Case Report

Teknik two step-cutaneous plasty shaft Penis dengan scrotal skin pada kasus parafinoma penis: laporan kasus

Putu Kurnia Darma Pratama , I Putu Gde Sanjaya

Putu Kurnia Darma Pratama
Dokter Umum, Fakultas Kedokteran, Universitas Udayana, Bali, Indonesia. Email: kurniadarmapratama@gmail.com

I Putu Gde Sanjaya
Departemen Urologi, Rumah Sakit Umum Daerah Mangusada, Badung, Bali, Indonesia
Online First: August 01, 2019 | Cite this Article
Pratama, P., Sanjaya, I. 2019. Teknik two step-cutaneous plasty shaft Penis dengan scrotal skin pada kasus parafinoma penis: laporan kasus. Intisari Sains Medis 10(2). DOI:10.15562/ism.v10i2.408


Background: Penile injection of paraffin is one of procedure that people think can increase penile size. Nevertheless, many people do not know if paraffin injection causes significant adverse effects such as penile paraffinoma. A surgical procedure by wide excision of skin and subcutaneous tissue infiltrated by paraffin continued with appropriate phalloplasty could be done as definitive therapy with the good aesthetic and functional result. This case report aims to present penile parafinoma or sclerosing lipogranuloma due to subcutaneous penile injection of paraffin, its management and the result after surgical procedure.

Case: A 40-year-old man came to the Urology Polyclinic, Mangusada Badung Regional Hospital who presented with penile swelling and pain for 3 days. There was a history of subcutaneous penile injection of paraffin about one-year ago by non-medical personnel. On examination of genital organ, there was swelling on entire penile skin with tenderness and induration. A surgical procedure was performed using a two-step cutaneous plasty technique with scrotal flaps on the shaft of the penis. After two months, the surgical procedure gave an excellent penile aesthetic and functional result.

Conclusion: Penile parafinoma is a lipogranulomatous inflammatory reaction due to injection of paraffin substance, which cases are still found today, especially in Indonesia. Reconstructive surgery is the definitive therapy to overcome aesthetic or functional problems.

References

Sasidaran R, Zain MM, Basiron NH. Low-grade liquid silicone injections as a penile enhancement procedure: Is bigger better?. Urol Ann. 2012; 4: 181-186.

Palinrungi MA, Syahrir S, Palinrungi ALR, Krahmadi E, Prihantono P. Characteristics and Treatment of Penile Paraffinoma in Makassar, Indonesia. American Journal of Medical Sciences and Medicine. 2017; 5(3): 53-55.

Moon DG, Yoo JW, Bae JH, Han CS, Kim YK, Kim JJ. Sexual function and psychological characteristics of penile paraffinoma. Asian J Androl. 2003; (5): 191-194.

Singh M, Singh V, Chang MCL. Penile Paraffinoma. Med J Malaysia. 2015; 70(6): 361-362.

Bjurlin MA, Carlsen J, Grevious M, Jordan MD, Taylor A, Divakaruni N, Hollowell CMP. Mineral Oil-induced Sclerosing Lipogranuloma of the Penis. J Clin Aesthet Dermatol. 2010; 3(9):41–44.

Celdran JO, Rodriguez CS, Ros MT, Valverde FMG, Egea JPM, Marín MR, et al. Penile paraffinoma after subcutaneous injection of paraffin. Treatment with two step cutaneous plasty of the penile shaft with scrotal skin. Arch. Esp. Urol. 2012; 65(5): 575-578.

Svensoy JN, Travers V, Osther PJS. Complications of penile self‑injections: investigation of 680 patients with complications following penile self‑injections with mineral oil. World J Urol. 2018; 36:135–143.

Ahmed U, Freeman A, Kirkham A, Ralph DJ, Minhas S, Muneer A. Self-injection of foreign materials into the penis. Ann R Coll Surg Engl. 2017; 99:78–82.

Picozzi SCM, Carmignani L. Paraffinoma of the penis. Int J Emerg Med. 2010; 3:507-508.

Bayraktar N, Basar I. Penile Paraffinoma. Hindawi Publishing Corporation. 2012; 202840.

Asanad K, Banapour P, Asanad S, Jabaji R, Chang A. Scrotal flap reconstruction for treatment of erectile dysfunction following penile enhancement with liquid silicone. Urology Case Reports. 2018; 20:75–77.

Azmy AF. Cecil-Culp Operation. Pada: Hadidi AT, et al. Hypospadias Surgery. Springer-Verlag Berlin Heidelberg. 2004;283-284.

Ungrasmi P, Chayasadom A, Angspatt A. Anatomical and functional outcome after bilateral scrotal flap in penile reconstruction. Asian Biomedicine. 2014; 8(1): 83-86.


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