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"Paraffin injection for penile augmentation and the resulting complications are not rarer in Korea. However, adequate management of these patients is not well known. Herein we present 20 cases of penile paraffinoma. The most common presentation was pain on erection. Penile paraffinoma usually involved skin and all the subcutaneous tissue including Buck’s fascia, and extended into pubis and/or scrotum in 7 patients. Out of 20 patients, earlier 4 were managed by partial excision and primary closure, and all the 4 required secondary. operation because of complications or persistent symptoms. Remaining l6 patients were managed by wide excision of all the involved layers in to and adequate coverage of denuded penis by intact penile skin, scrotal skin flap, or Cecil`s two stage operation. Of remaining l6 cases, only 2 required additional operation; the one by the full thickness skin graft of partial scrotal flap necrosis, the other by the wound repair. All the 20 patients showed successful outcome. We think that the best treatment of penile paraffinoma is complete excision and primary scrotal skin flap neoplasty."
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