[Scrotal granuloma caused by oil migrating from the hip in 2 transsexual males (scrotal sclerosing lipogranuloma)].
OBJECTIVE
To describe two patients with scrotal granuloma due to silicone oil migrated from the hip.


RESULTS
Two male transsexuals without genitoplasty developed scrotal inflammatory masses after subcutaneous injection of silicone oil to remodel the hip contour. Imaging studies and pathologic examination disclosed lesions similar to those encountered in ruptured silicone breast implants.


CONCLUSIONS
Silicone migration to the scrotum through subdermal fascial planes can cause a granulomatous lesion similar to that of ruptured breast implants. The migratory pathway is similar to that of scrotal emphysema and, inversely, the dissemination of necrotizing fasciitis of the genitalia.
Fariña
L A
LA
Servicio de Urología, Hospital Monte Naranco, Oviedo, Asturias, España.
Palacio
V
V
Sallés
M
M
Fernández-Villanueva
D
D
Vidal
B
B
Menéndez
P
P
D000328:Adult; D015745:Granuloma, Foreign-Body / Q000209:etiology*; D006801:Humans; D008297:Male; D012611:Scrotum; D012828:Silicones; D014189:Transsexualism
D012828:Silicones