Penile girth augmentation by injectable fillers: a comprehensive review of imaging features and inflammatory complicatio
- PDF / 1,809,387 Bytes
- 15 Pages / 595.276 x 790.866 pts Page_size
- 51 Downloads / 200 Views
REVIEW
Penile girth augmentation by injectable fillers: a comprehensive review of imaging features and inflammatory complications Sherif A. Abo‑Hedibah1,2 · Amr N. Badawi2,3 · Sameh A. Aly4,5 · Sherif R. M. Ismail6 · Ali H. Elmokadem2,3 Received: 17 June 2020 / Revised: 18 September 2020 / Accepted: 27 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Despite the extensive controversy and debate of penile girth augmentation, high demands for such procedures are increasing. Penile inflammation is not common sequel after penile filler augmentation, but when it occurs, it has serious complications that sometimes necessitate emergency surgical intervention. Imaging with a variety of modalities, including ultrasonogra‑ phy, magnetic resonance imaging, and ascending urethrogrphy plays a paramount role in the detection and assessment of these conditions. Inflammatory conditions after penile girth augmentation using injectable fillers are ranging from local granuloma to penile abscess formation or diffuse cellulitis that may extend to the scrotum, perineum or deep pelvic organs. Rapid diagnosis and evaluation of extensions are important to avoid associated morbidity and permanent deformity. Our purpose is to provide a practical review of relevant penile anatomy, imaging appearance and injection technique of different types of subcutaneous fillers used in penile girth augmentation, and inflammatory complications that may occur after these procedures. Brief descriptions of patient clinical information and imaging features of inflammatory complications will be included and correlated in actual cases. Keywords Penis · fillers · augmentation · inflammation
* Ali H. Elmokadem [email protected]
Introduction
Sherif A. Abo‑Hedibah [email protected]
Penile size is an important problem that concerns many men as “Bigger is better” phrase sticks in the minds of many men worldwide. A man is often worried that his penis is not big enough to satisfy his partner or himself or ashamed that oth‑ ers see his penis, especially in the flaccid state. Such worries might not actually exist and might be a presentation of social anxiety or some other clinical problems such as erectile dys‑ function [1]. Because of these preconceptions, the demand to increase penile girth is high. Many surgical procedures were tried for penile girth augmentation but the results were non-pleasant and unsatisfactory for most of the patients with a high risk of deformities, infections, skin ulceration and post-operative corrective skin grafting [2]. Injectable dermal fillers are widely used for facial rejuvenation, correction of disabling volumetric fat loss in HIV-associated facial lipoat‑ rophy, Romberg disease and post-traumatic facial disfigur‑ ing [3, 4]. After widespread of the injectable facial fillers, multiple studies reported the efficacy of the same fillers for
Amr N. Badawi [email protected] Sameh A. Aly [email protected] Sherif R. M. Ismail [email protected] 1
Department
Data Loading...
