Diagnosis and treatment strategy of penoscrotal avulsion injury based on AAST penoscrotal injury grade
10.3969/j.issn.1009-8291.2023.07.005
- VernacularTitle:基于AAST阴囊损伤评分探讨阴茎阴囊撕脱伤30例患者的诊治
- Author:
Xiang WAN
1
;
Xiaomin REN
1
;
Dachao ZHENG
1
;
Minkai XIE
1
;
Jianshu NI
1
;
Zhong WANG
1
,
2
;
Bin XU
1
;
Haijun YAO
1
Author Information
1. Department of Urology, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medi-cine, Shanghai 200011
2. Department of Urology, Shanghai Gongli Hospital, Shanghai 200135, China
- Publication Type:Journal Article
- Keywords:
penoscrotal avulsion injury;
scrotoplasty;
emergency treatment;
penoscrotal injury grade
- From:
Journal of Modern Urology
2023;28(7):573-575
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the emergency treatment of penoscrotal avulsion injury based on the American Association for Surgery and Trauma (AAST) penoscrotal injury grade. 【Methods】 Data of 30 patients with penoscrotal avulsion injury treated in our hospital with in-situ suture, skin grafting or skin flap during Oct.2003 and Dec.2017 were reviewed. 【Results】 Among the 30 patients, 29 received emergency surgery, including in-situ suturein 15 grade Ⅰ-Ⅲ cases, skin graft in 8 grade Ⅳ-Ⅴ cases, and skin flap in 6 cases;1 case received delayed operation due to wound infection on admission. In the perioperative period,25 cases had more than 90% wound healing, 3 cases had 70% wound healing after wound dressing change, and 2 cases had complete necrosis. Second-stage skin graft yielded satisfactory penoscrotal appearance. 【Conclusion】 According to the specific conditions of patients, reasonable surgical methods can be selected. For grade Ⅰ-Ⅲ patients, in-situ suture can be used, while for grade Ⅳ-Ⅴ patients, wound condition, age, fertility and other factors should be taken into consideration so as to preserve the function of testis to the maximum extent.
