The Use of Full Thickness Skin Graft Phalloplasty During Adult Acquired Buried Penis Repair.

Authors:
Juan Socas
Juan Socas
Indiana University Melvin and Bren Simon Cancer Center
United States
Matthew J Mellon
Matthew J Mellon
Indiana University School of Medicine
United States

Urology 2019 Apr 18. Epub 2019 Apr 18.

Indiana University School of Medicine, Department of Urology, Indianapolis, IN. Electronic address:

Objective: To evaluate the feasibility and outcomes of full thickness penile skin grafting (FTSG) for phalloplasty during acquired buried penis repair.

Materials And Methods: A retrospective cohort study of patients undergoing complex genital reconstruction for buried penis between January 2013 and April 2018 was performed. Patients undergoing FTSG were identified. All patients underwent escutcheonectomy, scrotoplasty, and penile skin grafting by a single Urologist (MM) and Plastic surgeon (JS). Escutcheon tissue was used for the FTSG. The primary outcome was graft take and the secondary outcome was recurrence requiring surgical revision.

Results: Thirteen patients were identified for inclusion in the study with average age of 43.4 and average BMI of 42. Median (range) follow-up for the cohort was 8 (3-44) months. Surgical indication was lymphedema in 6 (46.2%), morbid obesity in 6 (46.2%), and hidradenitis suppurativa in one (7.7%). Seven required concurrent urethromeatoplasty for meatal stenosis and fossa navicularis strictures. All grafts were successful. Two patients developed postoperative wound infections requiring antibiotics. One patient redeveloped lymphedema of the scrotum and required complete revision surgery although the FTSG remained intact. No patients had reburying of the penis. Minor outpatient surgical revision was performed for 2 patients for scarring and edema of the glans.

Conclusion: Full thickness skin grafts provide a useful option for penile reconstruction during surgical management of buried penis. Patients had excellent graft acceptance and minimal wound complications. Further research and comparative cohorts are warranted to fully determine the role of FTSG in genital reconstruction.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2019.04.007DOI Listing
April 2019
10 Reads

Publication Analysis

Top Keywords

buried penis
16
full thickness
12
penile skin
8
skin grafting
8
genital reconstruction
8
performed patients
8
acquired buried
8
patients undergoing
8
patients
8
thickness skin
8
penis
5
ftsg
5
grafts provide
4
median range
4
range follow-up
4
surgery ftsg
4
average bmi
4
provide option
4
follow-up cohort
4
434 average
4

Similar Publications