicone, have been used to promise an improvement in penile shaft contour and dimensions. These materials are injected directly into the penis; inducing granuloma formation to achieve increased penis length and girth. However, the result is a severely disfigured and swollen penis, which cannot achieve erection. Local complications of penile lipogranuloma include infection, ulceration, local migration, and cavernosal invasion; leading to functional impairment. Meanwhile, systemic complications include foreign body embolization, organ infarct, and death. Penile lipogranuloma is best treated surgically. Granulomatous skin needs to be completely excised; wound closure with a scrotal skin flap, Cecil's inlay operation and split thickness skin graft commonly used options. Our case series has shown that penile lipogranuloma, induced by subcutaneous foreign body injections into the penile shaft, and its subsequent adverse outcomes to patients and their partners.

Matched MeSH terms: Penile Diseases

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