The Treatment of Penile Paraffinoma Using Various Scrotal Flap.

Choi, Chang Yong; Park, Eun Soo; Tark, Min Seong; Lee, Young Mann; Kim, Yong Bae

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2004;31(6):790-794.
Published online November 1, 2004.

The Treatment of Penile Paraffinoma Using Various Scrotal Flap.

Chang Yong Choi, Eun Soo Park, Min Seong Tark, Young Mann Lee, Yong Bae Kim

Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University, Gyeonggi-do, Korea. peunsoo@schbc.ac.kr

Abstract

Paraffin injection for augmentation of penis is usually attempted by untrained persons. Complications such as penile deformity, skin necrosis, erectile dysfunction, and foreign body sensation usually follow. Definite treatment for the patients with those complications includes complete removal of skin and subcutaneous tissue infiltrated by the paraffin and resurfacing with skin graft and local flap. It may not be possible to remove paraffinoma completely due to infiltrated corpus cavernosum and spongiosum. The remnant paraffinoma does not permit skin graft coverage. For the patients who had these problems, we tried techniques comprised of various scrotal flaps to produce reliable and stable coverage. The scrotal skin, which has high elasticity and good texture, seems to be a good material for denuded penis coverage, despite its hairy nature. Since March 1998, 21 patients with penile paraffinoma have been treated using the various scrotal flaps. All flaps survived and the reconstructed penis had immediate postoperative tactile sensibility. The results were successful with no other major complications.

Keywords: Penile paraffinoma; Scrotal flap