Pain Felt Research Articles

Opioid Use, Disposition, and Parent Satisfaction Following Common Pediatric Surgical Procedures.

There is wide variability in prescribing practices among providers, even for patients undergoing the same operations. Our study aims to analyze the variation in opioid prescription practices using a patient-centered approach to establish more appropriate prescribing guidelines for health care providers. We conducted phone surveys 30days after surgery to assess patient-reported opioid use. Over a two-year collection period, we identified patients that had undergone common outpatient pediatric surgery procedures in our 4-surgeon group. Included in the survey tool was the narcotic prescribed (if any), the amount used, and patient/family rating of pain control. We collected data for 189 separate procedures (88 umbilical hernias, 30 laparoscopic inguinal hernias, 2 open inguinal hernias, 41 appendectomies, 15 laparoscopic cholecystectomies, and 13 pectus bar removals). Patient age ranged from less than 1month to 246months. 83.5% of patients had a narcotic prescribed. The average number of doses used was 4, ranging from 0 (11.3%) to 30 (1.5%). 72.6% of families surveyed felt pain control was appropriate. However, 19.6% did feel they received too much pain medication. 10.6% reported completing their entire prescription; however, only 13.6% of families with excess narcotics reported proper disposal. Despite heightened awareness of the opioid epidemic, there is still a poor understanding of appropriate pain control regimens in the pediatric surgical population. We demonstrate that most patients are discharged home with excess opioids and that many families save the leftover pills/liquid. Further research and education are encouraged to limit the use of opioids in standard pediatric surgical procedures.

Pharmacological and psychotherapy pain management in adult acute lymphoblastic leukemia (ALL) with depressive organic disorder patient

Background: Acute Lymphoblastic Leukemia (ALL) or also called Acute Lymphocytic Leukemia is a cancer of the blood and bone marrow. ALL is strongly related to pain due to the nature of the disease where leucocyte cells infiltrate organs causing pain, and also due to some of its treatments which can cause pain as a side effect. Case report: A female patient, aged 45 years, consulted the Consultation-Liaison Psychiatry, sub-Palliative Department with a complaint of pain. The patient felt severe pain, intermittent but kept getting worse over time, with VAS of 7-8 causing her to feel weak and have difficulty sleeping, with a history of Paracetamol and Codeine as analgetic. When the pain peaked, the patient felt weak and sometimes crying for no reason. She became more emotional since her illness and she’s not an emotional person before. Patients also tend to get tired and lost enthusiasm in doing activities. Patient with anankastic personality character, acting out, and sublimation defense mechanism, was diagnosed with Organic Depressive Disorder (F06.32); ALL ECOG2, mild anemia, suspect CAD with differential diagnosis of ischemic due to supply & demand mismatch (anteroseptal ischemia), uterine mass et causa suspected leukemic infiltration with differential diagnosis of uterine myoma.

Complain like you mean it! How prosody conveys suffering even about innocuous events

When complaining, speakers can use their voice to convey a feeling of pain, even when describing innocuous events. Rapid detection of emotive and identity features of the voice may constrain how the semantic content of complaints is processed, as indexed by N400 and P600 effects evoked by the final, pain-related word. Twenty-six participants listened to statements describing painful and innocuous events expressed in a neutral or complaining voice, produced by ingroup and outgroup accented speakers. Participants evaluated how hurt the speaker felt under EEG monitoring. Principal Component Analysis of Event-Related Potentials from the final word onset demonstrated N400 and P600 increases when complainers described innocuous vs. painful events in a neutral voice, but these effects were altered when utterances were expressed in a complaining voice. Independent of prosody, N400 amplitudes increased for complaints spoken in outgroup vs. ingroup accents. Results demonstrate that prosody and accent constrain the processing of spoken complaints as proposed in a parallel-constraint-satisfaction model.

Influence of Regional Nerve Block in Addition to General Anesthesia on Postoperative Delirium, Pain, and In-hospital Stay in Patients Undergoing Cardiothoracic Surgery: A Meta-analysis.

