Traumatic degloving lesion of penile and scrotal skin

Abstract

Avulsions of penile and scrotal skin are uncommon events and are caused mainly by accidents with industrial machines and agricultural machine belts. We report the case of a 30-year old patient with avulsion and traumatic degloving of the penile and scrotal skin, with exposure of the cavernous bodies, spongy body, and testes due to an industrial machine accident. Reconstruction was performed in steps, achieving a satisfactory esthetic result, normal voiding and reestablished sexual function.

Cobertura con colgajo escrotal en desforramiento peneano. A propósito de dos casos

“…Las lesiones peneanas traumáticas son muy infrecuentes 1,4 . Sin embargo, es importante el logro de un resultado óptimo, tanto funcional como esté-tico, debido a la gran trascendencia que tienen los genitales masculinos en el desarrollo y autoestima del paciente 1 .…”

“…Las heridas avulsivas son las más frecuentes y generalmente son causadas por la ropa que queda prendida; otras causas menos frecuentes son los accidentes automovilísti-cos, intervenciones quirúrgicas y la cremallera de los pantalones en los niños [1][2][3][4][5] .…”

“…Restablecer la cobertura cutánea en lesiones de urgencia es siempre un desafío para cualquier cirujano, más aún si se trata de cobertura cutánea del pene, ya sea por un desforramiento accidental o como secuela de procesos sépticos de la región perineal 1,2 .…”

A Case Report of Degloving Penoscrotal Injury with Anteromedial Thigh Testis Burial and Skin Graft

“…Staged reconstruction has a better functional outcome, a sensate and hair-bearing scrotum, and more reliable coverage without the problems of graft take and graft contracture which may cause painful erection. However some staged operations like that described by Luiz et al [6] which extend to 7 months may have emotional impact on the patient which we aim to minimize without jeopardizing the satisfactory outcome. When there is no available skin, penile burial in the scrotum or in the suprapubic region is performed.…”

Bipedicled transverse abdominal flap for coverage of exposed iliac crest due to post traumatic tissue loss in left inguinal region

“…1 Exposed bone with loss of skin cover is a clinically challenging injury which requires expert planning, appropriate selection and execution of flaps. Unless managed aggressively, such injuries are known to cause significant morbidity, prolonged hospitalization and disturbance in patient's day to day life.…”