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A Case Report on "Pearling": Removal of Infected Objects During Circumcision
Raymond Xu1, Dylan Wolff1, Nicholas A Deebel1
1Urology, Atrium Health Wake Forest Baptist, Winston-Salem, USA.
Cureus
|July 24, 2023
Summary
Penile pearling, the insertion of foreign bodies under the penile skin, can lead to delayed complications like abscesses. Surgical removal during circumcision offers a viable treatment option for these rare long-term issues.
Area of Science:
- Urology
- Dermatology
- Infectious Diseases
Background:
- Penile pearling involves inserting foreign bodies beneath the penile skin, with acute complications documented but limited data on long-term sequelae.
- Previous reports highlight risks such as infection and neurovascular damage from penile foreign bodies.
Observation:
- A 43-year-old male presented with a penile abscess five years after undergoing penile pearling.
- The abscess was successfully drained, and foreign objects were removed during a concurrent circumcision.
Findings:
- This case details a rare, late-onset complication of penile pearling presenting as an abscess.
- Surgical management involved foreign body extraction integrated into a circumcision procedure, avoiding additional incisions.
- Microbiological data guided the treatment of the penile abscess.
Implications:
- This case highlights the potential for delayed complications from penile pearling, emphasizing the need for awareness among healthcare providers.
- Simultaneous circumcision and foreign body removal present a minimally invasive surgical approach for managing such cases.
- The findings underscore the importance of microbiological analysis in treating complex penile infections secondary to foreign bodies.
