Penile Paraffinoma

Bayraktar, Necmi; Başar, İsmet

doi:10.1155/2012/202840

Cited by 11 publications

(12 citation statements)

References 11 publications

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“…The first person documented to inject a foreign substance into the human body was Robert Gersuny, an Austrian surgeon in 1899. He injected mineral oil (Vaseline) to substitute an absent testis (2) and the immediate success led other medical personnel to test with other materials, such as paraffin and silicone, as part of treatment, especially in the field of plastic surgery. These materials were injected in a semiliquid stage, achieved by heating, before solidification when it gets cooler.…”

Section: Discussionmentioning

confidence: 99%

Surgical Techniques for Correction of Penile Paraffinoma

Salauddin

Ghazali

2019

MJMS

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BackgroundPenile augmentation using injection of a foreign body into penile skin was mainly performed by non-medical personnel. Majority of these patients end up with complication of an abnormal mass formation known as penile paraffinoma.MethodsWe described three different surgical techniques for correction of penile paraffinoma based on our single-centre experience. Informed consents were obtained from patients whose photographs were taken during the operation step.ResultsIn general, three patients had simple excision biopsy with primary suturing, four patients underwent single stage excision of circumferential granuloma with bilateral scrotal skin flap reconstruction and one patient experienced dual stage procedure. Three of them were injected with paraffin, one with silicone and the remaining four were unable to identify the substance used. All patients successfully underwent the surgical procedure and four of them had minor post-operative surgical site infection and wound gapping.ConclusionAll patients recovered well and the mean International Index of Erectile Function (IIEF-5) score obtained was 24.25. In our experience, excision biopsy was adequate for focal mass and reconstructive surgery using bilateral scrotal flap was suitable for circumferential mass.

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Section: Discussionmentioning

confidence: 99%

Surgical Techniques for Correction of Penile Paraffinoma

Salauddin

Ghazali

2019

MJMS

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“…Photograph of the necrotic and inflamed penis taken at presentation. management, 3,5 no up-to-date, evidence-based guidance for treating penile paraffinomas is available. NICE, UpToDate and BMJ Best Practice do not provide guidance on penile paraffinomas.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Both MRI and histology showed fat or paraffin within the superficial penile layer. Although literature suggests radical surgical excision is the best management, 3,5 no up-to-date, evidence-based guidance for treating penile paraffinomas is available. NICE, UpToDate and BMJ Best Practice do not provide guidance on penile paraffinomas.…”

Section: Discussionmentioning

confidence: 99%

Penile paraffinoma: A rare but important presentation

Gaukroger

Riddenton

Bright

2018

Journal of Clinical Urology

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A 30-year-old Bulgarian man presented with a 7-day history of a painful, pruritic penile swelling and 3-days of penile shaft ulceration and necrosis. The glans was unaffected (Figure 1). He reported no history of penile discharge, lower urinary tract symptoms, trauma, STI or penile cancer. Observations were normal. Inflammatory markers were mildly raised, syphilis and HIV serology were negative. Genital swabs grew only normal skin flora and mixed anaerobes. MRI confirmed superficial involvement only (Figure 2(a) and (b)). His current employment was picking daffodils, and as this appeared to involve superficial structures he was treated for severe penile daffodil rash 1 with antibiotics, emollients and topical steroids under the guidance of dermatology and genitourinary medicine. Punch biopsy of the penile shaft showed predominantly granulation tissue with numerous inflammatory cells and paraffin deposits (Figure 3). At a 2-week clinic review, he admitted injecting paraffin into his penis four and eight years previously, to achieve penile augmentation. Although the swelling and erythema had settled, the area of ulceration remained. He was therefore diagnosed with penile paraffinoma and referred for reconstructive surgery, but returned to Bulgaria before this was possible.

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“…However, due to serious complications of this practice, such as infection, ulceration and fistulation [2] , the method was abandoned. Penile augmentation with injected substances is still performed in many Asian countries, mainly by the patients themselves or by non-professionals [3] , [4] with disastrous consequences. In the present study, we describe our technique performed in the first reported case of a successfully managed paraffinoma caused by paraffin injection in the penile corpus, without flap or graft use.…”

Section: Introductionmentioning

confidence: 99%

Minimal surgical management of penile paraffinoma after subcutaneous penile paraffin injection

Dellis

Nastos

Mastorakos

et al. 2017

Arab Journal of Urology

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ObjectivesTo describe our reconstructive technique, without flap or graft use, after penile self-augmentation with injected substances, such as paraffin, which are still performed with unfortunate consequences.Patient and methodsSuccessful single-stage minimal surgical management of an already twice unsuccessfully managed ulcerative penile paraffinoma in a 38-year-old Greek man.ResultsThe patient was discharged with no postoperative complications, with a five-item version of the International Index of Erectile Function score of 23/25 (i.e. normal erectile function) and flaccid penile length of 5 cm.ConclusionsPenile paraffinoma is a serious complication that can be successfully managed with a single-stage minimal surgical procedure, with normal aesthetic and functional results.

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Penile Paraffinoma

Cited by 11 publications

References 11 publications

Surgical Techniques for Correction of Penile Paraffinoma

Surgical Techniques for Correction of Penile Paraffinoma

Penile paraffinoma: A rare but important presentation

Minimal surgical management of penile paraffinoma after subcutaneous penile paraffin injection

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