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An unusual delayed complication of paraffin self-injection for penile girth augmentation.

De Siati M, Selvaggio O, Di Fino G, Liuzzi G, Massenio P, Sanguedolce F, Carrieri G, Cormio L - BMC Urol (2013)

Bottom Line: The scarred tissue between dartos and Buck's fascia and a fibrotic ring occluding the urethra were removed and the penile skin reconstructed.Pathology confirmed the diagnosis of paraffinoma.The patient resumed normal voiding immediately after catheter removal on second postoperative day; he was very pleased with cosmetic, sexual and voiding results at six weeks, six months and 1 year follow-up.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n° 1, 71122, Foggia, Italy. luigicormio@libero.it.

ABSTRACT

Background: Penile self-injection of various oils is still carried out among Eastern Europe people for penile girth augmentation despite the potential destructive complications of this practice are well known. Penile reactions to such foreign bodies include scarring, abscess formation, ulceration, and even Fournier's gangrene; voiding problems due to mineral oil self-injection have been reported only once. To our knowledge, we describe the first case of paraffin self-injection for penile girth augmentation presenting with acute urinary retention.

Case presentation: A 27-year-old Romanian man presented with severe penile pain and acute urinary retention five years after having practiced repeated penile self-injections of paraffin for penile girth augmentation. The penile shaft was massively enlarged, fibrotic and phymotic; urethral catheterization failed due to severe stricture of the proximal pendulum urethra. The patients refused placement of a suprapubic catheter and underwent immediate penile surgical exploration. The scarred tissue between dartos and Buck's fascia and a fibrotic ring occluding the urethra were removed and the penile skin reconstructed. Pathology confirmed the diagnosis of paraffinoma. The patient resumed normal voiding immediately after catheter removal on second postoperative day; he was very pleased with cosmetic, sexual and voiding results at six weeks, six months and 1 year follow-up.

Conclusions: The present report describes a novel complication of penile self-injection for penile girth augmentation. Because of the increasing number of patients seeking penile augmentation, physicians dealing with sexual medicine should pay more attention to such request to prevent the use of non medical treatments that can turn into medical disasters.

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Cosmetic results six weeks after surgery. Six weeks after surgery, the sutured had healed well and the patient was satisfied with cosmetic and functional results.
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Figure 4: Cosmetic results six weeks after surgery. Six weeks after surgery, the sutured had healed well and the patient was satisfied with cosmetic and functional results.

Mentions: The postoperative course was uneventful; the urethral catheter was removed on second postoperative day and the patient discharged 24 hours later, after a peak flow rate of 25 mL/sec and absence of post-void residual urine having been demonstrated by uroflowmetry and bladder ultrasounds. Histological examination confirmed the diagnosis of paraffinoma, showing a foreign-body type chronic granulomatous inflammation and epithelioid giant cells. Six weeks after surgery the patient reported being satisfied with the cosmetic result (Figure 4) as well as with his sexual and voiding functions; uroflowmetry showed a peak flow rate of 26 mL/sec and there was no post-void residual urine at bladder ultrasounds. At 6- and 12- months follow-up, he continued to be very pleased with cosmetic, sexual and voiding results.


An unusual delayed complication of paraffin self-injection for penile girth augmentation.

De Siati M, Selvaggio O, Di Fino G, Liuzzi G, Massenio P, Sanguedolce F, Carrieri G, Cormio L - BMC Urol (2013)

Cosmetic results six weeks after surgery. Six weeks after surgery, the sutured had healed well and the patient was satisfied with cosmetic and functional results.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4219597&req=5

Figure 4: Cosmetic results six weeks after surgery. Six weeks after surgery, the sutured had healed well and the patient was satisfied with cosmetic and functional results.
Mentions: The postoperative course was uneventful; the urethral catheter was removed on second postoperative day and the patient discharged 24 hours later, after a peak flow rate of 25 mL/sec and absence of post-void residual urine having been demonstrated by uroflowmetry and bladder ultrasounds. Histological examination confirmed the diagnosis of paraffinoma, showing a foreign-body type chronic granulomatous inflammation and epithelioid giant cells. Six weeks after surgery the patient reported being satisfied with the cosmetic result (Figure 4) as well as with his sexual and voiding functions; uroflowmetry showed a peak flow rate of 26 mL/sec and there was no post-void residual urine at bladder ultrasounds. At 6- and 12- months follow-up, he continued to be very pleased with cosmetic, sexual and voiding results.

Bottom Line: The scarred tissue between dartos and Buck's fascia and a fibrotic ring occluding the urethra were removed and the penile skin reconstructed.Pathology confirmed the diagnosis of paraffinoma.The patient resumed normal voiding immediately after catheter removal on second postoperative day; he was very pleased with cosmetic, sexual and voiding results at six weeks, six months and 1 year follow-up.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Urology and Renal Transplantation, University of Foggia, Viale Pinto n° 1, 71122, Foggia, Italy. luigicormio@libero.it.

ABSTRACT

Background: Penile self-injection of various oils is still carried out among Eastern Europe people for penile girth augmentation despite the potential destructive complications of this practice are well known. Penile reactions to such foreign bodies include scarring, abscess formation, ulceration, and even Fournier's gangrene; voiding problems due to mineral oil self-injection have been reported only once. To our knowledge, we describe the first case of paraffin self-injection for penile girth augmentation presenting with acute urinary retention.

Case presentation: A 27-year-old Romanian man presented with severe penile pain and acute urinary retention five years after having practiced repeated penile self-injections of paraffin for penile girth augmentation. The penile shaft was massively enlarged, fibrotic and phymotic; urethral catheterization failed due to severe stricture of the proximal pendulum urethra. The patients refused placement of a suprapubic catheter and underwent immediate penile surgical exploration. The scarred tissue between dartos and Buck's fascia and a fibrotic ring occluding the urethra were removed and the penile skin reconstructed. Pathology confirmed the diagnosis of paraffinoma. The patient resumed normal voiding immediately after catheter removal on second postoperative day; he was very pleased with cosmetic, sexual and voiding results at six weeks, six months and 1 year follow-up.

Conclusions: The present report describes a novel complication of penile self-injection for penile girth augmentation. Because of the increasing number of patients seeking penile augmentation, physicians dealing with sexual medicine should pay more attention to such request to prevent the use of non medical treatments that can turn into medical disasters.

Show MeSH
Related in: MedlinePlus