Outpatient Panniculectomy and Skin Graft for Adult Buried Penis

Figler, Bradley D.; Gan, Zoe S.; Mohan, Charan; Zhang, Yingao; Filippou, Pauline

doi:10.1016/j.urology.2020.04.129

Cited by 3 publications

(2 citation statements)

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“…As a result, recent studies have reported their experience using a bolster dressing without bed rest to immobilize penile skin grafts. These studies have reported excellent outcomes, suggesting that bed rest is not necessary if an appropriate bolster dressing is used after penile skin grafting [8,13] . The use of fibrin sealant to immobilize grafts has also been reported [14][15][16][17][18] .…”

Section: Nrmentioning

confidence: 97%

“…STSGs are typically harvested from the anterolateral or medial thigh, although STSG can be harvested from the pannus in patients with buried penis [8][9][10][11] . Compared to FTSGs, the advantages of STSGs include a thin graft that more closely resembles native penile skin, lack of hair follicles, improved graft take due to reduced metabolic requirements, and the ability to easily mesh and expand the graft to cover a larger recipient site.…”

Section: Surgical Techniquementioning

confidence: 99%

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Skin grafting for penile skin loss

Demzik¹,

Peterson²,

Figler³

2020

PAR

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Penile skin grafting is an effective technique for managing skin deficiency resulting from a variety of causes. A thorough understanding of penile anatomy and the pathophysiology of the underlying condition being treated are essential. We provide an overview of penile anatomy as well as the pathophysiology of conditions that may lead to penile skin deficiency, as a result of either the underlying condition or its management. The conditions discussed include lichen sclerosus, buried penis, hidradenitis suppurativa, lymphedema, necrotizing fasciitis, cancer, and trauma. We also discuss surgical technique for penile skin grafting with an emphasis on technical considerations unique to the penis. Finally, we review the available literature on penile skin grafting.

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Section: Nrmentioning

confidence: 97%

Section: Surgical Techniquementioning

confidence: 99%

Skin grafting for penile skin loss

Demzik¹,

Peterson²,

Figler³

2020

PAR

Self Cite

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Therapeutic efficacy of combined superficial circumflex iliac artery perforator flap and bilateral pedicled scrotal flaps for perineal defects in male patients with extramammary Paget's disease

Pan,

Tang,

et al. 2024

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Superficial circumflex iliac artery perforator propeller flap for penoscrotal extramammary Paget's disease

Dong,

Xiao,

Wang

et al. 2024

Int J Dermatology

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BackgroundExtramammary Paget's disease (EMPD) is a rare intra‐epidermal adenocarcinoma, and reconstruction of the penoscrotal region remains a clinical challenge. The superficial circumflex iliac artery perforator (SCIP) flap has been successfully used as a free flap, while its application as a propeller flap in the reconstruction of penoscrotal EMPD defect is rarely reported. The objective was to evaluate the safety and efficacy of the SCIP propeller flap in the reconstruction of penoscrotal defects in EMPD.MethodsBetween September 2010 and August 2022, consecutive patients diagnosed with penoscrotal EMPD were enrolled. All patients underwent penoscrotal EMPD excision and reconstruction with SCIP propeller flap combined with other flaps or skin grafts on individual defects. Demographic information, surgical parameters, postoperative complications, patient satisfaction, and recurrence rates were analyzed.ResultsTwenty‐four patients (mean age, 73 ± 8.8 years; mean BMI, 23.98 ± 3.62 kg/m2) with 33 SCIP propeller flaps (mean size 120.1 cm2; range, 24–208 cm2) were included, and the mean defect size was 67.4 cm2 (range, 12–255 cm2). The mean operative duration was 385.4 ± 146.8 min. Fifteen patients received autologous full‐thickness skin grafts, and four received other flaps simultaneously. All flaps survived without total or partial loss, and all donor sites achieved primary closure, though local hematoma (one case) and limited skin graft necrosis (two cases) were observed. All patients experienced complete wound healing and maintained penoscrotal morphology and function without recurrent lesions over a mean follow‐up of 59 months.ConclusionsThe SCIP propeller flap seems a safe and effective reconstructive method for penoscrotal EMPD.Level of evidenceIV.

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Outpatient Panniculectomy and Skin Graft for Adult Buried Penis

Cited by 3 publications

References 0 publications

Skin grafting for penile skin loss

Skin grafting for penile skin loss

Therapeutic efficacy of combined superficial circumflex iliac artery perforator flap and bilateral pedicled scrotal flaps for perineal defects in male patients with extramammary Paget's disease

Superficial circumflex iliac artery perforator propeller flap for penoscrotal extramammary Paget's disease

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