Single Stage W-designed Triple Pedicle Scrotal Flap for Penile Reconstruction in Paraffinoma : a Case Report

Abstract

     Penile foreign body granuloma (or penile paraffinoma) is a medical condition that has been reported in very few studies worldwide, but often found in Thailand. Surgical treatment for this condition has been very challenging largely due to its lack of standardized surgical guidelines, and most of the surgeries caused complications, especially partial necrosis and wound dehiscence. Therefore, this research offers a new surgical technique based on previous related anatomical studies which involves designing the scrotal skin that covers a bare penis in a W shape and relying on three blood vessels supplied to the scrotal flap. The participant of the present study was a patient who had injected Vaseline into his penis for three years and received the surgical treatment due to his genital deformities and inability to have sexual intercourse. The results showed that the participant had no complications and was discharged within five days after the surgical treatment. Hence, this surgical method seems to be a safe alternative, and further studies are required to establish the proposed surgical guidelines for this treatment.