PMC8709556_01
(A) Penile paraffinoma with infection at the swollen preputium area. (B) Excision of the paraffinoma. (C) Post penile resurfacing with FTSG in a one-sheet spiraling pattern. (D) 8 weeks after the fifth session of HBOT.
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Male, 26 years old, with a history of penis shaft silicone liquid injection (Figure 1A). Excision was performed from the penile-pubic junction proximally to the distal shaft up to 0.3 mm from the glands (Figure 1B). The FTSG was placed on the raw surface area of the penile shaft in a spiral or circular pattern in a single graft sheet (Figure 1C). After five sessions of 2.0 ATA HBOT, the graft took successfully (Figure 1D).
PMC8709556_02
(A) Pubic, penile, and scrotal paraffinoma. (B) Excision of the paraffinoma mass. (C) Post reconstruction of the pubic and scrotal areas and resurfacing the shaft penile defect with one-sheet spiraling FTSG. (D) 3 weeks after the fifth session of HBOT.
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The patient reported that his penis had a swollen, hard, heavy feeling and difficulty urinating because of the fibrotic tissues (Figure 2A). Intraoperatively, we found a paraffinoma mass along the penile shaft that had already infiltrated around the pubic and scrotal area (Figure 2B). The pubic and scrotal area was reconstructed with healthy surrounding tissue and left Penrose drains (Figure 2C). After five sessions of 2.0 ATA HBOT, the graft was considered a success (Figure 2D).
PMC8709556_03
(A) Penile paraffinoma. (B) Paraffinoma mass excision. (C) The penis was resurfaced with one-sheet spiraling FTSG. (D) 6 weeks post reconstruction of the penoscrotal area, after five sessions of HBOT.
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Due to the paraffinoma mass reported a heavy feeling in his scrotal and penile areas (Figure 3A). The excised paraffinoma mass was firm, yellow in color, and almost 1 kilogram in weight (Figure 3B). The penis was resurfaced with a one-sheet spiraling FTSG from the right inguinal (Figure 3C). One week after the surgery, the patient had five HBOT sessions with 2.0 ATA (Figure 3D).
PMC8709556_04
(A) Pre-fistula closure. (B) Post-fistula closure.
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Male, 14 years old, with hypospadias and post-closure fistulae with flap (Figure 4A). Post-treatment, there was only one pin-point fistula (Figure 4B).
PMC8709556_05
(A) Giant penile papilloma. (B) Post bilateral keystone flap. (C) Wound dehiscence and secondary infection. (D) Defect closure with STSG. (E) 8 weeks post five sessions of HBOT.
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Male, 32 years old with bilateral keystone flap (post total penectomy), orchidectomy, perineotomy due to giant penile papilloma (Figure 5A and B). The patient had wound dehiscence on the middle of the bilateral keystone flap that (Figure 5C) occurred 1 week after the first surgery caused by an infection and decreased hemoglobin and albumin levels. After 2 weeks, we performed the second operation, and the defect was closed with STSG (Figure 5D). After 2 weeks and five sessions of 2.0 ATA HBOT, the patient showed improved wound closure, and the graft was considered a success (Figure 5E).
PMC8709556_06
(A) A 46-year-old male presented with squamous cell carcinoma on his genitalia. (B) Intra-operative excision of the mass with total penectomy, orchidectomy, and perineostomy. (C) Closure of the inguinal defect with a keystone flap in a mirror fashion. (D) Post-operative, after five HBOT sessions.
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The lump started to grow like cauliflower (Figure 6A). Wide excision of the penile mass was performed with total penectomy, orchidectomy, and perineostomy (Figure 6B). The wound was closed using the Keystone flap technique involving an elliptical incision pattern (Figure 6C), after which the flap is incised on all sides and bluntly dissected down to the fascia. The incisional biopsy revealed squamous cell carcinoma. 2 weeks after the surgery, the patient was given five HBOT sessions (Figure 6D).
PMC8709556_07
(A) A 61-year-old man with Fournier's gangrene on the scrotum and penile body after debridement. (B) Closure of the penoscrotal defect with a bilateral inguinal flap and left Penrose drains.
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Local examination revealed erythematous, swelling, and pus in the scrotum, and the penile body was gangrenous with necrotic skin (Figure 7A). We closed the defect with a bilateral inguinal flap and left Penrose drains (Figure 7B).
PMC8709556_08
(A) Male 48 years old with Fournier's gangrene on his scrotum after debridement. (B) 7 days post STSG, after six sessions of HBOT.
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Male, 61 years old, complained of pain and swelling in his genital area (Figure 8A). We debrided the wound, and his metabolic status was controlled with three sessions of HBOT before closing the defect with STSG, followed by three HBOT sessions in the 7 days post skin graft (Figure 8B).