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KMID : 0358319920330030551
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Korean Journal of Urology
1992 Volume.33 No. 3 p.551 ~ p.556
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Penile Paraffinoma: 39 Cases
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Abstract
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Penile paraffinoma chiefly resulting from injudicious paraffin injection into the penile tissue for the purpose of enlarging the penis and facilitating erection provokes a lot of serious undesirable effects. The only successful therapy for the
complicated penile paraffinoma is adequate surgical excision of the involved tissue and repair of the denuded penis. But it is not easy to resurface the completely denuded penis after complete removal of extensive paraffinoma. Herein we present
c39
cases of penile paraffinoma who underwent the surgical correction. The extent of paraffinoma was confined with the distal penile skin in 13 cases and spread to the whole penile skin with or without involvement of scrotum and prepubic soft tissue
in
26
cases. The treatment modalities for covering the denuded penis after complete excision of the granulomatous tissue were bilateral pedicle scrotal flap in 23 cases, primary closure in 15 cases and Cecil's scrotal implantation in 1 case. Bilateral
pedicle
scrotal flaps based on the lateral sorotal blood supply were extremely advantageous for repair of a extensively denuded penis because of their great elasticity and the cosmetic and functional results of the scrotal flap were satisfactory in all
patients.
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