On microscopic appearance, there were foamy macrophages and foreign-body-type multinucleated giant cells. The histopathology report confirmed the presence of foreign body granulomatous inflammation. Males of the Dayak tribe in Borneo resorted to self mutilation by forming holes on their penises and then sticking decorative items through them for their partner's pleasure. On review, the split skin grafting site had taken well and patient was happy with the outcome and was sexually active again. Indications for penile enhancement surgery are poorly defined, and outcome measures for success are still unclear.
The origin of these practices is unclear, but some writers say that they were copied from Chinese traders who visited Southeast Asia, while others argue that it is an indigenous innovation. This article has been cited by other articles in PMC. The condition progressively worsened over the next 6 months with gross enlargement of the penis affecting sexual function. Indications for penile enhancement surgery are poorly defined, and outcome measures for success are still unclear. He has a background history of diabetes mellitus on oral hypoglycemics. These patients interpret normal appearances as abnormal, and as such are distressed and depressed. All five patients were treated with excision of penile shaft skin down to buck's fascia followed by resurfacing with split thickness skin grafting. Patient was admitted with a diagnosis of penile lymphedema and was planned for excision and split thickness skin grafting of the penile shaft. Males of the Dayak tribe in Borneo resorted to self mutilation by forming holes on their penises and then sticking decorative items through them for their partner's pleasure. Brazilians of the Topinama tribe allowed poisonous snakes to bite their penises in order to enlarge them. The histopathology report confirmed the presence of foreign body granulomatous inflammation. He is currently still under follow up. The implant objects range from the very simple, e. Circumferential excision of the penile shaft skin down to buck's fascia was done extending from the base of the corona down to the base of the shaft. This anxiety has been found to transcend ethnicity and cultural barriers. Abstract To report our experience with 5 cases of complications of penile enhancement procedures secondary to liquid silicone injections and our method of management of its debilitating effects. Sadhus, holy men of India and male of Cholomec tribe in Peru used weights to increase their penile lengths. The patient experienced prepucial swelling which started 4 to 5 days later, especially on erection. Postoperative period was uneventful and patient was discharged home on postoperative day 5. On microscopic appearance, there were foamy macrophages and foreign-body-type multinucleated giant cells. We also demonstrate that a simple method of excision of the entire penile shaft skin and resurfacing with split skin grafting showed improvement in cosmetic as well as functional outcome. On review, the split skin grafting site had taken well and patient was happy with the outcome and was sexually active again. We conclude that penile enhancement procedures with liquid silicone by non-medical personnel could result in devastating consequences. Patient did not complain of any difficulty in micturition. Nonetheless, due to a huge demand, these procedures are commonly performed in Malaysia by unscrupulous shamans. These stigmas of apparently small penises, as well as the increasing influence of the media on sexual issues have increased the demand for penile enhancements. The majority of men who request penile enhancement surgery usually have a normally sized and normally functioning penis.
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