This study aims to investigate whether venous injection of sedative agent or regional nerve block in alliance with major anesthesia could decrease the risk of postoperative delirium occurrence in patients receiving cardiothoracic surgery. Electronic academic databases were retrieved for related publications, and statistical software was used for data pooling and analysis. Forest plot was used to show the pooled sensitivity, specificity, and diagnostic odds ratio. Combined receiver operating characteristic curve was used to show the area under the curve of complex data. Seven studies were included for analysis. The risk of occurrence of delirium still showed no difference (risk rate = 0.93, 95% CI, 0.85-1.03) between the intervention group and placebo group. Postoperative pain feeling was more alleviated in patients with prophylactic application of regional nerve block. In addition, prophylactic application of regional nerve block could decrease the risk of postoperative in-hospital stay (risk rate = 0.28, 95% CI, 0.02-0.54). Our study demonstrated that, in elderly patients or pediatric patients undergoing cardiac surgery, prophylactic application of regional nerve block failed to decrease the incidence of postoperative delirium. However, the option of regional nerve block could decrease the duration of in-hospitalization stay and alleviate the acute pain during the postoperative period after open-heart surgery.

Hypnotic pain management during ultrasound-guided infiltration of the hand

Ultrasound-guided infiltration, performed to relieve pain, is a common and sometimes painful procedure, particularly on the hand. This potential pain, induced by the treatment, can cause apprehension in patients prior to such a procedure. The rheumatology team at the departmental hospital center (CHD) in Vendée hypothesized that a hypnosis session, by creating an imaginary glove on the patient's painful hand prior to the procedure, could help reduce the pain felt, as well as anxiety.

Intrathecal Morphine versus Morphine-Dexmedetomidine Combination for Postoperative Pain Control After Total Knee Replacement: A Randomized Controlled Trial.

This prospective study aimed to compare the analgesic efficacy and adverse effects of intrathecal morphine, dexmedetomidine, and a combination of both in patients undergoing total knee replacement (TKR). This randomized prospective study was carried out in Tanta university hospital in orthopedic surgery for 6 months on 105 adult patients with American Society of Anesthesiologists Physical Status Class II and III, aged > 50 years, and scheduled for total knee replacement surgery randomly allocated into morphine group received 0.5% heavy bupivacaine plus 0.1 mg of morphine, morphine/ dexmedetomidine group, received 0.5% heavy bupivacaine plus 0.1 mg of morphine and 5 mcg of dexmedetomidine and dexmedetomidine group received 0.5% heavy bupivacaine plus 5 mcg of dexmedetomidine. The time of the first required analgesia, postoperative pain severity, the total dose of morphine, postoperative complication, and the patient's level of sedation were recorded. About half of the patients in the dexmedetomidine group requested first rescue analgesia 6 hours after the operation, significantly shorter than the other two groups. On the other hand, the other two groups show no significant difference between them regarding the first required analgesia. At rest, the dexmedetomidine group have significantly higher VAS with a significant increase in patients who required morphine as rescue analgesia than the other two groups. While at movement, patients in the dexmedetomidine group felt pain at 4 hrs postoperatively with significantly higher VAS than the other two groups. At the same time, the sedation score was significantly lower in the dexmedetomidine group than in the other two groups. 22.2% of cases in the morphine group developed nausea and vomiting with a significant difference between the three groups. Despite the absence of substantial side effects, our findings did not suggest enhanced analgesia with the combination of intrathecal morphine and dexmedetomidine.

Pervasiveness of work-related Musculoskeletal Disorders on Indian construction workers

Indian construction involves a large number of organized and unorganized workers. There is always a risk of accidents, injuries and disability due to working in an awful, inconvenient workplace and unfavourable conditions. Construction workers work in static, dynamic and awkward postures throughout the day. The work duration, frequency of working and working technique has led to the development of Work-related musculoskeletal disorders in construction workers in India. The study was conducted to corroborate the feeling of pain in different body parts by construction workers and its association with an individual risk factor, physical risk factors and psychosocial risk factors. Information was collected from four-hundred and sixty-five workers doing various construction works. The statistical analysis (Pearson correlation and Binary Logistic Regression Analysis) was performed to confirm the feeling of pain with individual, physical and psychosocial risk factors. The result shows that there is a significant relationship between pain and working in an awkward posture, age, and years of experience. Workers are exposed to the lower back (72.90%), shoulders (49.68%), arms/hands (47.31%), wrists (30.75%), legs (26.67%), neck (24.09%), fingers/thumbs (23.23%) and knees (16.13%). The result also shows that construction workers work in stressful, painful, tedious conditions and awkward postures. For the development of musculoskeletal disorders, working in an awkward posture, year of experience, doing pervasive jobs, traumatic incidents and age are more responsible for which detailed investigation is required.

