Treatment and Outcome of Vaseline-Induced Sclerosing Lipogranuloma of the Penis

Péter Nyirády, Zsolt Kelemen, András Kiss, Gergely Bánfi, Katalin Borka, Imre Romics

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Objectives: To study the treatment and short-term outcome of 16 consecutive cases of sclerosing lipogranuloma of penis developing after Vaseline inoculation for penile augmentation. Methods: After Vaseline inoculation, patient pain was related mainly to erection and severe phimosis. At surgical reconstruction complete and radical excision of the involved penile skin was performed, followed by skin substitution from the existing, saved coat of the penis. In most cases the stored, uninvolved inner preputial skin was used; less frequently scrotal flaps and in the least-favorable cases penis embedment in the scrotum was applied for coverage of the penis. Results: All 16 patients were cured, no matter how long after self-injection vaselinoma developed or which kind of surgery was performed. Histopathologic evaluation revealed different findings according to the time elapsed after Vaseline injection. Conclusions: Early detection of patients with Vaseline penile augmentation and urgent surgery are essential because the best esthetic and functional results can be achieved in the acute period; this is when granuloma does not involve the subdermal but only the subcutaneous layer and local penile flaps can most commonly be used for reconstruction.

Original languageEnglish
Pages (from-to)1132-1137
Number of pages6
JournalUrology
Volume71
Issue number6
DOIs
Publication statusPublished - Jun 1 2008

ASJC Scopus subject areas

  • Urology

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