The following is a summary of “Aesthetic and Functional Results after Single- and Two-Stage Resection and Reconstruction of Penile Paraffinomas – Experience from Two Tertiary Centers and a Surgical Management Algorithm,” published in the JANUARY 2023 issue of Urology by Martínez, et al.

For a study, researchers sought to describe the surgical techniques, aesthetics, and functional outcomes and provide a practical algorithm for managing symptomatic penile paraffinoma (PP).

It was a retrospective study of patients who underwent surgical resection for PP from 2004 to 2020 at the Reina Sofia Hospital of Murcia (Spain) and Sourasky Medical Center (Israel). The study collected data on procedural and postoperative erectile function according to the short version of the International Index of Erectile Function (IIEF-5).

A total of eight patients with PP underwent surgery, with a mean age of 30 years. Liquid paraffin was the most frequently injected material (50%), followed by Vaseline. Extensive skin involvement was present in all patients with liquid paraffin, requiring a 2-stage surgery or skin graft. The PP surgical treatment was achieved successfully through urology and plastic surgery combined. Postoperative erectile function was preserved in all cases.

PP presented a surgical challenge, and a combined surgical approach with urology and plastic surgery allows for functional and aesthetic preservation. The extent of PP and the viability of shaft skin preservation should guide the surgical approach. Surgical resection remained the treatment of choice for PP.

Reference: goldjournal.net/article/S0090-4295(22)00870-6/fulltext