PENILE INTRACAVERNOSAL SUBSTANCE-ABUSE

A complete workup for a 36-year-old man with unexplained inguinal aden opathy and an indurated, enlarged penis and scrotum included urine cul tures for bacteria, fungi, and acid-fast bacilli; scrotal ultrasound; computed tomography of the abdomen and groin; a retrograde urethrogram ; a cystogram; duplex penile Doppler blood flow studies; and a surgica l inguinal lymph node dissection. Pathologic examination of the excise d lymph node revealed lipoid granulomatous lymphadenitis. After receiv ing definitive treatment for a psychotic condition, the patient acknow ledged a 2-year history of intracavernosal injection of gelatinous vit amin E.