Wiederherstellung von Gewebedefekten der Glans penis mittels Mundschleimhauttransplantation

Venkov, G; Laaser, M.

doi:10.1055/s-2008-1038108

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…There are several techniques for the treatment of recurrent penile adhesions by means of glans or penile resurfacing [1][2][4][5]. The new aspect of the technique described in this paper is the use of a thin strip of buccal mucosa as a barrier resistant to LS.…”

Section: Discussionmentioning

confidence: 99%

“…The new aspect of the technique described in this paper is the use of a thin strip of buccal mucosa as a barrier resistant to LS. This contrasts with other techniques that rely on complete glans or penile resurfacing requiring larger grafts [2,[4][5]. In the last decade, the use of oral mucosa has nearly replaced the use of any other grafts in urinary reconstruction because of the excellent oral mucosa properties described in the literature [6,8].…”

Section: Discussionmentioning

confidence: 99%

“…Small case series have described the use of buccal mucosal grafts (BMG) for glans reconstruction following partial penectomy in patients with penile cancer and for neonates with complications following circumcision [4,5]. Furthermore, BMGs have been shown to be relatively resistant to recurrence in the treatment of LS-associated urethral stricture disease [6].…”

Section: Introductionmentioning

confidence: 99%

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A buccal mucosal graft subcoronal resurfacing technique to treat recurrent penile adhesions: the buccal belt

et al. 2021

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The article has an accompanying video, which can be found here: https://www.dropbox.com/s/dzejhr06pycogak/ BJU_International_Buccal_Belt_10.03.2021.mp4?dl=0. The authors have also uploaded a transcript of the video narration for online publication. ObjectiveTo outline our step-by-step surgical technique using a subcoronal buccal mucosal graft (BMG) resurfacing technique for the treatment of recurrent penile adhesions. MethodsTo perform the 'buccal belt' procedure a subcoronal circumferential segment of diseased skin was excised. An appropriately sized BMG was circumferentially secured subcoronally with a proximal and distal anastomosis to the edges of the wound. Quilting stitches were also placed to allow proper graft fixation. A petroleum jelly bolster was secured as a tie-over dressing. Patients were discharged with a Foley catheter and the bolster dressing in place. The bolster and Foley catheter were removed 7 days postoperatively. The patients were then seen for follow-up at 4-to 6-month intervals. A retrospective, international multi-institutional review was conducted to include all patients who underwent this procedure. Surgical complications, evidence of recurrence, and patient-reported outcome measures including visual analogue scale (VAS) and global response assessment (GRA) questionnaires were reviewed. ResultsThirty-one men underwent the procedure across six institutions between March 2014 and September 2020. The mean (range) surgical time was 59 (25-95) min. At the mean (range) follow-up of 27 (4-79) months all patients reported resolution of presenting symptoms and no recurrence of adhesions. The mean VAS score was 8.9 and 9.0 for aesthetics and functional outcomes, respectively. On GRA, overall improvement was reported by all patients (61%, +3; 25%, +2; 14%, +1). ConclusionThere are limited options for the treatment of recurrent penile adhesions. A subcoronal BMG resurfacing is feasible, with no recurrence and overall high satisfaction seen in an initial patient cohort.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A buccal mucosal graft subcoronal resurfacing technique to treat recurrent penile adhesions: the buccal belt

et al. 2021

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The buccal belt: a buccal mucosal graft sub-coronal resurfacing for recurrent penile adhesions in patients with lichen sclerosus

et al. 2020

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Restoration of Glans Penis Defect by a Bipedicled Foreskin Flap

Shih

Chang

et al. 2014

Annals of Plastic Surgery

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Plastic surgeons reconstruct hard and soft tissues in many parts of the human body. Penile reconstruction is unique in that the target tissue has to be soft but intermittently rigid. There are many ways to treat penile defects. The ideal reconstruction must take into considerations sensation, cosmesis, and erectile functions. There is limited literature available on the management of penile glans defect. In this report, we present the reconstruction of penile glans defect, after surgical excision of Bowen disease, using a bipedicled foreskin flap of bucket handle type. It is easy to perform and highly effective, and importantly, both cosmetic and functional outcomes at 1-year follow-up were quite satisfactory.

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Wiederherstellung von Gewebedefekten der Glans penis mittels Mundschleimhauttransplantation

Cited by 5 publications

References 4 publications

A buccal mucosal graft subcoronal resurfacing technique to treat recurrent penile adhesions: the buccal belt

A buccal mucosal graft subcoronal resurfacing technique to treat recurrent penile adhesions: the buccal belt

The buccal belt: a buccal mucosal graft sub-coronal resurfacing for recurrent penile adhesions in patients with lichen sclerosus

Restoration of Glans Penis Defect by a Bipedicled Foreskin Flap

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