CONTEXT Penis size is a great concern for men in many cultures. Despite the great variety of methods for penile augmentation, none has gained unanimous acceptance among experts in the field. However, in this era of minimally invasive procedure, injection therapy for penile augmentation has become more popular. Here we report a case of methacrylate injection in the penis that evolved with penile deformity and sexual dysfunction. This work also reviews the investigation and management of this pathological condition. CASE REPORT A 36-year-old male sought medical care with a complaint of penile deformity and sexual dysfunction after methacrylate injection. The treatment administered was surgical removal. Satisfactory cosmetic and functional results were reached after two months. CONCLUSIONS There is a need for better structured scientific research to evaluate the outcomes and complication rates from all penile augmentation procedures.

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4 - Use a moisturizer on the penis before the exercises and it is preferred not to use soap and shampoo as these materials will lead to redness and irritation of the penis skin . If it stays for a long period of time, in addition to dry skin, and the occurrence of cracks, it is preferred to use the Intensive Care Vaseline instead of the ordinary Vaseline as it can stay on the skin for long period of time without irritating or damaging the skin of the penis.

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