Late Results of Split-Grafted Penoscrotal Avulsion Injuries

Gençosmanoğlu, Reha; Bılkay, Ufuk; Alper, Mehmet; Gürler, Tahir; Cagdas, Arman

doi:10.1097/00005373-199512000-00038

Cited by 32 publications

(30 citation statements)

References 9 publications

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“…It is clear that in those cases when remnants retain their elasticity, the primary coverage of the testes is usually possible. In cases where the remnants are not sufficient to gain complete coverage, spot grafts of meshed split thickness skin provide satisfactory cosmetic results and immediate wound closure [6] .…”

Section: Discussionmentioning

confidence: 99%

Scrotal Reconstruction Using Thigh Pedicle Flaps after Scrotal Skin Avulsion

Gudavičienė

Milonas²

2008

Urol Int

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Major scrotal and penile skin loss is uncommon and management of such an injury is a challenging problem for genitourinary reconstruction surgeons. Less than 50% scrotal skin loss can often be closed without difficulties immediately after trauma with surrounding tissue. In cases of more significant skin loss, the testes may be preserved by placing them in thigh pouches or dressed with wet dressings until reconstruction, or split thickness skin grafting can be performed. The surgeon’s decision depends on the cause of skin loss – trauma, Fournier‘s gangrene or others. We describe a case of massive scrotal and penile skin loss due to an incident with an agricultural machine. The scrotal reconstruction, performed in three steps, was chosen because of its simplicity, early closure of the wound, excellent cosmetic appearance and maintenance of sexual functions. In the first step the penis was covered with remnant scrotal and preputium skin, and the testes were placed in thigh pouches. Incision of thigh flaps was planned to perform the second step and finally scrotal reconstruction with thigh pedicle flaps was done. Results were satisfactory from an esthetical and functional point of view.

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Section: Discussionmentioning

confidence: 99%

Scrotal Reconstruction Using Thigh Pedicle Flaps after Scrotal Skin Avulsion

Gudavičienė

Milonas²

2008

Urol Int

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“…Avulsion of the penoscrotum it varies from various degree of skin avulsion to virtual emasculation 2 . It can further be complicated by the involvement of regional areas like the perineal skin up to rectum and skin over the abdomen.…”

Section: Introductionmentioning

confidence: 99%

Peno-Scrotal Avulsion Injuries: 20 Years Experience At A Tertiary Care Hospital In Punjab, India.

A¹

2017

IOSR JDMS

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“…Patients who experience genital injuries secondary to animal or human bites are often embarrassed and tend to present well after the initial injury. This delay in treatment lessens viability of tissue, reducing the potential for simple repair with the avulsed tissue flap [2]. …”

Section: Introductionmentioning

confidence: 99%

Penile Degloving Injury in an Adolescent with Congenital Hypothyroid

Kiffin

Porcelli

Prychyna

et al. 2012

Case Reports in Medicine

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This case follows a 17-year-old boy with congenital hypothyroidism who sustained penile skin avulsion secondary to a dog bite. Initially, an attempt was made to repair the wound using the avulsed skin flap itself as coverage. The repair was done immediately upon presentation to enhance the chances of adequate flap viability; however, the dorsal portion of the reconstruction necrosed within the following week. Ultimately a full thickness surgical graft (FTSG) repair was performed to ensure the most desirable outcome.

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Late Results of Split-Grafted Penoscrotal Avulsion Injuries

Cited by 32 publications

References 9 publications

Scrotal Reconstruction Using Thigh Pedicle Flaps after Scrotal Skin Avulsion

Scrotal Reconstruction Using Thigh Pedicle Flaps after Scrotal Skin Avulsion

Peno-Scrotal Avulsion Injuries: 20 Years Experience At A Tertiary Care Hospital In Punjab, India.

Penile Degloving Injury in an Adolescent with Congenital Hypothyroid

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