Objective: To present a case of penile paraffinoma reconstructed with scrotal flap. Case presentation: We report a case of 33-year-old male patient with penile paraffinoma. The patient had a history of injecting liquid paraffin into his penis two times – at 6 months and 2 months prior to his admission to the hospital. His IIEF-5 was 10 (moderate erectile dysfunction). The penile shaft was circumferentially enlarged. There was ulceration on the ventral aspect with signs of inflammation on the surrounding skin. Discussion: We perform a complete excision of paraffinoma. The raw surface was repaired with a one-stage scrotal flap. At six-month follow up, the wound was good, and the patient was able to micturate normally. He was able to achieve painless erection, and IIEF-5 score was improved. Conclusion: A one-stage scrotal flap may offer a good choice in defect closure in penile paraffinoma reconstruction.
Penile paraffinoma, scrotal flap, one-stage, penile defect
De Siati M, Selvaggio O, Di Fino G, Liuzzi G, Massenio P, Sanguedolce F, et al. An unusual delayed complication of paraffin self-injection for penile girth augmentation. BMC Urology. 2013; 13: 66.
Requena L, Requena C, Christensen L, Zimmermann US, Kutzner H, Cerroni L. Adverse reactions to injectable soft tissue fillers. Journal of the American Academy of Dermatology. 2011; 64(1): 1-34; quiz 5-6.
Rosenberg E, Romanowsky I, Asali M, Kaneti J. Three cases of penile paraffinoma: a conservative approach. Urology. 2007; 70(2): 372 e9-10.
Kim SW, Yoon BI, Ha US, Kim SW, Cho YH, Sohn DW. Treatment of paraffin-induced lipogranuloma of the penis by bipedicled scrotal flap with Y-V incision. Annals of plastic surgery. 2014; 73(6): 692-5.
Al-Ansari AA, Shamsodini A, Talib RA, Gul T, Shokeir AA. Subcutaneous cod liver oil injection for penile augmentation: review of literature and report of eight cases. Urology. 2010; 75(5): 1181-4.
Kokkonouzis I, Antoniou G, Droulias A. Penis deformity after intra-urethral liquid paraffin administration in a young male: a case report. Cases Journal. 2008; 1(1): 223.
Jeong JH, Shin HJ, Woo SH, Seul JH. A new repair technique for penile paraffinoma: bilateral scrotal flaps. Annals of plastic surgery. 1996; 37(4): 386-93.
Nyirady P, Kelemen Z, Kiss A, Banfi G, Borka K, Romics I. Treatment and outcome of vaseline-induced sclerosing lipogranuloma of the penis. Urology. 2008; 71(6): 1132-7.
Wilson CL, Wilson MC. Plastic repair of the denuded penis. South Med J. 1959; 52: 288-90.
Spyriounis PK, Karmiris NI. Partial penile reconstruction following fat augmentation with anterolateral thigh perforator flap. Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS. 2012; 65(1): e15-7.
Jindarak S, Angspatt A, Loyvirat R, Chokrungvaranont P, Siriwan P. Bilateral scrotal flaps: a skin restoration for penile paraffinoma. Journal of the Medical Association of Thailand = Chotmaihet thangphaet. 2005; 88 (Suppl 4): S70-3.