The practice of injecting foreign substances to enhance body contour is prevalent in Southeast Asia, Korea, and parts of Eastern Europe and are often performed by non-medical personnel to increase penile size, based on misconceptions about sexuality and satisfaction. However, the body is unable to metabolize these foreign materials, leading to a foreign body reaction which can result in scarring, pain, penile deformity, sexual dysfunction, and ulceration.

A retrospective study was conducted on forty-seven (47) patients who underwent reconstructive surgery for penile paraffinomas at East Avenue Medical Center between 2022 and 2024. The Boyke Classification System for sclerosing lipogranuloma was used to guide preoperative planning. Surgical procedures, complications, and postoperative outcomes were recorded at 1-, 3-, 6-, and 12-months follow-up.

Patients with lower Boyke classifications (I and II) experienced shorter operative times, less blood loss, and lower complication rates. In contrast, patients with higher Boyke classifications (III and IV) required more complex reconstructive procedures, such as grafts and flaps, and had longer operative times, higher blood loss, and higher complication rates. Although no significant correlation was found between Boyke classification and IPSS, there was a strong negative correlation between Boyke classification and IIEF indicating that extensive penile paraffinomas involvement negatively impacted overall sexual function and satisfaction.

Despite the limited sample size, this study offers valuable insights into the surgical management and outcomes of penile paraffinomas in the Philippines. It emphasizes the need for further research on this specific urological condition to develop evidence-based guidelines and healthcare initiatives that improve patient care.