Abstract
BackgroundTo describe our scrotal bridge flap technique in reconstructive surgery for extensive penile paraffinoma, a debilitating late complication of penile subcutaneous foreign material injection intended to achieve penile augmentation.Case presentationWe reviewed the medical records of 10 patients who underwent reconstructive surgery with the scrotal bridge flap technique for penile paraffinoma at our center between 2016 and 2019. Complete excision of fibrotic tissue and the overlying skin was performed, and penile resurfacing was achieved by mobilizing the scrotal skin superiorly to wrap around the penile shaft, leaving a skin bridge at the median raphe. All 10 patients successfully underwent scrotal bridge flap penile reconstruction with satisfying results. The mean operation duration was 286.1 min (range 213–363 min). No immediate major complications were observed in any of the patients, and no patients required revision surgery.ConclusionThe scrotal bridge flap technique is a reliable method for reconstructive surgery after the excision of penile paraffinoma.
Highlights
To describe our scrotal bridge flap technique in reconstructive surgery for extensive penile paraffinoma, a debilitating late complication of penile subcutaneous foreign material injection intended to achieve penile augmentation.Case presentation: We reviewed the medical records of 10 patients who underwent reconstructive surgery with the scrotal bridge flap technique for penile paraffinoma at our center between 2016 and 2019
1 Background Penile augmentation by subcutaneous foreign material injection was previously practiced by clinicians and was first described in 1899
Penile paraffinoma is a late complication of attempted penile augmentation
Summary
Penile augmentation by subcutaneous foreign material injection was previously practiced by clinicians and was first described in 1899. It was subsequently understood to have highly damaging late complications, its absence in medical practice today. Penile paraffinoma is a late complication of attempted penile augmentation. Downey et al [1] reported 214 cases between 1956 and 2017; the majority of cases were in Korea, Eastern Europe, and Southeast Asia. Svensøy et al [2] have recently shown that it is more prevalent in certain areas than previously thought, with 680 patients treated at a single center in Thailand between 2010 and 2014. We describe the scrotal bridge flap penile resurfacing technique that is used at our center to share our experience of treating this debilitating condition
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