Penile subcutaneous fibrolipoma postaugmentative phalloplasty

Area of Science:

• Urology
• Dermatology
• Plastic Surgery

Background:

• Fibrolipomas are rare benign tumors, a subtype of lipomas.
• Subcutaneous penile fibrolipomas are exceptionally rare, with no prior documented cases.
• Aesthetic dysmorphophobia can lead to surgical interventions like augmentative phalloplasty.

Purpose of the Study:

• To report the first case of a subcutaneous penile fibrolipoma.
• To discuss the diagnostic and surgical management of this rare condition.
• To evaluate the outcomes following surgical excision in relation to phalloplasty.

Main Methods:

• Case report of a male patient with a subcutaneous penile mass.
• Review of diagnostic imaging and histopathological findings.
• Surgical excision of the fibrolipoma.
• Post-operative follow-up assessing physical and functional outcomes.

Main Results:

• Successful surgical excision of the penile fibrolipoma.
• No recurrence of the mass at six-month follow-up.
• Stable penile elongation and enlargement achieved post-surgery.
• Patient reported high satisfaction with sexual intercourse and overall sexual life.

Conclusions:

• Subcutaneous penile fibrolipoma is a rare entity that can occur post-phalloplasty.
• Surgical excision is an effective treatment option.
• Positive functional and aesthetic outcomes can be achieved, improving patient quality of life.