Penile paraffinoma: Self-injection with mineral oil

We present a 64-year-old patient with a 9-cm firm, irregular penile mass associated with phimosis, erectile dysfunction, and voiding difficulty. After he reluctantly admitted to multiple penile mineral oil self-injections for enlargement, surgical excision was performed. Pathologic examination was c...

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Bibliographic Details
Published inJournal of the American Academy of Dermatology Vol. 47; no. 5; pp. S251 - S253
Main Authors Cohen, Joel L., Keoleian, Charles M., Krull, Edward A.
Format Journal Article
LanguageEnglish
Published New York, NY Mosby, Inc 01.11.2002
Elsevier
Subjects
Biological and medical sciences
Dermatology
Granuloma - chemically induced
Granuloma - surgery
Gynecology. Andrology. Obstetrics
Humans
Injections, Subcutaneous
Male
Male genital diseases
Medical sciences
Middle Aged
Mineral Oil - administration & dosage
Non tumoral diseases
Penile Diseases - chemically induced
Penile Diseases - surgery
Self Administration
Skin involvement in other diseases. Miscellaneous. General aspects
Human
Granuloma
Urinary system disease
Erection disorders
Clinical form
Male
Surgical resection
Mineral oil
Case study
Pathology
Self prescription
Voiding dysfunction
Penile diseases
Penis
Adult
Complication
Subcutaneous administration
Male genital diseases
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Summary:We present a 64-year-old patient with a 9-cm firm, irregular penile mass associated with phimosis, erectile dysfunction, and voiding difficulty. After he reluctantly admitted to multiple penile mineral oil self-injections for enlargement, surgical excision was performed. Pathologic examination was consistent with mineral oil granuloma (paraffinoma). Within several weeks after surgery, his erectile dysfunction and voiding complaints resolved. Paraffinomas have been encountered with the use of various oily substances injected for cosmetic purposes. Despite early warnings, these agents continued to be used to treat conditions ranging from hemorrhoids to wrinkles and even baldness. Fortunately, most of these fads have been abandoned by medical professionals, but the complicating lesions have been documented as having lag times as long as 30 years. Complete surgical excision remains the treatment of choice to prevent recurrence. Increased public awareness is needed for the prevention of this physically and psychologically debilitating problem. (J Am Acad Dermatol 2002;47:S251-53.)
ISSN:0190-9622
1097-6787
DOI:10.1067/mjd.2002.103995