Traumatic Degloving Injury of Penile and Scrotal Skin: A Case Report

Abstract

Summary: Penile and scrotal skin degloving is uncommon and is mainly caused by accidents with agricultural and industrial machines. Such injuries are called “power take-off injuries,” defined as injuries caused by power transmitted from one object to another. Penile injuries can be extremely disturbing to the physical and mental state of the patient, if not managed properly. We present the case of a 26-year-old man with traumatic degloving of penile and scrotal skin and exposed spongy body, cavernous bodies, and testicles caused by an accident on a farm tractor. The patient was presented to our emergency department 14 hours after his pants getting caught in the rotating driveshaft, which subsequently pulled him at the groin level, whereby the machine grasped the redundant skin of the penis and scrotum. The patient underwent single-stage surgical reconstruction using split-thickness skin graft 48 hours within initial presentation. Postoperative period was uneventful. He was discharged 6 days after operation. At the 8-week follow-up visit, he showed a satisfactory cosmetic outcome, well-healed scrotal and penile grafts, reestablished sexual function, and normal voiding.

Meshed Versus Sheet Skin Graft for Scrotum and Perineal Skin Loss: A Retrospective Comparative Study

“…Black et al [6] reported the use of meshed STSGs for penile tissue loss. This is consistent with a study conducted by Alkahtani et al [15] who applied an unmeshed sheet graft over the penile shaft skin defect, along with a meshed STSG to cover the scrotal defect. In our study, we observed a difference between sheet and meshed STSGs in terms of aesthetic and functional outcomes.…”

A combined protocol for improving reconstruction of scrotal skin avulsions: The experience of the University Hospital Center of Foggia

“…These injuries have significant physical and psychological sequelae and therefore adequate and prompt restoration of form and function is key. 1–4…”

“…These injuries have significant physical and psychological sequelae and therefore adequate and prompt restoration of form and function is key. [1][2][3][4] Different techniques are described in the literature. Ahmed and Mbibu suggested thigh pouches for protection of testes, but the risk of testicular atrophy and the psychological consequences of the absence of the scrotum made this technique unpopular.…”

“…Various scrotal reconstruction techniques have been described, such as skin graft, flaps, tissue expander, inguinal pouch, but no single method is the best choice for all patients. 1–4…”

“…Various scrotal reconstruction techniques have been described, such as skin graft, flaps, tissue expander, inguinal pouch, but no single method is the best choice for all patients. [1][2][3][4] The Authors report a case series of five consecutive patients with wide scrotal skin avulsions who were treated successfully at the Plastic Surgery Department of Ospedali Riuniti-University of Foggia, Italy with a combined reconstruction protocol using an acellular dermal matrix (ADM), negative pressure wound therapy (NPWT), and a splitthickness skin graft.…”