Fenestrated sheet split-thickness skin grafting for reconstruction of penile skin loss in pediatric population

Chertin, Boris; Kocherov, Stanislav; Binenboym, Rami; Gronovich, Yoav; Tuchman, Izhak; Chertin, Leonid; Baskin, Laurence S.

doi:10.1016/j.jpedsurg.2015.12.018

Cited by 9 publications

(5 citation statements)

References 10 publications

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“…As the penile skin is thin, hairless, and flexible, and it undergoes a substantial change in size with penile erection, some researchers suggested FTSG as the preferred choice for penile skin graft. 12,13 Chertin et al 14 reported penile STSG in 17 children and adolescents, with 94% graft take, with 6 sexually active patients reporting normal sexual intercourse and sensation; none of the patients experienced shrinkage of the STSG. Alwaal et al 13 reported a successful outcome for Fig.…”

Section: Discussionmentioning

confidence: 99%

A Case Series of Penile Skin Grafting in Children

Qiu

Zhang

Yan

et al. 2020

European J Pediatr Surg Rep

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Pediatric penile skin grafting is rarely performed. We present a case series of four pediatric patients receiving skin grafting due to the loss of penile skin. The four boys were followed up for 1 to 5 years. One full-thickness skin graft and three split-thickness skin grafts (STSGs) survived well with low Vancouver scar scale scores. One boy gradually developed lymphedema of the distal foreskin and underwent a second preputioplasty. He presented with normal erectile function and did not experience any pain. We propose thick STSGs as the most appropriate choice for pediatric penile skin reconstruction. Lymphedema of the foreskin is an important long-term complication of penile skin grafting.

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Section: Discussionmentioning

confidence: 99%

A Case Series of Penile Skin Grafting in Children

Qiu

Zhang

Yan

et al. 2020

European J Pediatr Surg Rep

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“…Surgical options include onestage or two-stage procedures, using either single or multiple tissue transfer [9,10]. Preputial and various penile skin flaps, such as a longitudinal flap, the hockey stick flap, the penile island flap and the circumferential/circumpenile flap, have been used for penile urethral reconstruction as good options when needed [11,12]. A large representative biopsy specimen is important to judge the structure of the lesion in order to establish the diagnosis and to exclude VC [13].…”

Section: Discussionmentioning

confidence: 99%

Buschke–Löwenstein tumor of the penis

et al. 2019

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Background: The Buschke-Löwenstein tumor comes from the confluence of multiple condyloma acuminata and is clinically manifested by warty, exophytic, ulcerated lesions, with aggressive behavior, rapid growth, invasion and destruction of adjacent structures. Case presentation: A 57-year-old man with type II diabetes mellitus, high blood pressure and a history of high-risk sexual behavior with multiple partners was evaluated in the urology department for multiple penile lesions of verrucous appearance and fetid odor of 10 months of evolution. Biopsy of the lesion was performed revealing a giant condyloma acuminatum. Conclusions: Radical surgical excision with wide surgical margins remains the first line of treatment. Close follow-up of these patients is crucial given the complexity and tumor recurrence.

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“…Whereas skin grafting has been widely used and published for penile reconstruction, 4 5 6 7 8 9 dermal matrices have not yet played a leading role for these defects. Dermal matrices have been used in the past for penile augmentation.…”

Section: Discussionmentioning

confidence: 99%

Penile Reconstruction with Skin Grafts and Dermal Matrices: Indications and Management

Junco

Dore

Cerezo

et al. 2017

European J Pediatr Surg Rep

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Introduction The penis eventually needs specific cutaneous coverage in the context of reconstructive procedures following trauma or congenital anomalies. Local flaps are the first choice but are not always available after multiple previous procedures. In these cases, skin graft and dermal matrices should be considered. Materials and Methods This study was a retrospective review of the past 4 years of four patients with severe loss of penile shaft skin who underwent skin reconstruction. Dermal matrices and skin grafts were utilized. Dermal matrices were placed for a median of 4.5 weeks (3.0–6.0 weeks). The skin graft was harvested from the inner thigh region for split-thickness skin graft (STSG) and the inguinal region for full-thickness skin graft (FTSG). Results The four patients presented with complete loss of skin in the penile shaft. One patient had a vesical exstrophy, one had a buried penis with only one corpus cavernosum, one had a wide congenital lymphedema of the genitalia, and one had a lack of skin following circumcision at home. They underwent reconstruction with three patients undergoing split-thickness skin graft; two dermal matrices; and one full-thickness graft, respectively, thereby achieving a good cosmetic and functional result. There were no complications, and all the patients successfully accepted the graft. Conclusion Dermal matrices and skin grafts may serve as effective tools in the management of severe penile skin defects unable to be covered with local flaps.

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Fenestrated sheet split-thickness skin grafting for reconstruction of penile skin loss in pediatric population

Cited by 9 publications

References 10 publications

A Case Series of Penile Skin Grafting in Children

A Case Series of Penile Skin Grafting in Children

Buschke–Löwenstein tumor of the penis

Penile Reconstruction with Skin Grafts and Dermal Matrices: Indications and Management

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