Paraffinoma of the penis

Excerpt

A 38-year-old man, originally from Moldavia, presented at our Emergency Department with edema of the penis, para-phimosis with necrosis of the phimotic ring, glandular ulcer and multinodular hard semimoble penile masses associated with multiple sites of penile and glandular injection (Figs. 1 and 2). The patient reported having undergone penile subcutaneous and glandular paraffin injections 48 h previously (and also 1 year previously), performed by an untrained person, for augmentation of the penile contour. Magnetic resonance imaging showed that mineral oil was distributed outside of and attached to Buck’s fascia, the corpus cavernosum, corpus spongiosum and in the glans (Figs. 3 and 4). Urgent circumcision with evacuation of the oil and partial resection of the paraffinoma was performed. Postoperative recovery was uneventful, and the patient was discharged on the 2nd day after surgery.

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