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The surgical management of penile oleogranuloma: case series

International Journal of Impotence Research (2023)Cite this article

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Abstract

Oleogranuloma of the penis is a complex set of pathological processes caused by the injection of a foreign substance (gel, balls, rods, etc.) into the penis with the purpose of penile augmentation. In this case series, we investigated a variety of clinical presentations of oleogranuloma and described our experience in managing the complications. We analyzed data on 18 patients with penile self-injections admitted to the hospitals of Astana City, Kazakhstan, during an 11-year period. The mean age of patients at admittance was 37.4 ± 6.4 years. The most common substance of injection was Vaseline (n = 16, 88.9%). The mean interval between the time of injection and the first presentation to the hospital was 10.8 ± 6.5 years. Complications included necrosis (n = 13, 72.2%), pain or swelling (n = 6, 33.3%) and cosmetic dissatisfaction (n = 5, 27.8%). All patients received surgical treatment (n = 18, 100%): simple excision with primary closure was performed for one-half of the patients (n = 9, 50%), while another half of patients underwent the two-stage scrotum skin flap surgery (n = 9, 50%). The findings of this study should raise the awareness about the diverse clinical presentations of penile self-injections among physicians for early diagnosis and timely management.

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Fig. 1: Distribution of reported cases of oleogranuloma across the world.
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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author upon reasonable request.

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Acknowledgements

We are grateful to the city hospitals of Astana.

Author information

Authors and Affiliations

  1. Department of Urology and Andrology, Astana Medical University, Astana, Kazakhstan

    Makhmud Suleiman, Yernur Ainayev & Ulanbek Zhanbyrbekuly

  2. Department of Biomedical Sciences, Nazarbayev School of Medicine, Nazarbayev University, Astana, Kazakhstan

    Aidana Mustafa

  3. Department of General Medical Practice No. 3, Astana Medical University, Astana, Kazakhstan

    Saltanat Urazova & Konstantin Garkalov

  4. Department Family Medicine, Medical University of Karaganda, Karaganda, Kazakhstan

    Gulmira Muldayeva

  5. Department of ENT Diseases, Astana Medical University, Astana, Kazakhstan

    Adil Mustafin

  6. Department of Surgery with an Angiosurgery and Plastic Surgery Course, Astana Medical University, Astana, Kazakhstan

    Dulat Turebayev

  7. Faculty of Medicine, Urology, Hacettepe University, Ankara, Turkey

    Ahmet Gudeloglu

Authors
  1. Makhmud Suleiman
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  2. Aidana Mustafa
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  6. Gulmira Muldayeva
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  7. Adil Mustafin
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  9. Ulanbek Zhanbyrbekuly
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  10. Ahmet Gudeloglu
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Contributions

Conceptualization: AG, UZ. Methodology: DT, SU, GM. Data collection: MS, A Mustafa, EA. Manuscript writing: SU, MS, A Mustafa. Manuscript review and editing: A Mustafin, DT, KG. Supervision: AG, UZ, EA.

Corresponding author

Correspondence to Makhmud Suleiman.

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Competing interests

The authors declare no competing interests.

Ethics approval and consent to participate

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Bioethics Committee of the Astana Medical University (IRB #18). All data were analyzed anonymously with only patient numbers as identification.

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The informed consent was waived in view of the retrospective and anonymous nature of the study. The consent was taken from the patients to publish anonymously photos.

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Suleiman, M., Mustafa, A., Ainayev, Y. et al. The surgical management of penile oleogranuloma: case series. Int J Impot Res (2023). https://doi.org/10.1038/s41443-023-00779-1

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  • DOI: https://doi.org/10.1038/s41443-023-00779-1

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