摘要
Dear Editor, We herein present three rare cases of penile keloids that formed after circumcision and were effectively treated with a combined modality. We also discuss their possible causes. The current complication rate for male circumcision is 2%-4%.＇ Hematoma, edema, infection and incision dehiscence are encountered more often, while keloid forma- tion, a common complication after skin injury or surgery, is rarely seen after circumcision. This complication may result from improper cir- cumcision and postoperative management. Penile keloids are more difficult to manage than those on other body sites because mechanical pressure and silicone sheeting, which comprise the normal treatment modality for keloids, are generally considered difficuk to apply to the penis.2-5 Using a novel dressing method that enabled the use of the normal treatment modality, three cases of penile keloids secondary to circumcision were effectively treated. All patients have given their informed consent prior to their inclu- sion in the study. One patient was a 32-year-old Chinese man who had a large, pruritic scar with pain on the penis. Two years prior, he underwent circumcision. Infection occurred on the third post- operative day and resulted in incision dehiscence. The wound healed in 1 month. Shortly before wound closure, the scar started to elevate and became hypertrophic and prominent; growth was slowly pro- gressive for more than 16 months. Physical examination revealed a 2.5-era-diameter circumferential scar cord with a colon-like, reddish surface along the coronal sulcus at the circumcision site. The patient also complained of embarrassment （such as that experienced in public lavatories and bathhouses） and the inability to have intercourse. He also had several hypertrophic scars on his lower abdominal wall and left deltoid region that had formed following dermatitis about 20 years prior. His 9-year-old son developed a hypertrophic scar after trauma. No additional family history was found. The scar on the deltoid region had been resected 5 years previously, but resulted in a much larger scar. He had undergone six intralesional steroid injections for the penile scar, but only minor regression was noted.
Dear Editor, We herein present three rare cases of penile keloids that formed after circumcision and were effectively treated with a combined modality. We also discuss their possible causes. The current complication rate for male circumcision is 2%-4%.＇ Hematoma, edema, infection and incision dehiscence are encountered more often, while keloid forma- tion, a common complication after skin injury or surgery, is rarely seen after circumcision. This complication may result from improper cir- cumcision and postoperative management. Penile keloids are more difficult to manage than those on other body sites because mechanical pressure and silicone sheeting, which comprise the normal treatment modality for keloids, are generally considered difficuk to apply to the penis.2-5 Using a novel dressing method that enabled the use of the normal treatment modality, three cases of penile keloids secondary to circumcision were effectively treated. All patients have given their informed consent prior to their inclu- sion in the study. One patient was a 32-year-old Chinese man who had a large, pruritic scar with pain on the penis. Two years prior, he underwent circumcision. Infection occurred on the third post- operative day and resulted in incision dehiscence. The wound healed in 1 month. Shortly before wound closure, the scar started to elevate and became hypertrophic and prominent; growth was slowly pro- gressive for more than 16 months. Physical examination revealed a 2.5-era-diameter circumferential scar cord with a colon-like, reddish surface along the coronal sulcus at the circumcision site. The patient also complained of embarrassment （such as that experienced in public lavatories and bathhouses） and the inability to have intercourse. He also had several hypertrophic scars on his lower abdominal wall and left deltoid region that had formed following dermatitis about 20 years prior. His 9-year-old son developed a hypertrophic scar after trauma. No additional family history was found. The scar on the deltoid region had been resected 5 years previously, but resulted in a much larger scar. He had undergone six intralesional steroid injections for the penile scar, but only minor regression was noted.
