Medical & Surgical Urology
Open Access

Mri to Assess the Progress of Spinal Tuberculosis During the treatment

Saurabh dwivedi^{* *}Correspondence: Saurabh dwivedi, SN Medical College, Motikatra Agra, Agra, India, Email:

Author info »

Case Report

Pearling, also known as genital beading, is a body modification process, which implicates the introduction of foreign bodies in the subcutaneous tissue[1].

We present two patients who presented similar genital nodular lesions. The first case is a 35-year old man, who exhibited two petrous nodules on the dorsal area of the penis. They were non-adheredtodeepplanes,withwelldefinite borders,andcompletely asymptomatic (Fig.1). The second case is a 41-year old man with a similar nodule on the right side of the penis (Fig.2). When interrogated, both referred that they voluntarily had introduced foreign bodies under the skin years ago. Treatment and follow up were dismissed.

Figure 1: Dorsal area of the penis.

Figure 2: Right side of the penis.

Pearling is nowadays used for body ornamentation and increasing sexual pleasure [1]. The most common materials used are glass or plastic [1]. It is a popular practice in South Asian and Slavic cultures [1], mostly in prisoners and patients of low socioeconomic status [1, 2]. Immediate complications include infection and damage of anatomical structures [3]. Long-term complications such as local fibrosis and erectile dysfunction have also been described [2]. Complementary exams are not needed; a complete anamnesis is enough to approach the diagnosis. Treatment is limited to the complications [2]. These cases exemplify an uncommon finding in daily clinical practice. The knowledge of this practice can aidinthediagnosisandavoidunnecessarydiagnosticprocedures.

References

1. Fischer N, Hauser S, Brede O, et al () Implantation of artificial penilenodules--areviewofliterature.JSexMed2010;7:3565– 3571.
2. Nguyen DP,DesaiBK, Falgiani M.Visual Diagnosis:Pearling: a case study. Int J Emerg Med 2011;4:74.
3. Marzouk E, Implantation of beads into the penile skin and itscomplications.ScandJUrolNephrol1990;24:167–169.