Clinical case description:

A 71-year-old man that received injections of mineral oil and a multivitamin complex in the subcutaneous tissue and corpora cavernosa of the penis, for 8 months, presented with penile deformity and progressive edema of the dorsal region. He came to our hospital 4 days after the lesion had been excised, presenting with necrosis of the penile skin and purulent drainage, requiring resection and debridement of the necrotic tissue.

Relevance:

The unauthorized injection of substances into the penis for cosmetic or sexual purposes has been on the rise in recent years.

Clinical implications:

Penile paraffinoma is a reaction caused by the injection of foreign substances into the penis. Said injections often produce complications that can appear months or years after application and they can be life-threatening.

Conclusions:

The injection of foreign substances into the subcutaneous tissue of the penis can produce severe and devastating complications. Opportune treatment and multidisciplinary management are key to satisfactory patient progression.

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