title: An unusual course after injection of industrial silicone for penile augmentation.
abstract: A 48-year-old male patient had an injection of industrial silicone under the penile skin for augmentation by non-medical practitioners a week before. There was complete necrosis of the dorsal part of the penile skin and soft tissue. In a penile magnetic resonance image, big masses of silicone under the penile skin were found and a part of the silicone was partially exposed. Debridement of the necrotic tissue was done. As the right side of the tunica albuginea was thin-walled, a silicone-induced infection developed. Because of this, the wet dressing was done daily without closing the wound for the next 23 days. Finally, both scrotal skins were drawn and sutured to the dorsal glandular skin after the total penile skin was completely removed and sutured with T-style anastomosis. The ventral flap was anastomosed to the ventral glandular skin with the end-to-end technique with inverted V incision at 1 cm proximal from the sutured margin. Flaps survived completely without skin necrosis or dehiscence.
authors.affiliation: Department of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, South Korea;
authors.forename: Yu Seob
authors.initials: YS
authors.lastname: Shin
authors.affiliation: Department of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, South Korea;
authors.forename: Jae Hyung
authors.initials: JH
authors.lastname: You
authors.affiliation: Department of Urology, Armed Forces Capital Hospital, Seongnam, Korea;
authors.forename: Hwang
authors.initials: H
authors.lastname: Choi
authors.affiliation: Department of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, South Korea;
authors.forename: Li Tao
authors.initials: LT
authors.lastname: Zhang
authors.affiliation: Department of Urology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, and Shanghai Institute of Andrology, Shanghai, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Zhao
authors.affiliation: Department of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, South Korea;
authors.forename: In Sung
authors.initials: IS
authors.lastname: Choi
authors.affiliation: Department of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, South Korea;
authors.forename: Jong Kwan
authors.initials: JK
authors.lastname: Park
references.citation: Yonsei Med J. 1994 Sep;35(3):344-8
references.pmid: 7975744
references.citation: Urology. 2013 Feb;81(2):437-41
references.pmid: 23374825
references.citation: Asian J Androl. 2007 May;9(3):408-13
references.pmid: 17486283
references.citation: Dermatol Ther. 2006 May-Jun;19(3):159-68
references.pmid: 16784515
references.citation: J Sex Med. 2008 Sep;5(9):2231-7
references.pmid: 18657262
references.citation: Malays J Med Sci. 2012 Oct;19(4):81-3
references.pmid: 23613653
references.citation: J Plast Reconstr Aesthet Surg. 2010 Jan;63(1):e1-3
references.pmid: 19467623