Candlenut oil-induced sclerosing lipogranuloma of the penis: A case report

Abstract

Introduction and importance

Penile sclerosis lipogranuloma, a disease that occurs as a result of the body's reaction to lipid-based foreign substances, is a rare case with manifestations that can occur years after injection. Reactions that emerge can be disturbing to the point of causing functional impairment, so proper therapy needs to be done to restore and maintain penis function and prevent complications. Here, we present a case of penile sclerosis lipogranuloma that was treated surgically with a scrotal flap and V—Y plasty, including circumcision.

Case presentation

We report here the case of a 19-year-old Asian male who came in with multiple, irregular, nodular masses in his penis after a candlenut oil injection that had been performed a year before presentation. An extensive excision and extraction of the penile lipogranuloma, including all areas invaded by oil injection, were performed. Then a scrotal flap and V—Y plasty were used to reconstruct the exposed penile shaft. The operative procedure was successful, and the patient experienced positive functional and aesthetic outcomes.

Clinical discussion

Determining therapy for penile sclerosis granuloma becomes important to improve or restore normal penile function and for performance function. Therapy includes the complete removal of the substance and the affected part. The recommended reconstruction for the penile shaft is a scrotal flap with penile scrotal invagination and V—Y plasty.

Conclusion

Proper treatment of the penis and its surroundings in cases of penile lipogranuloma is important to prevent further complications and maintain penile function.

Highlights

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  Penile sclerosing lipogranuloma is rare.

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  Extensive excision and extraction of the penile lipogranuloma are important.

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  Reconstruction is essential to restore and maintain penis function.

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  Scrotal flap and V—Y plasty are choices for penile shaft reconstruction.