Prilocaine 2% for Spinal Anesthesia in Incarcerated Inguinal Hernia Surgery with Congestive Heart Failure

Introduction: Congestive heart failure (CHF) is a disease caused by abnormalities in the myocardium. This abnormality reduces the heart's ability to pump blood throughout the body. Anesthetic drugs have a major cardiovascular effect under general and regional anesthesia. Objective: This study aims to examine the effect of prilocaine as a subarachnoid block regional anesthetic drug in patients undergoing non-cardiac surgery with comorbid heart failure. Case Report: A 59-year-old man came complained of a lump in his left upper groin that had been present since a day before his admission to the hospital. The lump could not be inserted. The patient felt pain in the lump area with a visual analog score (VAS) of 7-8. His blood pressure was 138/84 mmHg, pulse rate was 104 times per minute, respiration rate was 22 times per minute, temperature was 36oC for axillary measurement, oxygen saturation was 92% based on room oxygen, and VAS was 7-8. The abdominal examination revealed a lump in the patient's left upper groin that could not be reinserted, hyperemic, and painful when pressed. With an EF Teich of 17.1%, the echocardiographic examination revealed that the dimensions of the patient’s heart chambers (RV and LV dilatation) and LV systolic function had decreased. Conclusion: Stable hemodynamics in non-cardiac surgery with a relatively short duration is the main choice for HF patients. Spinal anesthesia with a regimen of 2% prilocaine at a dose of 80 mg plus 0.1 mg morphine resulted in stable hemodynamics and low pain scores in patients with comorbid congestive heart failure undergoing non-cardiac surgery.

THE EFFECT OF GIVING BLACK GLUTINOUS BARTAPE SNACKS (ORIZA SATIVA GLUTINOSA ) ON THE INTENSITY LEVELS OF MENSTRUAL PAIN IN TEENAGE GIRL


 Background: Dysmenorhoe is a situation in which a woman who wills or is experiencing menstruation feels pain. This cramps-like pain is felt in the lower abdomen, usually starting 24 hours before menstruation begins and lasts until the first 12 hours of menstruation, after which all the discomfort has disappeared. The cause is an imbalance of the hormone progesterone in the blood.Various treatment efforts have been made to alleviate these pain symptoms both pharmacologically and non-pharmacologically. Non-pharmacological treatments include giving warm compresses, massages, efflurage , distractions, physical exercise, and adequate rest or consuming foods that contain anthocyanins and flavonoids, one of which is the administration of Black Glutinous Tape.
 Methods : The research method used is quasi-experimental research design with one group pretest-posttest. without control. The sample is 35 female teenage girls (ages 10-19 years) as many as 35 respondents, with a purposive sampling technique. Data analysis consisted of univariate analysis with (mean and standard deviation) and bivariate analysis using the Chi Square test.
 Result : showed there was a decrease in the intensity of menstrual pain in female adolescents showed a decrease from pre-test 4.54 to 3.06 post test.
 Statistical tests using the Wilcoxon sign rank test obtained a probability value of 0.000, smaller than alpha 0.05.
 Conclusion : Giving black sticky rice tape to Teenage girls who reduce dysmenorrhea as a snack can reduce fatigue as a non- pharmacological alternative.

Evaluation of a scoring system for the detection of central sensitization among women with chronic pelvic pain

