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Penile Paraffinoma.

Alison Pauline Downey1, Nadir I Osman1, Altaf Mangera1

  • 1Royal Hallamshire Hospital, Sheffield, UK.

European Urology Focus
|July 16, 2018
PubMed
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Penile paraffinoma, a rare complication of illicit penile augmentation with liquid paraffin, presents with pain and deformity. Surgical excision and reconstruction are the primary treatments for this condition.

Area of Science:

  • Urology
  • Plastic Surgery
  • Dermatology

Background:

  • Penile paraffinoma is a rare consequence of non-medical penile augmentation using liquid paraffin injections.
  • An increasing number of cases with complications necessitate a review of management strategies.

Purpose of the Study:

  • To review the literature on the aetiopathogenesis, clinical features, diagnosis, and management of penile paraffinoma.
  • To highlight the challenges in managing this condition and inform preventative measures.

Main Methods:

  • A systematic literature search of PubMed and Scopus was conducted.
  • Data from 10 case series and 26 case reports (1956-2017) were analyzed, totaling 124 cases.

Main Results:

  • The majority of cases originated in Korea, with liquid paraffin being the most common injected substance (80.6%).
Keywords:
ParaffinomaPenisReconstruction

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  • Common presentations include pain, swelling, ulceration, fistulae, and penile deformity.
  • Surgical excision followed by reconstruction (e.g., skin grafting, flap reconstruction) was the predominant treatment.

    • Conclusions:

    • Penile paraffinoma, though rare, poses significant management difficulties.
    • Surgical intervention with early plastic surgery involvement is crucial for definitive management.
    • Preventative public health measures and patient education are needed in communities where illicit injections are prevalent.