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Alternative surgical management of penile siliconoma using partial degloving and resurfacing

Authors

Manuel Belmonte Chico Goerne
https://orcid.org/0000-0003-3783-6461
Department of Urology, McGill University Health Center, Montreal, Canada.
Abdulghani Khogeer
https://orcid.org/0000-0002-6995-8132
Department of Urology, McGill University Health Center, Montreal, Canada; Department of Surgery, Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia.
Peter Davison
Department of Plastic Surgery, McGill University Health Center, Montreal, Canada.
Serge Carrier
https://orcid.org/0000-0002-7179-8190
Department of Urology, McGill University Health Center, Montreal, Canada.
Melanie Aubé-Peterkin
melanie.aube-peterkin@mcgill.ca
Department of Urology, McGill University Health Center, Montreal, Canada.

Introduction: Siliconoma represents an inflammatory tissue response to extravasated silicone. Penile enhancing silicone injections have been described for over 50 years. Most of the publications report complications including negative effects on penile appearance and function which require corrective procedures. Penile circumferential skin and siliconoma excision with skin grafting has been described in multiple case reports and series as an effective and feasible option to remove the silicone and achieve good esthetic results. Methods: We describe a simple and feasible single stage procedure removing the siliconoma with adjacent non-viable skin while preserving 50% of healthy penile skin and resurfacing the defect with a split-thickness skin graft to treat a long-term complication of penile silicone injection associated with recurrent infections and a chronic skin ulceration.

Conclusion: Partial excision of the affected penile skin and sili-conoma with defect resurfacing with a split-thickness skin graft is a feasible with good functional and cosmetic outcomes. 

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How to Cite

Chico Goerne , M. B., Khogeer, A., Davison, P., Carrier, S., & Aubé-Peterkin, M. (2023). Alternative surgical management of penile siliconoma using partial degloving and resurfacing. Archivio Italiano Di Urologia E Andrologia, 95(1). https://doi.org/10.4081/aiua.2023.11150
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