Penile paraffinoma: Self-injection with mineral oil

Abstract

We present a 64-year-old patient with a 9-cm firm, irregular penile mass associated with phimosis, erectile dysfunction, and voiding difficulty. After he reluctantly admitted to multiple penile mineral oil self-injections for enlargement, surgical excision was performed. Pathologic examination was consistent with mineral oil granuloma (paraffinoma). Within several weeks after surgery, his erectile dysfunction and voiding complaints resolved. Paraffinomas have been encountered with the use of various oily substances injected for cosmetic purposes. Despite early warnings, these agents continued to be used to treat conditions ranging from hemorrhoids to wrinkles and even baldness. Fortunately, most of these fads have been abandoned by medical professionals, but the complicating lesions have been documented as having lag times as long as 30 years. Complete surgical excision remains the treatment of choice to prevent recurrence. Increased public awareness is needed for the prevention of this physically and psychologically debilitating problem.

Penis invalidating cicatricial outcomes in an enlargement phalloplasty case with polyacrylamide gel (Formacryl)

“…[1][2][3] This article presents a case of invalidating cicatricial outcomes secondary to the subcutaneous polycrylamide gel administration in the penis.…”

“…[1][2][3][4][5][6][7] These procedures have never been completely validated in terms of their safety and viability, and in some cases have not been allowed at all, and may determine foreign body-induced reactions, scars, deformities, ulcerations and erectile dysfunction. 4 The present article reports the case of a patient subjected to polyacrylamide polymers-composed gel cutaneous infiltration in the penis for cosmetic purposes, resulting in severe invalidating outcomes.…”

Penile Cellulitis and its Medical Treatment Due to Self-Injection of Non-Injectable Enlargement Cream Into Penis for Penile Augmentation: Case Report of a Unique Complication and Review of Literature

“…The complications of these agents were generally treated with surgical procedures. [4][5][6][7][8][9][10][11][12][13][14][15][16] Self-injection for penile augmentation becomes more remarkable with the cause of easy application. In the literature there are few case reports for self-injection for penile augmentation.…”

Enfermedad por modelantes: problemática actual en México y presentación de casos

“…Se han propuesto diversos tipos de tratamientos quirúrgicos que incluyen la resección quirúr-gica amplia y la posterior reconstrucción mediante colgajos locales o microquirúrgicos, sobre todo cuando la enfermedad afecta al área mamaria y facial (2,5,(9)(10)(11)(12)(13)(14)(15). Sin embargo, esto no es posible cuando se trata del miembro pélvico, debido en ocasiones a la gran cantidad de material infiltrado y a la extensión afectada, ya que al realizar un desbridamiento exhaustivo, se producen grandes áreas cruentas de difícil tratamiento, por lo que se propone en estos casos un desbridamiento mínimo y la aplicación de sistemas de presión subatmoférica controlada con los que se favorece el cierre primario o la resolución del defecto mediante injertos cutáneos (16)(17)(18)(19)(20).…”