Author(s): Joshua Jonatan Gonidjaya

Abstract: Introduction and significance: Penile sclerosing lipogranuloma, a condition resulting from the body’s reaction to foreign substances injected into the penile area, is a rare occurrence. Its clinical manifestations may appear one to several years after injection. The resulting reaction can lead to both cosmetic and functional disturbances, necessitating appropriate therapy to restore the anatomical appearance, maintain penile function, and prevent further complications for a better prognosis. Here, we present a case of penile sclerosing lipogranuloma treated surgically by excision of the penile shaft skin extended with a flap from the proximal one-third of the lesion, including circumcision. Case presentation: A 31-years-old man presented with a complaint of a nodular mass appearing on his penis following an injection of hair oil performed by an unqualified non-medical individual three years prior to presentation. The penile lipogranuloma was managed by a fairly extensive excision and extraction, involving approximately two-thirds of the penile shaft that had been infiltrated by the foreign substance. The healthy skin from the proximal one-third of the lesion was then used as a flap to reconstruct the exposed penile shaft. Postoperatively, the patient experienced positive aesthetic and functional outcomes, leading us to consider the procedure successful. Clinical discussion: Restoration of penile function both cosmetically and in performance is a key determinant in selecting therapy for penile sclerosing granuloma. Treatment involves the complete removal of the foreign substance or granuloma from the affected areas. For similar cases, the recommended simple reconstruction for the penile shaft is excision of the penile shaft skin extended with a flap from the proximal one-third of the lesion as a sleeve, including circumcision. Conclusion: Proper management of the penis and surrounding areas in cases of penile lipogranuloma is crucial for preserving both the cosmetic appearance and functional performance of the penis while preventing further complications.

DOI: 10.22271/27081494.2025.v7.i1b.144

Pages: 88-92 | Views: 102 | Downloads: 36

Download Full Article: Click Here