Paraffinoma of the Penis: Case Report

Bradley, Robert H.; Ehrgott, William A.

doi:10.1016/s0022-5347(17)68504-5

Cited by 17 publications

(1 citation statement)

References 4 publications

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“…Granick et al stressed that the injection of impure, unsterile non-medically approved substances in significant quantities and in extensive areas are the critical deleterious factors behind this illegal, useless and unjustified procedure surrounded by dangerous risks to human health. For Bradley Jr et al the critical factor for the development of sclerosing lipogranuloma was the sensitivity of the patient's tissue (15). The practice of penile injection is still common in southeast Asia, Korea, Middle East, some Eastern European countries, and Indonesia (1,2,8,16-18) (Figure 1).…”

Section: Introductionmentioning

confidence: 99%

Sclerosing lipogranuloma of the penis: a narrative review of complications and treatment

Soebhali¹,

Felício²,

Oliveira³

et al. 2021

Transl Androl Urol

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Sclerosing lipogranuloma of the penis is a relatively rare disorder associated with injection of illicit foreign materials for penile augmentation. We aim to report the clinical presentation, diagnosis, treatment, and outcomes of patients with this condition, and to review the most relevant literature currently available.Background: Injection of mineral oil into the subcutaneous tissues of the penis for augmentation has been practiced since ancient times. The potential for complications has long been known, and most doctors have abandoned the procedure. However, it is still practiced in some parts of the world. The complications may be devastating including death from embolism or sepsis. The affected area may not be restricted to the injection site, potentially involving the scrotal and suprapubic areas. Surgery with complete removal of the involved tissue followed by covering the denuded area with a graft or skin flap is the best therapeutic option. Methods:The literature search involved keywords such as penis, augmentation, enlargement, sclerosing, lipogranuloma, penile injection, paraffinoma, and was obtained from computerized search of databases such as PubMed, Google Search and Scopus. Personal experience of the lead author (BS) is also described. We tried arbitrarily to limit our search to articles including ≥5 patients pertaining to the subject of our review and, therefore, excluded single case reports. However, a single systematic search of PubMed and Scopus was also found and included. Conclusions:The treatment of choice is radical excision of all the lesions followed by skin grafting.Bearing in mind that prospective, randomized, controlled studies are considered difficult to carry out, further work will continue apparently to be based on case series by individual surgeons. It is critical to advise patients to separate the myths from the facts and use preventive measures through awareness and education to best minimize the downsides of this problem.

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Section: Introductionmentioning

confidence: 99%