Background: Ischemia or necrosis of the penile glans is a rare condition, commonly as a result of trauma, diabetes mellitus, circumcision, vasculitis and vasoconstrictive solutions administration. Sclerosing lipogranuloma of the penis is mainly a complication arising from injection of oil-based liquid to the subcutaneous tissue of the penis.Â No previously reported case of penile glans necrosis has been reported as the result of penile sclerosing lipogranuloma repair.
Case Description: We report a 45-year-old man presented with a hardened penile skin after injection of unknown liquid material to his penile skin 10 years earlier. The abnormality made him difficult to perform sexual activities because of pain during sexual intercourse. The suprapubic area was also affected, with a tender mass similar to the penile skin. First stage penile reconstruction using Cecilâ€™s two stage technique was performed. After seven days, the patient noticed his penile glans was blackened, and he complained about less sensation on the glans. In the fourteenth day, debridement of the necrotic glans surface performed, and healthy glans tissue was found beneath the necrotic tissue. After six months, the second stage reconstruction was performed with a satisfying result.
Conclusion: Necrosis of the penile glans is a rare condition after reconstruction of sclerosing lipogranuloma of the penis. Debridement of the necrotic tissue and glans resurfacing can be a good choice to correct this problem.