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Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyung-Dong, Jongno-Gu, Seoul 110-746, South Korea
Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyung-Dong, Jongno-Gu, Seoul 110-746, South Korea
]. The authors introduce their experience with a penile keloid.
Although keloids can occur at any age, they tend to develop more rapidly during and after puberty. Therefore, this case is of one of the youngest patients reported in the literature to date. According to our own clinical experience [
The authors adopted a combination therapy of surgical excision and adjuvant silicone gel sheet application. Although topical silicone gel sheeting is well known for the treatment of keloids, previous works by many authors suggest that sheets should be worn over the keloids for more than 12 h per day for 2–3 months [
Prevention of hypertrophic scars and keloids by the prophylactic use of topical silicone gel sheets following a surgical procedure in an office setting.
]. As the penis is a three-dimensional cylindrical structure, theoretically this is possible to apply. However, clinicians should be aware that it is difficult for children to be expected to wear silicone gel sheets for a sufficient time.
Therefore, we recommend surgeons to use steroid injection therapy as their adjuvant therapy for the treatment of penile keloids. We have successfully treated our inguinal keloids with surgical excision followed by adjuvant steroid injection therapy (Fig. 2).
Figure 2Post-treatment appearance of the same patient. (18 months postoperatively).
Prevention of hypertrophic scars and keloids by the prophylactic use of topical silicone gel sheets following a surgical procedure in an office setting.
Circumcision is performed in many communities around the world for either medical, ethnic, or religious issues. It is a safe procedure when it is performed by a fully trained surgeon. However, complications such as bleeding, infection, diminished penile sensation, urethral injury and amputation of the glans are occasionally seen. Keloid is the result of excessive deposition of collagen in the dermis and subcutaneous tissues. It usually develops at the site of trauma or surgical injuries. Keloid formation on the penis is a very rare condition.
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