A Case Report: Penile Ulcer Caused by Lintah Oil Injection
ABSTRACT: Lintah oil that was
injected for genital augmentation, can cause penile ulcer, which is also one of
the ulcer that occur due to ‘self-inflicted’. It could occur in nodul or
abscess formation, and undergoes ulceration. It can cause psychological stress
to affected patient, so that a proper diagnosis is expected to support well
management. Purpose: To describe the clinical manifestation, laboratory
examination, and management of penile ulcer caused by lintah oil injection.
Case: A 58-year-old male presented a single deep wound on his shaft penis, with
diameter ± 2 x 5 cm, undermined, ragged edges, containing pus and easily to
bleed, occured about 6 months after the injection of lintah oil, which was used
for his genitalia enlargement and performed by untrained person. There were complaints
about redness skin and swelling on his shaft penis about 3 months after the
injection, which then underwent fester with the sense of burning sensation and
painful. Discussion: Blood examination indicated a slightly increase of leukocyte.
Pus culture and sensitivity test were performed, while waiting for the result,
patient was given cotrimoxazoletablet 480 mg twice daily for seven days.
Another examination result were within normal limit. Treatment consisted of oralantibiotic
for seven days, and for the wound dressing has given NaCl 0.9% as the wet
dressing and covered with framycetinsulfate 1% gauze. Conclusion: Diagnosis of
penile ulcer caused by lintah oil injection was established by patient’s
history and physical examination. Therapy was given based on culture result.
Lesion was healed after 1 month of treatment. Education not to repeat the
injection was given to the patient to prevent the recurrence of this condition.
Keywords: penile ulcer, lintah
oil injection, wound care
Penulis: Kartika Paramita,
Cita Rosita Sigit Prakoeswa
Kode Jurnal: jpkedokterandd160635
