Split-Thickness Skin Graft for the Management of Concealed Penis

Gillett, Michael D.; Rathbun, S.R.; Husmann, Douglas A.; Clay, Ricky P.; Kramer, Stephen A.

doi:10.1097/01.ju.0000149606.27158.fa

Cited by 52 publications

(32 citation statements)

References 17 publications

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“…Prepuce is commonly used for shaft coverage either by anastomosing its inner leaf to shaft skin [11], preputial unfurling [7,10] or using it as an island pedicle flap [4,18]. Free skin grafts [19], scrotal flaps and Z-plasties [8,15] have also been described.…”

Section: Discussionmentioning

confidence: 99%

Penoplasty for buried penis in infants and children: report of 100 cases

2008

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Section: Discussionmentioning

confidence: 99%

Penoplasty for buried penis in infants and children: report of 100 cases

2008

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“…These may include scar release, graft application, penile or scrotal Z-plasty, dorsal tacking of the suprapubic dermis, and removal of the suprapubic adipose tissue. [6][7][8][9][10] In order to achieve a successful surgical result, the penis must be freed from any tethering or webbing, and sufficient penile skin coverage has to be provided. Additionally, the proximal penile skin has to be fixed to the underlying fascia to prevent the penis from pulling down and out of the shaft skin.…”

Section: Discussionmentioning

confidence: 99%

A practical approach for the correction of iatrogenic penile skin loss in children: Scrotal embedding technique

Ziylan

Acar

Ozden

et al. 2015

Turkish Journal of Urology

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The aim of this particular study is to determine the efficacy of scrotal embedding technique in children with overly deficient penile shaft skin, which takes advantage of the rich vascular supply of the scrotal layers and provides adequate tissue coverage. We give the operative and clinical details of two consecutive cases for which we preferred scrotal embedding technique to replace deficient penile skin. The mean operative time for the first and second stages was 72.5 and 52.5 min, respectively. Intraoperative and postoperative courses and convalescences were uneventful. The patients were hospitalized for a mean duration of 2 days. After a mean follow-up of 29 months, cosmetic and functional results were satisfactory. Scrotal embedding technique should be considered as a feasible surgical alternative while reconstructing the penile shaft in iatrogenic cases with overly deficient shaft skin.

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“…In a child with concealment who subsequently undergoes neonatal circumcision, a concentric scar forms distal to the glans that will essentially trap the penis [34]. Many children with concealed penis undergo neonatal circumcision prior to repair, which makes corrective surgery more difficult [35,36]. Consequences of concealed penis include embarrassment among peers, balanitis, difficult hygiene, urinary tract infections, and inability to void with a directed stream, which may interfere with toilet training.…”

Section: Concealed Penismentioning

confidence: 99%