A case report of urethral reconstruction for necrotizing fasciitis and urethral defects in the scrotal region
10.3760/cma.j.cn112330-20240305-00110
- VernacularTitle:阴囊坏死性筋膜炎合并阴囊部尿道毁损后尿道重建1例报告
- Author:
Liujian DUAN
1
;
Jianwei CAO
;
Lin ZHANG
;
Xingang CUI
;
Chao LI
Author Information
1. 上海交通大学医学院附属新华医院泌尿外科，上海 200092
- Keywords:
Necrotizing fasciitis;
Urethral defects;
Phimosis pedicled skin flap;
Urethral reconstruction
- From:
Chinese Journal of Urology
2024;45(7):554-556
- CountryChina
- Language:Chinese
-
Abstract:
Clinical cases of necrotizing fasciitis and complete urethral defects in the scrotal region are rare. The diagnosis and treatment are very challenging. This article reports one case. The patient was admitted to the hospital after 1 week of poor urination and 2 days of scrotal swelling, and then underwent bladder diversion, surgical debridement, vacuum-sealing drainage, and wound closure. After four weeks, the wound healed and the patient was discharged. Six months later after surgery, scrotal urethral reconstruction was performed using a circular phimosis pedicled skin flap graft to repair the 12 cm urethral defect. The urethral catheter was removed after three weeks. The bladder fistula tube was removed after 5 weeks. During the follow-up of one year, there was no occurrence of urinary fistula and urinary obstruction.
