Giant Penis paraffinoma

Pereira-Lourenço, Mário; Brito, Daniel; Godinho, Rogério; Rabaça, Carlos

doi:10.1016/j.androl.2020.01.006

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…The study population in related articles is low, and the majority of publications are case reports or case series. 18,22,24 In clinical trials with relatively larger case numbers, patients in different stages of SLP were operated on following different reconstruction techniques. 1,13,14,16 SLP has no widely accepted classification system regarding the severity and extension of skin defects.…”

Section: Discussionmentioning

confidence: 99%

A New Modified Bipedicle Scrotal Skin Flap Technique for the Reconstruction of Penile Skin in Patients with Paraffin-Induced Sclerosing Lipogranuloma of the Penis

et al. 2022

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PurposeWe introduce a new modified penile skin reconstruction technique to treat paraffin-induced sclerosing lipogranuloma of the penis. Materials and MethodsFrom 2017 to 2020, 49 patients underwent the procedure. Complete removal of the lipogranuloma-involved penile skin was performed. A subcutaneous tunnel was then created between a horizontal scrotal incision and a proximal penile circumferential incision. The denuded penis was pulled through the tunnel, and a subcoronal and longitudinal dorsal penile suture line was made. An inverted V-shaped incision was made on the scrotum on the ventral side of the penis, followed by longitudinal closure. Outcomes and complications of the procedure were retrospectively studied. The long-term effect of surgery on sexual function and overall satisfaction was measured using a patient-reported questionnaire, which was completed by 30 patients. ResultsThe overall complication rate was 26.5%. Clavien-Dindo grade 1, 2, 3a, 3b, 4, and 5 complications occurred in the postoperative period 5, 0, 8, 1, 0, and 0 times, respectively, in 13 patients. Surgery was successful in 27 (90%) patients, according to the patient-reported questionnaire. Erectile dysfunction, pain/tension during erection, premature ejaculation, and penile lymphoedema were observed in 2, 3, 1, and 1 patients, respectively. All patients reported sexual intercourse ability. ConclusionsThe type of penile skin reconstruction after the removal of sclerosing lipogranuloma of the penis is controversial. The reconstruction technique presented herein is an effective singlestage treatment option with a high success rate in patients with sclerosing lipogranuloma of the penis with intact scrotal skin.

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Section: Discussionmentioning

confidence: 99%

A New Modified Bipedicle Scrotal Skin Flap Technique for the Reconstruction of Penile Skin in Patients with Paraffin-Induced Sclerosing Lipogranuloma of the Penis

et al. 2022

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Complications and outcomes following injection of foreign material into the male external genitalia for augmentation: a single-centre experience and systematic review

et al. 2023

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Injection of exogenous material into the penis and scrotum has been performed for augmentation purposes. Complications include cosmetic dissatisfaction, penile necrosis and lymphoedema. We report the complications and outcomes from a single centre with an updated systematic review of the literature. A retrospective review of all cases presenting with foreign substance injection into the genitalia, over a 10-year period was performed. Thirty-five patients with a mean (standard deviation (SD); range) age of 36.9 (±9.1; 22–61) years at presentation were included. The mean (SD; range) time between injection and presentation was 7.8 (±5.8; 1 day–20 years) years. The most common injected substance was silicone (n = 16, 45.7%) and liquid paraffin (n = 8, 22.9%). The penile shaft (94.3%) was the most injected site. The most common presentations were cosmetic dissatisfaction (57.1%) and pain and/or swelling (45.7%). Surgery was required in 32 (91.4%) cases. Primary procedures included local excision and primary closure (n = 19, 59.4%), circumcision (n = 5, 15.6%), excision with a split skin graft or a scrotal flap reconstruction (n = 5, 15.6%). Three (8.6%) patients presented with necrosis and required acute debridement. Overall, 18 patients had more than 1 procedure, and 8 patients required 3 or more procedures. A systematic search of the literature identified 887 articles of which 68 studies were included for analysis. The most common substance injected was paraffin (47.7%), followed by silicone (15.8%). The majority of patients (77.9%) presented with pain, swelling or penile deformity. 78.8% of the patients underwent surgical treatment, which included excision and primary closure with or without the use of skin grafts (85.1% of all procedures), the use of flaps (12.3%) and penile amputation (n = 2). Complications of foreign body injection into the male genitalia can be serious resulting in necrosis and autoamputation. Surgical intervention is often required to excise abnormal tissue to manage pain and improve cosmesis.

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Giant Penis paraffinoma

Cited by 2 publications

References 11 publications

A New Modified Bipedicle Scrotal Skin Flap Technique for the Reconstruction of Penile Skin in Patients with Paraffin-Induced Sclerosing Lipogranuloma of the Penis

A New Modified Bipedicle Scrotal Skin Flap Technique for the Reconstruction of Penile Skin in Patients with Paraffin-Induced Sclerosing Lipogranuloma of the Penis

Complications and outcomes following injection of foreign material into the male external genitalia for augmentation: a single-centre experience and systematic review

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