Ning Gets Nailed

BY FAR ONE OF THE greatest breast ive seen..
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good

Awesome.

lol... the comments are great

Hustle

schöner Fake!

6643 votes wtf!!!! this is Hilariously unthinkable to vote! Is it bcos 6443 ppl think its funny or disapprove it?????

boner not just lost but afraid....

4 and 28 mins of my life wasted :( can i have a it back plz

nice

This is very strange, not sexy at all :(

this shit suck

:)

Sclerosing lipogranuloma of the penis results from injection of high viscosity fluid for the purpose of penile augmentation and may have devastating cosmetic and sexual function consequences. Although rare, sclerosing lipogranuloma should be considered in the differential diagnosis of subcutaneous induration or nodules of the male genitalia as it may mimic carcinoma and poses a diagnostic challenge in patients reluctant to admit to injection therapy. Surgical excision with penile reconstruction is the mainstay of treatment. The authors present a case of a 35-year-old Myanmarese man with a sclerosing lipogranuloma of the penis due to injection of mineral oil successfully managed with penile biopsy and excision with split-thickness skin graft phalloplasty and provide a review of the current literature.
A 35-year-old Myanmarese man presented with a history of repeated injections of mineral oil into the skin and subcutaneous tissue of his penis for the purpose of augmentation one year prior by nonmedical personnel in a Myanmarese coffee house. On presentation, the patient reported a gross deformity of the base of his penis with painful erections and an inability to penetrate during intercourse. His past medical history and surgical history was otherwise unremarkable. The patient had never had any previous penile disease. Physical examination revealed a circumferential subcutaneous ring of indurated tissue at the penile base that extended the entire ventral length of his penis and caused severe deformity (Figure 1A). Induration extended cephalad to the suprapubic fat pad and caudad to the penoscrotal junction, but did not involve the glans penis. The overlying penile skin was fixed and painless on palpation. There was no ulceration, meatal discharge, or inguinal adenopathy, and he denied any lower urinary tract symptoms. Complete blood counts, serum chemistries, urinalysis, and the erythrocyte sedimentation rate were within normal limits. Laboratory tests for sexually transmitted diseases were negative. Cystoscopy demonstrated a normal and patent urethra. Histopathological analysis of a penile biopsy showed thickening of the reticular dermis and replacement of normal subcutaneous fat by lakes of oil interspersed in foreign body giant cells confirming sclerosing lipogranuloma consistent with a paraffinoma (Figure 2). Acid fast bacilli and mycology cultures were without growth. An excision of the suprapubic, penile, and penoscrotal paraffinoma (Figure 1B) with split-thickness skin graft phalloplasty was performed (Figure 1C). Postoperatively the patient has a cosmetically acceptable penis with normal erections sufficient for intercourse without pain.Sclerosing lipogranulomas of the penis resulting from injection of high-viscosity, oil-based solutions have been sporadically reported in the international literature, most commonly in Asian, Russian, and Eastern European patients.1–3 A variety of oils has been injected into the penis with the intent of penile augmentation.3–5 Most commonly presenting with a gross deformity of the penis, sclerosing lipogranulomas of the penis, also commonly referred to as penile paraffinomas, are often associated with emotional distress, impotence, painful intercourse, the inability to perform sexual activities,or (also) eventuatly effecting gangrene,mortification,necrosis,unbearable pain.2,4 Surgical treatment may be technically challenging, but excision of the foreign material with appropriate phalloplasty may give satisfactory long-term results.In this report, the authors describe a case of sclerosing lipogranulomas of the penis secondary to injection of mineral oil managed by wide excision of the skin and subcutaneous tissue infiltrated by the foreign material along with skin graft phalloplasty as well as provide a review of the current literature.
Other Sections▼
Abstract
Case Report
Discussion
Conclusion
References

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heisses video

O nasıl taşşak amına koyım

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Good...

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Thanks

★★★★★

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big ass balls, ill swallow them.