Central sensitization is frequently associated with chronic pelvic pain and requires specific management. The pain is described as hypersensitivity to an innocuous stimulus that is both widespread and persistent. However, no study has evaluated if central sensitization can be measured objectively with neurophysiological tests in the pelvic and perineal area to prove this concept in women with chronic pelvic pain. This study aimed to evaluate nociceptive thresholds (primary objective) and spatial and temporal diffusion of pain among women with chronic pelvic pain and high or low scores of central sensitization. This prospective, assessor-blinded, comparative study compared a cohort of women with chronic pelvic pain and a high (>5/10; n=29) vs low (<5/10; n=24) score of sensitization according to the Convergences PP criteria. Participants underwent a noninvasive bladder sensory test, a rectal barostat test, and a muscular (algometer) and a vulvar (vulvagesiometer) sensory test. Poststimulation pain (minutes), quality of life (Medical Outcomes Study 36-Item Short Form Survey), and psychological state, comprising anxiety (State-Trait Anxiety Inventory), depression (Beck Depression Inventory Short Form), and catastrophizing (Pain Catastrophizing Scale), were assessed. The participants mostly suffered from endometriosis (35.8%), irritable bowel syndrome (35.8%), bladder pain syndrome (32.1%), and vestibulodynia (28.3%). Baseline characteristics were similar. Women with a high sensitization score had more painful diseases diagnosed (2.7±1.3 vs 1.6±0.8; P=.002) and suffered for longer (11±8 vs 6±5 years; P=.028) than participants with a low score. The bladder maximum capacity was equivalent between participants (399±168 vs 465±164 mL; P=.18). However, the pain felt at each cystometric threshold was significantly increased in women with a high sensitization score. No difference was identified for the rectal pain pressure step (29.3±5.5 vs 30.7±6.5 mm Hg; P=.38). Rectal compliance was decreased in women with a high sensitization score with a considerable increase in pain felt. The average of pain pressure thresholds at the 5 vulvar sites tested was decreased in these participants (162.5±90.5 vs 358.7±196.5 g; P=.0003). Similar results were found for the average of the pain pressure thresholds at 6 muscles tested (1.34±0.41 vs 2.63±1.52 kg/m2; P=.0002). A longer period was needed for patients with high sensitization score to obtain a VAS <3 out of 10 after the stimulation of the bladder (4.52±5.26 vs 1.27±2.96 minutes; P=.01), the rectum (3.75±3.81 vs 1.19±1.23 minutes; P=.009), and the muscles (1.46±1.69 vs 0.64±0.40 minutes; P=.002). The psychological state was equivalent between groups. No association was found between the sensory thresholds and the psychological state results. The physical component of the quality of life score was reduced in women with high sensitization score (P=.0005), with no difference in the mental component. Using neurophysiological tests, this study showed that there are objective elements to assess for the presence of central sensitization, independently of psychological factors.

Penerapan Metode Certainty Factor Untuk Mendiagnosa Penyakit Erosi Pada Gigi

Dental erosion is described as the loss of the enamel on the teeth. At first, people who experience tooth erosion will not feel that their teeth are experiencing tooth erosion, until when tooth erosion has reached the dentin. Tooth erosion that has reached the dentin is characterized by, among other things, a feeling of pain in the teeth. However, there are many people who are unfamiliar with dental erosion, so a system that can be accessed online is needed to help patients or the public to consult independently. This expert system is designed using the PHP Programming Language and MySQL Database and the method used is a certainty factor. The result of concultationtest with the system is able to determine the disease along with the intial treatment or treatment that be must be carried out based on the symstoms selected by the user.

Don’t forget about me: Complications from a 40 year dropped gallstone

A 73-year-old Caucasian woman presented with a week’s history of vague post-prandial right upper quadrant and flank pain. She reported that the pain felt similar to her cholecystitis over 40 years ago for which she received a laparoscopic cholecystectomy (LC).

Musculoskeletal Problems among Third-Gender People in Dhaka

Purpose: The study aimed to identify the Musculoskeletal problem among the third-gender population in Dhaka. Objective: This study’s objective was to find out socio-demographic information, and Musculoskeletal problems among the third-gender population in Dhaka. Methodology: This study was performed in a cross-sectional study design. This study was conducted to determine the Musculoskeletal problem among the third-gender population. This study’s sample was collected through a convenience sampling procedure and a total sample of 62. The data was collected from the different areas across Dhaka. The data collection process was a questionnaire with a face-to-face interview. Data was analyzed with Microsoft Office, and Excel 2019 using the SPSS 25 version software program and test use of study chi- square test. Result: This study’s participant means and standard deviation of participant age where are Mean ±SD= 30.90±10.710; About (45%) third gender age 18-27 years; (32%) age 28-37 years; (12%) age 38-47 years; and 11% more than 47 years. 72.6% were male sex at birth and 27.4% were female sex at birth. Around (14.50%) of them live in rural areas, 4.80%) are semi-urban and (80.60%) are from urban areas. (53.2%) were experiencing pain in the different body parts. 21.2% neck pain, 15.2% shoulder pain, 6.1% elbow pain, 39.4% knee, and 39.4% hip pain. severity level was mild pain felt at 8.10%, moderate pain experienced at 27.40% and 17.70% suffered from severe pain. Conclusion: The database revealed a significant prevalence of musculoskeletal issues (53.2%), primarily affecting the hip and knee. To enhance accuracy, employing a standardized observation tool is recommended. Further research, including larger samples among the third gender in Bangladesh, is essential for robust decision-making and increased awareness.

