https://doi.org/10.4081/aiua.2024.12704

Functional outcome of the one-stage scrotal tunnel + ventral inverted V incision + inverted Y anastomosis technique to treat penile paraffinoma: A single center retrospective study

Vol. 96 No. 3 (2024)
Submitted: June 2, 2024
Accepted: July 1, 2024
Published: October 2, 2024
Penile paraffinoma, surgery, one stage, scrotal flap, functional outcome
Abstract Views: 664
PDF: 275
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Authors

Muhammad Asykar Palinrungi
apalinrungi@yahoo.com
https://orcid.org/0000-0002-0135-9213
Department of Urology, Faculty of Medicine, Hasanuddin University – Hasanuddin University Hospital, Makassar, South Sulawesi, Indonesia.
Syakri Syahrir
Department of Urology, Faculty of Medicine, Hasanuddin University – Dr. Wahidin Sudirohusodo Hospital, Makassar, South Sulawesi, Indonesia.
Syarif Syarif
Department of Urology, Faculty of Medicine, Hasanuddin University – Hasanuddin University Hospital, Makassar, South Sulawesi, Indonesia.
Andhini L.R. Palinrungi
https://orcid.org/0009-0004-1590-5272
Department of Surgery, Akademis Jaury Jusuf Putra Hospital, Makassar, South Sulawesi, Indonesia.
Muhammad Faruk
https://orcid.org/0000-0002-7079-4585
Department of Surgery, Faculty of Medicine, Hasanuddin University – Hasanuddin University Hospital, Makassar, South Sulawesi, Indonesia.

Introduction and objective: Penis enlargement through substance injection is common in many countries of Southeast Asia and Eastern Europe. The definitive therapy involves removing the entire skin and the subcutaneous tissue and resurfacing the penile shaft via a single-stage or multi-staged procedure. This study aimed to report the functional outcome and esthetics of treating penile paraffinoma patients using the scrotal tunnel + ventral inverted V incision + anastomosis inverted Y technique.
Material and methods: This study was a single-center retrospective descriptive analysis of patients who underwent one-stage scrotal tunnel + ventral inverted V incision and inverted Y-shaped anastomosis procedures from January 2013 to December 2023. The following data were collected: chief complaint, reason for the injection, type of fluid injected, duration of surgery, duration of hospitalization, length of follow-up, and results after surgery.
Results: Of the 32 patients included in the study, 78% injected liquids in the form of oil and the goal of the majority of patients was penis enlargement (71%). The average age was 36.84 years, and the main complaint was pain in the penis during erection (53%). The average operation time was 130 minutes, hospitalization duration was 2.21 days, primary wound healing was 91%, patient satisfaction level was 97%, and Scale 4 erection hardness was 91%.
Conclusion: One-stage surgery for penile paraffinoma produced promising results when the granuloma was limited to the penis and healthy scrotal skin was available to cover the penis.

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How to Cite

Palinrungi, M. A., Syahrir, S., Syarif , S., Palinrungi, A. L., & Faruk, M. (2024). Functional outcome of the one-stage scrotal tunnel + ventral inverted V incision + inverted Y anastomosis technique to treat penile paraffinoma: A single center retrospective study. Archivio Italiano Di Urologia E Andrologia, 96(3). https://doi.org/10.4081/aiua.2024.12704
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