Surgical Techniques for Correction of Penile Paraffinoma
10.21315/mjms2019.26.6.14
- Author:
Syahril Anuar Salauddin
1
;
Hamid Ghazali
1
Author Information
1. Department of Urology, Hospital Tengku Ampuan Afzan, Pahang, Malaysia
- Publication Type:Journal Article
- Keywords:
Keywords;
paraffin, granuloma, silicone, penile augmentation, scrotal flap
- From:Malaysian Journal of Medical Sciences
2019;26(6):137-142
- CountryMalaysia
- Language:English
-
Abstract:
Background: 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.
Methods: We 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.
Results: In 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 postoperative
surgical site infection and wound gapping.
Conclusion: All 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.
- Full text:3.2019my0833.pdf
