Jeong J H, Shin H J, Woo S H, Seul J H
Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Yeungnam University Hospital, Taegu, Korea.
Ann Plast Surg. 1996 Oct;37(4):386-93. doi: 10.1097/00000637-199610000-00007.
Although worldwide incidence is not well known, foreign-body injection is often attempted in order to increase the circumference of the penile shaft. Paraffin, Vaseline, and other materials are injected into the penile skin by the patient himself or by untrained persons who practice medicine fraudulently. Complications usually follow, such as penile deformity, skin necrosis, limited erectile function, and the inability to have intercourse. Definitive treatment of these patients includes the complete removal of skin and subcutaneous tissue infiltrated by the foreign material. Sometimes, complete removal of the foreign material may not be possible and may leave permanent foreign-body granuloma on the corpus cavernosum and/or corpus spongiosum. The remaining foreign material does not permit skin-graft coverage, which is a simple and effective method of resurfacing. In such cases, we tried a new technique comprised of bilateral scrotal flaps to provide for reliable and stable coverage. The scrotal skin, which has high elasticity, seems to be a good material for penile coverage, despite its hairy nature. In our experience, exclusively with Korean males, the scrotal hair has a low density and does not seem to cause serious problems, but patients with hirsute scrotal may be contraindicated. Since 1993, 17 patients with penile paraffinoma have been treated using the bilateral scrotal flap method. All 34 flaps survived completely and the reconstructed penis had immediate postoperative tactile sensibility. The results were successful and without any major complications.
虽然全球发病率尚不清楚，但为了增加阴茎周长，常有人尝试进行异物注射。石蜡、凡士林和其他材料由患者本人或非法行医的非专业人员注入阴茎皮肤。并发症通常随之而来，如阴茎畸形、皮肤坏死、勃起功能受限以及无法进行性交。对这些患者的确定性治疗包括彻底清除被异物浸润的皮肤和皮下组织。有时，可能无法彻底清除异物，可能会在海绵体和/或尿道海绵体上留下永久性异物肉芽肿。残留的异物不允许采用简单有效的皮肤移植覆盖术进行修复。在这种情况下，我们尝试了一种新技术，即采用双侧阴囊皮瓣来提供可靠稳定的覆盖。阴囊皮肤弹性高，尽管有毛发，但似乎是阴茎覆盖的良好材料。根据我们仅针对韩国男性的经验，阴囊毛发密度低，似乎不会引起严重问题，但阴囊多毛的患者可能不适合。自1993年以来，17例阴茎石蜡瘤患者采用双侧阴囊皮瓣法进行了治疗。所有34块皮瓣均完全存活，重建后的阴茎术后立即具有触觉敏感性。结果成功，无任何重大并发症。
