Penile paraffinoma

Turner, Bruce; Goldstraw, Emma; Pati, Jhumur

doi:10.1111/j.1749-771x.2012.01145.x

Cited by 2 publications

(5 citation statements)

References 14 publications

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“…The apparent success of the procedure led him to use Vaseline as filling material for other soft tissue defects in other body organs such as breast, cheek, eyelids, muscle, and nose (23). Later, paraffin injections were also used to treat urinary incontinence (24). Problems with this type of procedure were reported as early as 1906 by Heidingsfield.…”

Section: Historical Backgroundmentioning

confidence: 99%

“…Most of these injected materials cannot be metabolized as the human body lacks the enzyme to break down exogenous lipids, causing a foreign body reaction (16,25). Delayed sequelae may include foreign body granulomas, and apparently an increased risk of penile cancer has also been described (24).…”

Section: Historical Backgroundmentioning

confidence: 99%

“…Life-threatening adverse reactions were also reported, including sepsis, pneumonitis and embolism associated with the inadvertent intravascular administration of the mineral oil (24).…”

Section: Historical Backgroundmentioning

confidence: 99%

“…Most patients are unsatisfied with the result (24). Even in patients with no or minimal complications, discomfort and decreased erectile rigidity are commonly reported (9).…”

Section: Clinical Manifestationmentioning

confidence: 99%

“…Surgery is the best therapeutic option for this disease (3,28,35). Surgery involves complex reconstructive procedures; it is time consuming and may require a staged approach involving bi-pedicled or bilateral scrotal flaps (17,24,(36)(37)(38)(39). Complete excision is critical to remove all the granuloma material, even extending to the suprapubic area, and involved regional adenopathy (28).…”

Section: Treatmentmentioning

confidence: 99%

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Sclerosing lipogranuloma of the penis: a narrative review of complications and treatment

Soebhali¹,

Felício²,

Oliveira³

et al. 2021

Transl Androl Urol

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Sclerosing lipogranuloma of the penis is a relatively rare disorder associated with injection of illicit foreign materials for penile augmentation. We aim to report the clinical presentation, diagnosis, treatment, and outcomes of patients with this condition, and to review the most relevant literature currently available.Background: Injection of mineral oil into the subcutaneous tissues of the penis for augmentation has been practiced since ancient times. The potential for complications has long been known, and most doctors have abandoned the procedure. However, it is still practiced in some parts of the world. The complications may be devastating including death from embolism or sepsis. The affected area may not be restricted to the injection site, potentially involving the scrotal and suprapubic areas. Surgery with complete removal of the involved tissue followed by covering the denuded area with a graft or skin flap is the best therapeutic option. Methods:The literature search involved keywords such as penis, augmentation, enlargement, sclerosing, lipogranuloma, penile injection, paraffinoma, and was obtained from computerized search of databases such as PubMed, Google Search and Scopus. Personal experience of the lead author (BS) is also described. We tried arbitrarily to limit our search to articles including ≥5 patients pertaining to the subject of our review and, therefore, excluded single case reports. However, a single systematic search of PubMed and Scopus was also found and included. Conclusions:The treatment of choice is radical excision of all the lesions followed by skin grafting.Bearing in mind that prospective, randomized, controlled studies are considered difficult to carry out, further work will continue apparently to be based on case series by individual surgeons. It is critical to advise patients to separate the myths from the facts and use preventive measures through awareness and education to best minimize the downsides of this problem.

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Section: Historical Backgroundmentioning

confidence: 99%

Section: Historical Backgroundmentioning

confidence: 99%

“…Life-threatening adverse reactions were also reported, including sepsis, pneumonitis and embolism associated with the inadvertent intravascular administration of the mineral oil (24).…”

Section: Historical Backgroundmentioning

confidence: 99%

“…Most patients are unsatisfied with the result (24). Even in patients with no or minimal complications, discomfort and decreased erectile rigidity are commonly reported (9).…”

Section: Clinical Manifestationmentioning

confidence: 99%