Repair experience of skin necrosis after penile thickening with acellular dermal matrix patch

VernacularTitle:脱细胞真皮基质补片阴茎增粗术后大面积皮肤坏死的修复经验
Author: Haichen SONG ¹ ; Xiaowei WU ; Wenchuan CHANG
Author Information

1. 武汉大学人民医院整形外科　430000
Keywords: Penis; Skin necrosis; Acellular dermal matrix; Anterior scrotal artery flap; Full thickness skin graft
From: Chinese Journal of Urology 2021;42(11):864-866
CountryChina
Language:Chinese
Abstract: A serious complication of penile girth enhancement with acellular dermal matrix(ADM) patch is large area penile skin necrosis. Since the penile skin has characteristics such as thin, elasticity, pliability, and durability to withstand erection and friction, the repair surgery is often difficult to achieve good results. Furthermore, the implantation of ADM patch increases the difficulty of surgery. From March 2014 to August 2019, a total of 13 patients with skin necrosis after penile girth enhancement with ADM patch were treated in our center.The debridement and change dressing, according to the condition of the necrotic skin of penis, were performed in all patients. 7 patients used the repairing method of scrotal skin flap via one side scrotal artery, 6 patients used the repairing method of full thickness skin graft. The penile function was not affected with 6 to 12 months′ follow-up after surgery and the curative effect was satisfactory.