(269) COMPARISON BETWEEN TWO DIFFERENT TECHNIQUES FOR THE TREATMENT OF PENILE PARAFFINOMA: AESTHETIC AND FUNCTIONAL OUTCOMES

Abstract Objectives To evaluate the differences in terms of aesthetic and functional outcomes of two different surgical techniques in the treatment of penile paraffinoma. Methods From September 2018 to July 2022 we selected 9 patients with penile paraffinoma. Patients were then subdivided into 2 groups. In group 1 (G1), four patients underwent a paraffinoma excision and split thickness skin graft reconstruction in one stage. Inclusion criteria for G1: patients suffering penile paraffinoma with small scrotum size or scrotal involvement. In group 2 (G2), five patients underwent 2-stages surgical technique: on the first stage we performed excision of paraffinoma and penile scrotalization. three-six month later during the second stage, a scrotoplasty was performed. All participants were invited to complete two different questionnaires, the international index of erectile function (IIEF-5) and a 6-items questionnaire on the satisfaction of genital aesthetics. The questionnaires were delivered by email. Datas were collected up to one year after surgery and a statistical analysis using SPSS V 26.0 3.4. Results No statistical significant differences in terms of IIEF-5 were observed between G1 (20,5 IQR 19-21,25) and G2 (20 IQR 19-22) (p-value 0,49). Otherwise, a statistically significant difference (p-value <0,05) was recorded between G1-G2 in the 6-items questionnaires regarding the satisfaction of genital aesthetics (9,00 IQR 6,75-10,5 vs 13 IQR 4-11 respectively). Conclusions In our experience, in patients suffering from penile paraffinoma with no scrotal involvement, a dual stage technique with scrotoplasty is resulting in better aesthetic outcomes rather than a split thickness skin graft. However, a single stage technique, using a split thickness skin graft, also provides good clinical outcome, including acceptable cosmetic results, patient satisfaction, and sexual function. Therefore, in our opinion, both techniques should be considered to enable surgeons to choose from among them based on the patient's preoperative characteristics. Conflicts of Interest The Authors declair no conflict of interest.