Care of the Degloved Penis and Scrotum: A 25-Year Experience

Abstract

Injuries to the penis and scrotum are both physically and mentally traumatic. If poorly managed in the acute setting, these injuries may become long-term problems or permanent disabilities. The purpose of this study was to review our approach to degloving injuries of the penis and scrotum and to present our experience. Over the past 25 years, we have cared for eight patients with complete degloving injuries of the genitalia. Farm equipment accidents were responsible for the majority of injuries. We attempted to close all wounds of the denuded penis and near-total avulsed scrotum at the initial operative intervention using the method of repair described. Postoperatively, all patients had an acceptable appearance and normal mictural and erectile function. We conclude that degloving injuries of the penis and scrotum can be best treated with this approach definitively in the acute setting with successful functional and aesthetic results.

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

“…The severity of the injury depends on the amount of force exerted by the machine. These type of injuries unless associated with the other injuries are rarely life threatening but it poses physical and immense psychological burden to the patients 1 …”

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

“…Generally, injuries damage only the skin, causing minimal bleeding without producing damage to the cavernous body, the spongy body or the testes [1][2][3]. The corpora, by definition, are not involved [4].…”

“…Such lesions, although not life-threatening they are incapacitating and have a devastating psychological impact as well as challenging for first responders and surgeon because of the skin loss involved [1]. Scrotal, penile, and perineal skin loss may follow severe infections like Fournier's gangrene or it may be traumatic by crush injuries or avulsion by industrial or agriculture machines [1]. Less than 50 percent of the scrotal skin loss can often be closed primarily without difficulties immediately after trauma, with the remaining surrounding tissue.…”

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] .…”