Resurfacing in Penile Paraffinoma by Groin Flap.

Choi, Min Hyuk; Seo, Sang Won; Whang, Kwi Whan; Cha, Dong Sup; Hahn, Hyun Oun

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2002;29(2):112-114.
Published online March 1, 2002.

Resurfacing in Penile Paraffinoma by Groin Flap.

Min Hyuk Choi, Sang Won Seo, Kwi Whan Whang, Dong Sup Cha, Hyun Oun Hahn

¹Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
²Hahn Hyun Oun Plastic & Reconstructive Clinic, Seoul, Korea. hahn@handcli.com

Abstract

Paraffinoma induces many unexpected complications such as tissue necrosis, granuloma formation, hypersensitivity, embolism and even carcinoma. The treatment modality is known to be primary repair, flap surgery, skin graft, radiotherapy and high frequency current treatment after the excision of the lesion. Although these methods can remove the paraffinoma and resurface penile shaft, various complications such as skin tension after surgery, hypertrophic scars, difficulty of erection, and deficiency of bulkiness are frequently occurred. Groin flap is the proper method for the patients who want simultaneously soft tissue reconstruction and augmentation of penis. A 32 year-old male patient who visited our clinic had firm mass, abscess, skin necrosis, and dyspareunia after the injection of paraffin into penis 3 months ago. Reconstruction was executed using right side of the groin flap after the radical resection of the whole tissues ruined by infections and infiltration of paraffin. The penile bulkiness, erectile function and duration of erection was all satisfactory. The follow-up period was 7 months after the surgery and no specific complication was developed. Groin flap is the satisfactory method to enhance penile bulkiness as well as resurface the lesion.

Keywords: Paraffinoma; Groin flap