Muhammad Asykar Palinrungi¹, Syakri Syahrir¹, Andhiny LR Palinrungi², Eko Krahmadi^2,, Prihantono Prihantono²

Introduction and objective: Penile paraffinoma or an old term is sclerosing lipogranuloma of male genitalia, are injected mineral oils, like paraffin, or other materials have been used more often in Eastern Europe and Asia, to increase the circumferential of the penis. This study aims to know the distribution and management of the Penile paraffinoma. Materials and methods: This is a single center retrospective descriptive study from January 2009 to December 2016. The data was collected from the personal interview and medical record of the patients who treated in our institution in Makassar. We collect the age of patients, a reason to injected foreign bodies, the person who injected, satisfied status after injected, site of inflammation, a reason to operate, type of operation procedure, and complications after the operation. Results: a Total Fifty-seven patient who came to our institution. Age range 25-47 years old, 56% injected to enlarged the size of the penis, 86% injected by a nonmedical person. 87% not satisfied with the results after injection, 51% inflammation less than a half of shaft penis. 49% want to operate to release the pain, and 51% of the patients we treated only with partial excision and primary closure and the rest dealt with by one step radical excision and skin graft/flap or by two-step cutaneous plasty of the penile shaft with scrotal skin. Two patients need second radical excision. Conclusion: Penile paraffinoma is an entity product that occurs by injected foreign material for penile augmentation. The treatment often requires extensive penile reconstruction surgery involve complete excision of foreign bodies along with associated reaction followed by primary closure if possible.

penile paraffinoma, foreign bodies, complete excision