Pendidikan Kesehatan tentang Penatalaksanaan Non Farmakologi untuk Mengurangi Nyeri Persalinan

Labor is the process of expulsion of the fetus that occurs in full-term pregnancies born spontaneously with a rear-head presentation without complications to the mother and fetus. During childbirth, the mother feels pain that can interfere with comfort during contractions. Labor pain appears during the first stage of the active phase. Methods to reduce pain due to labor can be done with pharmacological and non-pharmacological methods. Non-pharmacological will not give side effects to the mother. Non-pharmacological techniques are usually deep breathing relaxation techniques, warm/cold compresses, music therapy, aromatherapy, and massage. Objective: to increase the knowledge of pregnant women about non-pharmacological management to reduce labor pain. Methods: counseling, discussion, question, and answer, as well as pretest and posttest. Result: there is an increase in knowledge of pregnant women who have good knowledge by 29,1%, namely from 62,5% increased to 91,6%. Conclusion: there is an increase in the knowledge of pregnant women about non-pharmacological management to reduce labor pain after receiving health education.

Fish welfare during slaughter: the European Council Regulation 1099/09 application.

The Treaty of Lisbon states that animals are sentient beings. Fish species show physiological differences from terrestrial animals and are slaughtered and killed in a very different context. Many existing commercial killing methods expose fish to extensive suffering over a prolonged period of time, and some of the slaughtering practices they experience can cause pain and distress. This study highlights the limited feasibility of European Council Regulation 1099/09 requirements on welfare when killing cephalopods and crustaceans. Sentience is the animal's capacity to have positive (comfort, excitement) and negative (pain, anxiety, distress, or harm) feelings. Considerable evidence is now showing that the major commercial fish species, including cephalopods and crustaceans, possess complex neurological substrates supporting pain sensitivity and conscious experiences. In the legislation applied to scientific procedures, the concept of sentience in these species is important. Therefore, it would be appropriate to acknowledge current scientific evidence and establish reference criteria for fish welfare. For the welfare of fish species during slaughter, European Council Regulation 1099/09 applicability is limited. Fish welfare during slaughter is more than just an ethical problem. According to the One-Health approach, food safety should also include the concept of sentience for fish welfare. Pending studies that dispel all doubt, the precautionary principle of European Council Regulation 178/04 remains valid and should be applied to fish welfare.

A new surgical tape with a mesh designed to prevent skin tears and reduce pain during tape removal.

We devised a surgical tape that prevents skin tears while maintaining adhesive strength. Under the assumption that microscopic damage to the skin is reflected in pain felt on the skin, we statistically analyzed skin pain when the tape was peeled off to show the skin protection effect of the mesh on the new tape. This tape has a three-layer structure consisting of a tape substrate, adhesive, and mesh. When the tape is applied to the skin, a mesh is located between the adhesive and the skin. The adhesive contacts the skin through the mesh holes and fixes the substrate to the skin; it does not come into contact with the skin at the mesh body; therefore, the adhesive-skin contact area is reduced. In this experiment, we used surgical tape with and without mesh. At 8 hours after the application of each tape to the forearm of five adult males, it was removed. All tapes were peeled off while maintaining an angle of approximately 120° between the skin and tape substrate. For the tape with mesh, the tape substrate was peeled off in two ways: peeling off the substrate together with the mesh and peeling off the substrate, leaving the mesh on the skin. A perception and pain quantification analyzer (Pain Vision™) was used to quantify pain. The data were compared and examined statistically (Friedman's test and Wilcoxon's coded rank test). The least pain was experienced while peeling off the tape substrate, leaving the mesh on the skin. There was a significant difference in pain levels among the three tape removal methods. There was also a significant difference between the two peeling methods in the experimental group. The skin protection effect of the mesh reduced pain when the surgical tape was removed.

Ergonomic Risk Assessment in the Forest Products Industry

With the advancement of technology, the pressure on personnel in corporate operations has been reduced and productivity has increased. However, many industries continue to profit from labor. MSD can develop as a result of poor working conditions and repetitive movements. This research was carried out in a forest products enterprise with two facilities in Western Black Sea Region. The company produces construction timber using Fir and Pine as the base material. First, the demographic information of the field workers was obtained, then the musculoskeletal diseases of the local parts of the body were examined by using the Cornell (CMDQ) questionnaire. In the second step, REBA analysis was performed independently for the workstations determined in the company. According to the CMDQ study, employees reported the most strain on the lower back, back, and right wrist. It was determined that the most discomfort was in the lumbar region (35.90%). Again, according to the pain felt, it was seen that the most obstacles to work were caused by the waist, right upper leg and back. Scores overlap according to the common body regions evaluated in the Cornell and REBA analysis.

