Characteristics and Treatment of Penile Paraffinoma in Makassar, Indonesia

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

¹Division of Urology, Department of Surgery, Faculty of Medicine, Hasanudin University/Hasanuddin University Hospital, Makassar, Indonesia

²Department of Surgery, Faculty of Medicine, Hasanudin University / Hasanuddin University Hospital, Makassar, Indonesia

Cite this paper:
Muhammad Asykar Palinrungi, Syakri Syahrir, Andhiny LR Palinrungi, Eko Krahmadi and Prihantono Prihantono. Characteristics and Treatment of Penile Paraffinoma in Makassar, Indonesia. American Journal of Medical Sciences and Medicine. 2017; 5(3):53-55. doi: 10.12691/ajmsm-5-3-3

Abstract

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.

Keywords:
penile paraffinoma foreign bodies complete excision

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Martínez-Villarreal AA, Asz-Sigall D, Gutiérrez-Mendoza D, Serena TE, Lozano-Platonoff A, Sanchez-Cruz LY, et.al. A case series and a review of the literature on foreign modeling agent reaction: an emerging problem. Int Wound J, 2017; 14: 546-554.
[2]	Rahman MNG, Khan AH. Penile siliconoma: a complication of unregulated penile augmentation with foreign material. International Journal of Surgical Research, 2015;4(1): 1-3.
[3]	Bayractar N, Basar I. Penile paraffinoma. Case reports in urology, 2012; 12.
[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: 223.
[5]	Karakan T, Ersoy E, Hasçiçek M, Özgür BC, Özcan, S, Aydın A. Injection of vaseline under penis skin for penis augmentation. Case reports in Urology, 2012.
[6]	Eandi JA, Yao AP, Javidan J. Penile paraffinoma: the delayed presentation. Int Urol Nephrol, 2007; 39: 553-5.
[7]	Singh M, Singh V, Clarence LCM. Penile paraffinoma. Med J Malaysia 2015; 70(6): 361-2.
[8]	Picozzi SCM, Carmignani L. Paraffinoma of the penis. Int J Emerg Med, 2010; 3: 507-8.
[9]	Moon DG, Yoo JW, Bae JH, Han CS, Kim YK, Kim JJ. Sexual function and psychological characteristics of penile paraffinoma. Asian J Androl, 2003; 5: 191-4.
[10]	Ahmed U, Freeman A, Kirkham A, Ralph DJ, Minhas S, Muneer A. Self-injection of foreign material into the penis. Ann R Coll Surg Engl, 2017; 2: e81-2.
[11]	Eben I, Race A, Svebis M, Patyi M, Cserni G. Petroleum jelly-induced penile paraffinoma with inguinal lymphadenitis mimicking incarcerated inguinal hernia. Can Urol Assoc J, 2012; 6: E137-9.
[12]	Bjurlin MA, Carlsen J, Grievous M, Jordan MD, Taylor A, Divakaruni N, et.al. Mineral oil-induced sclerosing lipogranuloma of the penis. J Clin Aesthet Dermatol, 2001; 3(9): 41-4.
[13]	Berezovsky AB, Krieger Y, Romanovsky I, Shoham Y, Rosenberg I, Silberstein E. Penile paraffinoma: a treatment dilemma. The Internet Journal of Plastic Surgery. 2014;11
[14]	Akkus e, Iscimen A. Paraffinoma and ulcer of the eternal genitalia after self-injection of Vaseline. The Journal of Sexual Medicine, 2006; 3: 120-1.
[15]	Prasetyono TOH. One-sheet spiraling full-thickness skin graft for penile resurfacing after paraffinoma excision. Med J Indonesia, 2011; 20: 222-5.
[16]	Angspatt A, Pungrasmi P, Jindarak S, Tunsatit T. Bilateral scrotal flap: pedicle and dimension of the flap in cadaveric dissections. J Med Assoc Thai, 2009; 92(10): 1313-7.
[17]	Shin YS, Zhao C, Park JK. New reconstructive surgery for penile paraffinoma to prevent necrosis of the ventral penile skin. Urology, 2013; 81: 437-41.
[18]	Kim TG, Hur SW, Kim YH, Lee JH, Mun KH. Penile reconstruction after excision of sclerosing lipogranuloma: how to make the shape of the scrotum, penile shaft and suprapubic region with rectangular radial forearm free flap. Arch Reconstr Mikrosurg, 2015; 24(1): 16-9.
[19]	Celdran JO, Rodriguez CS, Ros MT, Valverde FMG, Egea JPM, Marin MR, et.al. Penile paraffinoma after subcutaneous injection of paraffin. Treatment with a two-step cutaneous plasty of the penile shaft with scrotal skin. Arch. Esp. Urol. 2012; 65(5): 575-8.