The Experience in Penoscrotal flaps and V-Y release flaps for penile paraffinoma

Authors

  • ทนงศักดิ์ หทัยวสีวงศ์ Suratthani Hospital

Keywords:

Paraffinoma, oleogranuloma, sclerosing lipogranuloma, scrotal flap, foreign body granuloma

Abstract

              Objective : To report the surgical treatment of Penile paraffinoma (oleogranuloma or sclerosing lipogranuloma or Foreign body granuloma ) at Suratthani Hospital.
              Medthods : The study from October 2011 to September 2014 among 50 male patients. All cases have complication including fibrosis, difficult and painful in erection. All cases were operated to remove the total penile skin and subcutaneous tissue with followed by Penoscrotal flap and V-Y flap release technique (One-stage)
              Results : Patients have mean age 28.5 years and duration of injected 2.5years before operations. Mean times of operation were 100 minutes. The early postoperative complications were wound infection 4 case(8%), wound dehiscence 5 case (10%), skin maceration 4 case(8%), not found skin necrosis and not to interfere with patients satisfaction or sexual function.
              Conclusion : Removing the total penile skin and subcutaneous tissue with followed by Penoscrotal flap and V-Y flap release technique (One-stage) were the choice for the surgical treatment of penile paraffinoma. It was easy technique .All patients have satisfied the outcome of treatment and no severe complications.

References

1. Al-Khalil N, et al : A case of penis self-injection of liquid paraffin--operative treatment and results. Khirurgiia (Sofiia). 2004; 60(3):65-6.

2. Lee T, Choi HR, Lee YT, Lee YH.: Paraffinoma of the penis. Yonsei Med J. 1994 Sep;35(3):344-8.

3. Rollins CE, et al.: Disseminated lipogranulomas and sudden death from self-administered mineral oil injection. Am J Forensic Med Pathol. 1997
Mar;18(1):100-3.

4. Moon du G, et al.: Sexual function and psychological characteristics of penile paraffinoma. Asian J Androl. 2003 Sep;5(3):191-4.

5. Jeong JH, et al.: A new repair technique for penile paraffinoma: bilateral scrotal flaps. Ann Plast Surg. 1996 Oct;37(4):386-93.

6. Santos P, et al : Penile paraffinoma. J Eur Acad Dermatol Venereol. 2003 Sep;17(5):583-4.

7. Gfesser M, Worret WI.: Paraffinoma of the penis. Hautarzt. 1996 Sep;47(9):705-7.

8. Podluzhnyi GA, et al.: The clinical picture, classification and surgical treatment of paraffinomas of the external genitalia. Urol Nefrol (Mosk).
1991 Jul-Aug;(4):69-73.

9. Muraro GB, Dami A, Farina U.: Paraffinoma of the penis: one-stage repair. Arch Esp Urol. 1996 Jul-Aug;49(6):648-50.

10. Rintala A.: Ulcerating paraffinoma. Ann Chir Gynaecol. 1976;65(5):356-60.

11. Soyer HP, et al.: Sclerosing lipogranuloma (paraffin- induced granuloma) of the penis with a clinical picture of carcinoma. Hautarzt. 1988 Mar;39(3): 174-6.

12. Steffens J, et al .: Paraffinoma of the external genitalia after autoinjection of vaseline. Eur Urol. 2000 Dec;38(6):778-81.

13. Goriunov VG, et al.: The etiology and pathogenesis of penile oleogranulomas. Urol Nefrol (Mosk). 1994 Jan-Feb;(1):51-4.

14. Odintsov BP, Panikratov KD, Patsanovskii AG.: The surgical treatment of penile oleogranulomas. Urol Nefrol (Mosk). 1991 Nov-Dec;(6):46-9.

15. Hohaus K, et al.: Mineral oil granuloma of the penis. J Eur Acad Dermatol Venereol. 2003 Sep;17(5):585-7.

16. Brauninger W, et al. : Paraffin granuloma of the penis. Hautarzt. 1986 Nov;37(11):618-21.

17. Santucci RA, Zehring RD, McClure D.: Petroleum jelly lipogranuloma of the penis treated with excision and native skin coverage. Urology. 2000
Aug 1;56(2):331.

18. Cohen JL, Keoleian CM, Krull EA.: Penile paraffinoma: self-injection with mineral oil. J Am Acad Dermatol. 2001 Dec;45(6 Suppl):S222-4.

19. Dmitriev DG, Shcheplev PA, Borovikov AM.: The variants and potentials of reconstructive surgery of the penile skin. Urol Nefrol (Mosk). 1996 Mar-
Apr;(2):39-44.

20. Wassermann RJ, Greenwald DP.: Debilitating silicone granuloma of the penis and scrotum. Ann Plast Surg. 1995 Nov;35(5):505-9; discussion 509-10.

21. Mounios-Perchenet AS, et al.: Paraffinomas: history, clinical features and treatment. A case report. Ann Chir Plast Esthet. 1997 Feb;42(1):27-30.

22. Christ JE, Askew JB Jr.: Silicone granuloma of the penis. Plast Reconstr Surg. 1982 Feb;69(2):337-9.

23. Nikol’skii AD, et al.: The surgical treatment of oleogranulema of the external genitalia in men using the CO2 laser. Urol Nefrol (Mosk). 1993
Mar-Apr;(2):42-4.

Downloads

Published

2015-03-02

How to Cite

หทัยวสีวงศ์ ท. (2015). The Experience in Penoscrotal flaps and V-Y release flaps for penile paraffinoma. Region 11 Medical Journal, 29(1), 27–32. Retrieved from https://he02.tci-thaijo.org/index.php/Reg11MedJ/article/view/180201

Issue

Section

Original articles