Smartphone use affects gait performance, spinal kinematics and causes spinal musculoskeletal discomfort in young adults

BackgroundSmartphone use may lead to alterations in spinal kinematics and musculoskeletal discomfort. ObjectivesThe aim of this study was to evaluate the effect of smartphone use on spinal kinematics, and to examine the relationship between smartphone addiction, spinal discomfort, and gait parameters. DesignCross-Sectional Study. MethodsThe study included 42 healthy adults aged 18–30 years. A photographic method was used for spinal kinematic evaluation in sitting, standing and at the end of a 3-min walk. GAITRite electronic walkway was used for spatiotemporal gait parameters. Smartphone addiction was evaluated with the Smartphone Addiction Scale – Short Version (SAS-SV). The Cornell Musculoskeletal System Discomfort Questionnaire (CMDQ) was used to evaluate feelings of discomfort and pain. ResultsThere was an increase in head, cervical, and thoracic flexion angles while sitting, standing, and at the end of a 3-min walk. Similarly, an increase in thoracolumbar and lumbar flexion angles was observed only in the sitting position (p < 0.05). While using a smartphone during walking, cadence, walking speed, step length decreased, while step duration and double support duration increased (p < 0.05). A statistically significant correlation was determined between the SAS-SV and CMDQ scores (p < 0.05). ConclusionThe study showed that smartphone use has an impact on spinal kinematics during sitting, standing and at the end of a 3 min-walk, as well as on the spatiotemporal parameters of gait. This study suggest that smartphone addiction should be taken into consideration due to its potential to cause musculoskeletal discomfort and there may be a need to raise public awareness on this matter.

“Human tail”: Case reports of coccyx retroposition in children

BACKGROUND:Ahuman tail isarare congenital malformation that corresponds to the protrusion on the dorsal side of the lumbar, sacrococcygeal, and paraanal regions. This study aimed to demonstrate three rare clinical cases ofatail-shaped formation caused by the protrusion ofanelongated coccyx in children.&#x0D; CLINICAL CASES:These patients asked for medical assistance for pain felt in the sitting position and daily discomfort because this formation barely contains any tissues other than the coccyx. The patients had no signs of neurological and lower urinary tract insufficiency. In all cases, the retroposition of the coccyx without its typical anterior angulation was determined based on radiographic and magnetic resonance imaging (MRI) signs. In one case, the coccyx was represented by four elongated vertebrae withoutatypical decrease in the size of the vertebrae in the caudal direction. In two cases,anangular deformity of the coccyx occurred at the level of CoIIIwith intercoccygeal angles of 138 and 140.&#x0D; DISCUSSION:The tail-like formations could be classified as pseudo-tails according to the classification by Dao and Netsky (1984) and type Ia human tails according to the classification by Tojima and Yamada (2020).&#x0D; CONCLUSIONS:The most important feature of tail-shaped formation is the connection with occult dysraphic malformations, which requiresacomprehensive preoperative examination in each case (neurological examination, radiography, computed tomography, and MRI). Careless surgery may lead to serious consequences that significantly impair patients quality of life.

Bilateral Technique of Penis Flap with Scrotum Skin in Penile Paraffinoma Cases: A Case Report

Background: Paraffin injection into the penis is one way that people see it as increasing penis size. But many do not know that paraffin injection actually causes side effects in the form of penile paraffinoma. This study aimed to describe the management of paraffinoma using bilateral techniques.&#x0D; Case presentation: A 40-year-old married man came to the emergency room at Samuel J. Moeda Naval Hospital, Kupang, with complaints of pain and swelling of the penis for 6 hours. The pain felt to get worse when the penis was erected. The genital organs found swelling of the entire penile skin accompanied by tenderness and induration. The bilateral scrotal flap technique was because the scrotal skin had many blood vessels, good flexibility, little adipose tissue, thin skin, and could feel erogenous sensations almost the same as the physiological characteristics of the penile skin.&#x0D; Conclusion: Bilateral scrotal flap technique on the penile shaft is a surgical technique that is quite effective in eradicating paraffin from penile tissue.