Technique for preservation of penile skin in genital reconstruction: free graft to the scrotum.

Title

Technique for preservation of penile skin in genital reconstruction: free graft to the scrotum.

Creator

Massanyi Eric Z; McMahon Daniel R

Publisher

Urology

Date

2011
2011-09

Description

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.

Subject

*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

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

659–661

Issue

3

Volume

78

Citation

Massanyi Eric Z; McMahon Daniel R, “Technique for preservation of penile skin in genital reconstruction: free graft to the scrotum.,” NEOMED Bibliography Database, accessed March 29, 2024, https://neomed.omeka.net/items/show/3808.