Obstructive lower urinary tract symptoms (LUTS) as the initial presentation of penile paraffinoma: a case report and literature review

Pan Afr Med J. 2021 Mar 15:38:265. doi: 10.11604/pamj.2021.38.265.28084. eCollection 2021.

Abstract

Penile paraffinoma is a rare condition after penile injection of liquid paraffin or other mineral oils, with well-documented debilitating complications. Nevertheless, such injections are still performed by people of Eastern European and Asian descent for cosmetic penile augmentation. We report a case of penile paraffinoma in an otherwise healthy, 30-year-old male, with obstructive lower urinary tract symptoms (LUTS) as the sole complaint at presentation in the emergency department and a conservative approach. This case report describes an unusual presentation of penile paraffinoma in a young man and aims to raise public and physician awareness regarding disease manifestation to prevent high morbidity from delayed diagnosis and treatment.

Keywords: LUTS; Penile paraffinoma; case report; lipogranuloma; paraffin oil; phimosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Delayed Diagnosis
  • Granuloma, Foreign-Body / diagnosis*
  • Granuloma, Foreign-Body / pathology
  • Humans
  • Lower Urinary Tract Symptoms / etiology*
  • Male
  • Penile Diseases / diagnosis*
  • Penile Diseases / pathology