World J Mens Health.  2017 Aug;35(2):129-132. 10.5534/wjmh.2017.35.2.129.

Paraffin Granuloma Associated with Buried Glans Penis-Induced Sexual and Voiding Dysfunction

Affiliations
  • 1Department of Urology, Pusan National University School of Medicine, Busan, Korea. pnc@pusan.ac.kr
  • 2Department of Pathology, Pusan National University School of Medicine, Busan, Korea.
  • 3The Korea Institute for Public Sperm Bank, Busan, Korea.

Abstract

A paraffinoma is a type of inflammatory lipogranuloma that develops after the injection of an artificial mineral oil, such as paraffin or silicon, into the foreskin or the subcutaneous tissue of the penis for the purpose of penis enlargement, cosmetics, or prosthesis. The authors experienced a case of macro-paraffinoma associated with sexual dysfunction, voiding dysfunction, and pain caused by a buried glans penis after a paraffin injection for penis enlargement that had been performed 35 years previously. Herein, this case is presented with a literature review.

Keyword

Granuloma; Oils; Paraffin; Penis

MeSH Terms

Foreskin
Granuloma*
Male
Mineral Oil
Oils
Paraffin*
Penis
Prostheses and Implants
Silicon
Subcutaneous Tissue
Mineral Oil
Oils
Paraffin
Silicon

Figure

  • Fig. 1 Preoperative appearance of the penile paraffin granuloma with an augmented penile shaft and pseudoglans due to the paraffin lump.

  • Fig. 2 Spongiositis and urethritis due to penile paraffin granuloma.

  • Fig. 3 The resected paraffin granuloma.

  • Fig. 4 Microscopic findings of the paraffin granuloma with sclerosis (H&E, ×40).

  • Fig. 5 The state of the patient 3 months after removal of the paraffin granuloma and reconstruction with a scrotal skin flap.


Cited by  1 articles

Penile skin preservation technique for reconstruction surgery of penile paraffinoma
Jong Sung Kim, Yu Seob Shin, Jong Kwan Park
Investig Clin Urol. 2019;60(2):133-137.    doi: 10.4111/icu.2019.60.2.133.


Reference

1. Cohen JL, Keoleian CM, Krull EA. Penile paraffinoma: self-injection with mineral oil. J Am Acad Dermatol. 2001; 45:S222–S224.
Article
2. Jung JH, Eom M, Arkoncel FR, Sung YH, Kim W, Byun HK, et al. Penile epidermal cyst in a patient with augmentation penoplasty. Korean J Urol. 2013; 54:207–208.
Article
3. Lee T, Choi HR, Lee YT, Lee YH. Paraffinoma of the penis. Yonsei Med J. 1994; 35:344–348.
Article
4. Heidingsfeld ML. Histopathology of paraffin prosthesis. J Cutan Dis. 1996; 24:513–521.
5. Gfesser M, Worret WI. Paraffinoma of the penis. Hautarzt. 1996; 47:705–707.
6. Akkus E, Iscimen A, Tasli L, Hattat H. Paraffinoma and ulcer of the external genitalia after self-injection of vaseline. J Sex Med. 2006; 3:170–172.
Article
7. 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:e78–e82.
Article
8. Cohen JL, Keoleian CM, Krull EA. Penile paraffinoma: self-injection with mineral oil. J Am Acad Dermatol. 2002; 47:S251–S253.
Article
9. Steffens J, Kosharskyy B, Hiebl R, Schönberger B, Röttger P, Loening S. Paraffinoma of the external genitalia after auto-injection of vaseline. Eur Urol. 2000; 38:778–781.
Article
10. Moon du G, Kwak TI, Kim JJ. Glans penis augmentation using hyaluronic acid gel as an injectable filler. World J Mens Health. 2015; 33:50–61.
Article
Full Text Links
  • WJMH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr