Clinical management of skin necrosis after penis lengthening surgery:Report of 12 cases
10.13263/j.cnki.nja.2023.05.007
- VernacularTitle:阴茎延长术后皮肤坏死的临床处理(附12例报告)
- Author:
Rui CHEN
1
;
Xiao-Tao LI
;
Biao DONG
;
Chuan-Fu MA
;
Xiao-Dong WANG
;
Jia-Qin LIU
;
Ming SHEN
;
Zhuan-Xin JIANG
Author Information
1. 昆明医科大学第二附属医院男性科,云南昆明 650101
- Keywords:
penis lengthening surgery;
skin necrosis;
clinical management
- From:
National Journal of Andrology
2023;29(5):426-429
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the causes of skin necrosis after penis lengthening surgery and corresponding treatment meas-ures,and observe the clinical effect of free skin graft repair in the treatment of penile skin defects.Methods:We retrospectively an-alyzed the clinical data on 12 cases of extensive penile skin necrosis and defect after penis lengthening surgery performed in our depart-ment from January 2017 to January 2022.The patients underwent free skin graft repair with medium-or full-thickness skin grafts from the thigh after wound preparation.Results:The skin grafts survived well in all the 12 patients and the incisions healed in the first stage without any complications.At 6 months after surgery,skin sensation was mostly recovered in the area of penis skin grafting,no obvious skin ulceration or edema was observed,and the appearance of the penis was satisfactory.The IIEF-5 scores,Erectile Hardness Scale(EHS)scores,and the results of penile hardness tests of the patients all indicated normal erectile function.Conclusion:Free skin graft repair with autologous medium-or full-thickness skin grafts is a safe and effective surgical option for extensive penile skin necrosis after penis lengthening surgery.
