Pd46-08 the Buccal Belt: A Buccal Mucosal Graft for Recurrent Penile Adhesions in Patients With Lichen Sclerosis

Abstract

closure, and 90-day postoperative outcomes, including wound complications and mortality. The standard t-test and chi-squared/ Fisher's exact test were used for continuous and categorical variables, respectively. Patients who died prior to reconstruction or who did not undergo reconstruction were excluded.RESULTS: Twenty-three patients in the Early and 17 patients in the Late groups were similar in age (53.6 vs. 53.9 years, p[0.95), Charlson Comorbidity Index (3.1 vs. 2.7, p[0.58), and APACHE II score on initial presentation (7.2 vs. 7.8, p[0.83). All patients in the Early group were reconstructed during their initial hospital stay compared to only 35.2% in the Late group. Areas requiring debridement and reconstruction were similar between the groups (penis: 7/23 vs. 7/ 17, p[0.48; scrotum: 20/23 vs. 15/17, p[1.0; inguinal/suprapubic: 6/ 23 vs. 6/17, p[0.53; perineum: 12/23 vs. 9/17, p[0.96). There were no differences in the rates of primary closure or grafting (p[0.88). 90-day complication, re-operation, and mortality rates following reconstruction were similar between the groups (Table 1).CONCLUSIONS: Early reconstruction following surgical excision and drainage in the treatment of Fournier's gangrene provides safe and fastidious wound closure, and may be performed during the patient's initial hospital stay.