Urethral stricture - penile

Case contributed by Dr Ian Bickle

Presentation

'Backstreet' injection of paraffin into penis 5 years ago to 'enhance' its size. Acute urinary retention. Failed urethral catheterisation.

Patient Data

Age: 45
Gender: Male
Modality: Fluoroscopy

Bladder filled with contrast via suprapubic catheter.

Dilated posterior and bulbous urethra.

Tapering into a tight stricture in the proximal penile urethra.

Case Discussion

Urethral strictures typically follow infection or trauma.  In this case the 'trauma' was due to a geographically refined cultural practice of injecting paraffin into the penis to 'aid' enhancement.

The same process is performed - not by the medical estalishment - into female breasts to result in enhancement.

The size increase in the respective organs is due to a granulomatous foreign body reaction to the paraffin.  A so called 'paraffinoma'. Complications are common - in this case a deformed penis with a anterior urethral stricture.

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Case Information

rID: 43362
Case created: 7th Mar 2016
Last edited: 7th Mar 2016
System: Urogenital
Inclusion in quiz mode: Included

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