Minimal surgical management of penile paraffinoma after subcutaneous penile paraffin injection

Dellis, Athanasios; Nastos, Konstantinos; Mastorakos, Demetrios; Dellaportas, Dionysios; Papatsoris, Athanasios; Arkoumanis, Panagiotis T.

doi:10.1016/j.aju.2017.08.003

Cited by 11 publications

(13 citation statements)

References 8 publications

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“…Conventional penile resurfacing procedures differ depending on the width and depth of the paraffin infiltration. Mild paraffin infiltration in depth and width is easily treated with excision of paraffinoma and simple closure [7]. In cases of deeper infiltrations with severe paraffinoma, various scrotal flap procedures are used as reconstructive armamentariums since the scrotum is easily available, extensile, and has the same color as the penile skin [8].…”

Section: Discussionmentioning

confidence: 99%

Penile skin preservation technique for reconstruction surgery of penile paraffinoma

Kim¹,

Shin

Park

2019

Investig Clin Urol

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Purpose Penile resurfacing with various scrotal flaps is a simple, effective, and reliable reconstructive armamentarium to treat penile paraffinoma. However, scrotal flaps often result in heavy hair-bearing penile skin causing dyspareunia or shortening of penile length. We introduce a new penile skin preservation technique for reconstruction surgery of penile paraffinoma. Materials and Methods From March 2007 to April 2018, 23 patients underwent excision of paraffinoma with the penile skin preservation technique. Complete removal of the subcutaneous tissue was done, including paraffinoma. No. 10 surgical blades were used to peel off the skin as thin as possible in order to get paraffinoma-free skin. The preserved penile skin was given an end to end anastomosis to the circumferential incision site. Multiple anchoring fixation sutures of the penile skin were made on the underlying tissue. Dressing of chopped gauze soaked with antibiotic saline solution was done on the skin to help preserve it and keep it fixed on the penis. Results The skin survived completely without necrosis in 19 patients (82.6%), with the mean duration of healing being 21.9 days. The penis after the operation looked natural in color and shape. Partial necrosis after the operation was shown on 4 patients (17.4%), whom were all later treated with the scrotal skin free graft. The final results were successful without any cosmetic or functional complications, such as skin contracture. Conclusions Penile resurfacing with the penile skin preservation technique is a new effective reliable method for skin-intact paraffinoma which produces good functional and cosmetic results.

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Section: Discussionmentioning

confidence: 99%

Penile skin preservation technique for reconstruction surgery of penile paraffinoma

Kim¹,

Shin

Park

2019

Investig Clin Urol

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“…Furthermore, FTSG results in a hairless penis, which is preferred to the undesired hairy penis observed after scrotal flaps reconstruction. 11 Additionally, FTSG also provided more sensitive skin that seemed to be more natural, which is abundant in sensory nerves. 11 , 12 …”

Section: Discussionmentioning

confidence: 99%

“… 11 Additionally, FTSG also provided more sensitive skin that seemed to be more natural, which is abundant in sensory nerves. 11 , 12 …”

Section: Discussionmentioning

confidence: 99%

One-stage Reconstruction of Penile Paraffinoma Using Spiral Stitches FTSG and Evaluation of Sexual Function

Ismy

Amirsyah

Palgunadi

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Paraffinoma of the penis is rare and caused by paraffin liquid injection. This condition can cause significant penile deformity, ulceration, pain, and sexual dysfunction. However, it can be managed with surgical procedures to obtain normal aesthetic and functional results. Herein, we reported a 42-year-old male with penile paraffinoma who underwent excessive surgical excision of the fibrotic tissue and one-stage reconstruction using a spiral stitch full-thickness skin graft. At one year of follow-up it showed a good aesthetic outcome with no hypertrophic scars, skin contractures, penile curvature, or penile shortening. The sexual evaluation using the International Index of Erectile Function instrument also showed a good result with normal erectile function and satisfaction with sexual sensation. This case is interesting because we used the spiral stitch full-thickness skin graft technique to cover the degloving area and long-term follow-up to evaluate the aesthetic and functional results.

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“…Auto-injections of foreign materials like paraffin and mineral oils into the penis were described to increase girth of the penis by laypeople in various case reports [20][21][22][23]. This can even result in a Fournier's gangrene with catastrophic results [24].…”

Section: Discussionmentioning

confidence: 99%

Complications and Disasters After Minimally Invasive Tissue Augmentation with Different Types of Fillers: A Retrospective Analysis

et al. 2021

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Background The interest in youthful appearance and rejuvenating procedures is unbroken in our society. Besides surgical procedures, permanent fillers are utilized. The incorrect and unprofessional use of these substances, auto-injections in particular, have devastating results for patients and are challenging for the plastic surgeon. The aim of this retrospective study was to delineate the differences between permanent and non-permanent filler complications and appropriate treatment options. Methods We conducted a retrospective study and researched the hospital information system in the time period from 2001 to 2020. Patients with unprofessional use of permanent fillers, auto-injections and injections of unformulated substances were determined. Age, gender, localization, complications, length of hospital stay, comorbidities, histopathological workups and surgical salvage procedures were noted. Descriptive statistics were calculated. Results Seventeen patients were identified from 2001 till 2020. In four cases, auto-injections by the patients were the cause, whereas in the other patients the injections were performed by medical staff. Ages range from 18 to 57 years. Fourteen patients were female and three were male. The injected substances could be recognized as synthol, silicone, vaseline, fat tissue, hyaluronic acid as well as non-medical substances. Surgical procedures were necessary in eleven cases. One patient died because of the underlying diseases. Conclusion Our results indicate different sequels of filler materials injected in an unprofessional way, possible complications, conservative and surgical techniques to resolve these rare complications. We suggest a staged therapy adjusted to the clinical symptoms. Milder symptoms can be handled conservatively, whereas severe infections, skin breakdowns or persistent granuloma are justifying indications for surgical treatment. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Minimal surgical management of penile paraffinoma after subcutaneous penile paraffin injection

Cited by 11 publications

References 8 publications

Penile skin preservation technique for reconstruction surgery of penile paraffinoma

Penile skin preservation technique for reconstruction surgery of penile paraffinoma

One-stage Reconstruction of Penile Paraffinoma Using Spiral Stitches FTSG and Evaluation of Sexual Function

Complications and Disasters After Minimally Invasive Tissue Augmentation with Different Types of Fillers: A Retrospective Analysis

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