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Text
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URL Address
<a href="http://doi.org/10.1016/j.urology.2011.04.015" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.urology.2011.04.015</a>
Pages
659–661
Issue
3
Volume
78
Dublin Core
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Title
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Technique for preservation of penile skin in genital reconstruction: free graft to the scrotum.
Publisher
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Urology
Date
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2011
2011-09
Subject
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*Free Tissue Flaps; *Skin Transplantation; Adolescence; Adolescent; Child; Epispadias/*surgery; Humans; Hypospadias – Surgery; Hypospadias/*surgery; Infant; Male; Penis – Surgery; Penis/*surgery; Preschool; Reconstructive – Methods; Reconstructive Surgical Procedures/*methods; Reoperation; Scrotum – Surgery; Scrotum/*surgery; Skin; Skin Transplantation; Surgery; Surgical Flaps; Tissue Banks; Urogenital Abnormalities – Surgery; Young Adult
Creator
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Massanyi Eric Z; McMahon Daniel R
Description
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OBJECTIVE: To describe a new technique to preserve the penile epithelium with good cosmetic results when additional surgery is a significant possibility. Complex genital reconstruction can require multiple procedures. METHODS: Seven patients underwent grafting of the penile epithelium to the scrotum during genital reconstruction to bank the tissue for potential future use. The graft size was 8-40 mm in the maximal length. RESULTS: The median age at surgery was 8.1 months. The median interval to the last follow-up examination after surgery was 13.5 months. All 7 patients demonstrated excellent wound healing with good cosmetic results. CONCLUSION: In patients with complex genital anomalies, nonhair-bearing epithelium is a valuable asset. At times, the paucity of available local tissue necessitates autografting with nongenital epithelium. The need for nongenital tissue can be reduced if excess penile skin is banked for potential use at a later date. We describe a technique in which the penile skin is preserved for potential future reconstruction using free grafting to the scrotum.
Identifier
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<a href="http://doi.org/10.1016/j.urology.2011.04.015" target="_blank" rel="noreferrer noopener">10.1016/j.urology.2011.04.015</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Free Tissue Flaps
*Skin Transplantation
2011
Adolescence
Adolescent
Child
Epispadias/*surgery
Humans
Hypospadias – Surgery
Hypospadias/*surgery
Infant
Male
Massanyi Eric Z
McMahon Daniel R
Penis – Surgery
Penis/*surgery
Preschool
Reconstructive – Methods
Reconstructive Surgical Procedures/*methods
Reoperation
Scrotum – Surgery
Scrotum/*surgery
Skin
Skin Transplantation
Surgery
Surgical Flaps
Tissue Banks
Urogenital Abnormalities – Surgery
Urology
Young Adult