Abstract
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.
Highlights
The term paraffinoma was introduced by Newcomer and Grahamin in 1971 to describe abnormal histopathologic findings after the injection of a foreign material (1)
We described three different surgical techniques for the correction of penile paraffinoma based on our single-centre experience
Four of the patients did not recognise the substance used in the injections; three informed the use of paraffin and one of silicone
Summary
The term paraffinoma was introduced by Newcomer and Grahamin in 1971 to describe abnormal histopathologic findings after the injection of a foreign material (1). Several other terminologies are less commonly found in the literature, such as sclerosing lipogranuloma, penile granuloma and siliconoma This complication occurs as a result of atypical tissue proliferation and inflammatory process caused by the interaction of a foreign substance with human tissue. The technique of penile augmentation is a practice mainly performed by a non-medical personnel and includes injection of this substance. The patient or his partner who underwent the procedure may experience undesirable symptoms and should seek medical attention. Penile 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
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