[The surgical treatment of penile oleogranulomas]

The paper provides some experience in treating penile paraffinomas in 24 patients, 8 of whom had abnormal changes in the distal penis. Circular dissection of the prepuce was performed within normal tissues. Paraffinoma and skin of the whole penis were removed in 16 patients with penile skin and fat lesions. Then a 5 x 20-cm dermal graft (or two 5 x 10-cm grafts) was taken from the anterolateral surface of the femur. Holes 1-2 cm apart were made with a scalpel over the whole graft surface and dermoplasty was performed with a perforated graft, which was tightly put, without pulling on the penis from above and below. The distal and proximal portions of the graft were attached to the skin of the coronary sulcus and the base of the penis with loop catgut sutures. The surgery ended with application of a propocium dressing to the penis and aseptic dressing to the femur. Good results were achieved.