Minimal surgical management of penile paraffinoma after subcutaneous penile paraffin injection

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

doi:10.1016/j.aju.2017.08.003

Minimal surgical management of penile paraffinoma after subcutaneous penile paraffin injection

Arab J Urol. 2017 Sep 18;15(4):387-390. doi: 10.1016/j.aju.2017.08.003. eCollection 2017 Dec.

Authors

Athanasios E Dellis^{1

2}, Konstantinos Nastos¹, Demetrios Mastorakos¹, Dionysios Dellaportas¹, Athanasios Papatsoris³, Panagiotis T Arkoumanis¹

Affiliations

¹ Second Department of Surgery, Aretaieion Academic Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
² First Department of Urology, Laikon General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
³ Second Department of Urology, Sismanogleion General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Abstract

Objectives: To describe our reconstructive technique, without flap or graft use, after penile self-augmentation with injected substances, such as paraffin, which are still performed with unfortunate consequences.

Patient and methods: Successful single-stage minimal surgical management of an already twice unsuccessfully managed ulcerative penile paraffinoma in a 38-year-old Greek man.

Results: The patient was discharged with no postoperative complications, with a five-item version of the International Index of Erectile Function score of 23/25 (i.e. normal erectile function) and flaccid penile length of 5 cm.

Conclusions: Penile paraffinoma is a serious complication that can be successfully managed with a single-stage minimal surgical procedure, with normal aesthetic and functional results.

Keywords: IIEF-5, five-item version of the International Index of Erectile Function; Paraffinoma; Penile augmentation; Penile injection; Penile reconstruction.