Korean J Androl.
2008 Jun;26(2):80-85.
Long Term Follow-up Result after Penile Paraffinoma Removal: In a view of Surgical outcome & Patients' satisfaction
- Affiliations
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- 1Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea. khmoon@med.yu.ac.kr
Abstract
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PURPOSE: Despite of dysmorphic change of penis and critical genital infection, self-injection of unsafe filler such as paraffin is still performed for penile augmentation. We evaluated surgical outcome and patients' satisfaction of penile paraffinoma removal.
MATERIALS & METHODS: From January 1999 to December 2004, a total of 37 patients underwent penoplasty after removal of penile paraffinoma for complications. Penoplasty was performed using primary repair in localized penile paraffinoma (primary repair group, n=17) and bilateral scrotal flap in extensive cases (bilateral scrotal flap group, n=20). The surgical outcome, change of penile length and patients' satisfaction was assessed, retrospectively.
RESULTS
The early postoperative complications were wound infection (1 in primary repair group, 3 in bilateral scrotal flap group), wound dehiscence (1 in primary repair group) and skin necrosis (2 in bilateral scrotal flap group). Stretched penile length after paraffinoma removal was not statistically different in both groups. Patients' satisfaction about penile shortening, decreased penile circumference and decrease of sexual satisfaction were not statistically different in both groups. In long term follow-up, inflammatory skin discharge (3 in primary repair group) and erectile dysfunction (1 in bilateral scrotal flap group) were identified.
CONCLUSIONS
In localized paraffinoma, complete removal of paraffinoma is crucial to prevent long term complications. In extensive penile paraffinoma, bilateral scrotal flap is a proper procedure with lower complications and not to interfere with patients' satisfaction in long term overview.
