A 34-year-old patient consulted for penile deformity secondary to repeated thickening treatment. He reports that in the space of 8 months he underwent 3 sessions of fat transfer carried out in his country by a specialised professional. Four months after the last infiltration, he began to experience spontaneous pain that increased during erection, making it impossible for him to have sexual intercourse.

On physical examination, the penis had an exaggerated horizontal dimension (girth), with visible irregularities that could be seen on palpation and were painful. Soft, mobile tumours between 1 and 3 cm in diameter are palpated.
The clinical examination and the patient's history of fat inclusion provide us with an indication of the diagnosis and aetiology of the problem. As a complementary study we requested a radioisotopic lymphography to rule out possible lymphoedema. The report tells us that the lymphatic vessels and regional lymph nodes are intact (10,11).
Surgical treatment
We plan to remove the tumours causing the deformity. In a surgical environment and under general anaesthesia, we place a Foley catheter no. 16 in order to control by touch the course of the urethra and therefore also the corpus spongiosum that houses it. We incised the penis in its ventral midline and proceeded to dissect and remove each of the tumours that could be identified, taking care not to damage the noble structures of the penis. Once complete resection of the tumours has been achieved, careful haemostasis is carried out and the incision is closed in planes, taking into account the different layers of the penile integument. Drainage is left in place. At the end of the operation, the changes achieved are already visible.

The pathological examination revealed that the lesions were made up of fat globules and that some of them showed foci of cytosteatonecrosis.

