הכל בשם הרצון להיות "גדול"- מקרה אמיתי ....

[align=justify][align=right][align=center][align=left]A 42-year-old healthy Thai male presented with a 1-week history of painful swelling of the penis following self-injection of two tablets of vitamin A dissolved in 10 mL of tap water with an unsterilized syringe, in order to achieve a more prolonged erection for sexual intercourse, on a friend's advice. He injected himself all around the penile shaft "just under the skin." Eight hours after injection, the penis started to become progressively swollen and painful, but it was a further 2 days before he presented to our clinic. He denied a history of any urinary obstructive or irritative symptoms. There was no history of genital ulceration or urethral discharge or any similar acts of self-injection in the past.

Physical examination revealed a markedly edematous, erythematous, and tender penis with multiple yellowish pus discharge points and small superficial ulcerations all around the shaft. The scrotum also showed mild edema and tenderness. bilateral inguinal lymphadenopathy