PENILE AUGMENTATION WITH FOREIGN MATERIAL INJECTION PENILE SHAFT, CORRECTION BY CO2 LASER

Abstract

Throughout history, a proportion of men appear to correlate penis size and dimensions directly with physical fitness and sexual prowess. Foreign materials, such as grease, wax, 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 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 by using CO₂ Laser and wound closure with a scrotal skin flap. Our case series has shown that penile lipogranuloma, induced by subcutaneous foreign body injections into the penile shaft, removed successfully with minimal blood loss by CO² laser.