[Skin flap reconstruction of the entire penile circumference. An unusual advanced case of penile induration (Peyronie's disease)]. / Hautlappenrekonstruktion der gesamten Penis-Zirkumferenz. Ein ungewöhnlicher, fortgeschrittener Fall von Induratio penis plastica (Peyronie).

One case was selected for presentation from our 17 operated cases for far advanced Peyronie's disease. The patient had complete circumferential involvement of the tunica albuginea with severe calcification on the dorsal aspect of the penile shaft. The case is exceptional in three aspects: a Peyronie's plaque may extend all around the penile shaft and involve the ventral aspect of the tunica between the corpora and corpus spongiosum of the urethra. Secondly, the extensive fibrosis and calcification may cause a spontaneous type of pain which is unrelated to erection. Finally, the application of a tubular-fashioned and sutured dermal graft around the penile shaft after the extensive excision of the tunica albuginea may lead to an excellent result. From a functional viewpoint, the result was a failure.

Migration of schrapnel from lung to bronchus.

Erosion of metallic foreign bodies from the pulmonary parenchyma into a bronchus is rare. In this case, bronchoscopic removal of the shrapnel was possible 64 years after the injury. The 89-year-old veteran enjoys life and has had no further pulmonary problems one year after bronchoscopic removal of a metallic foreign body. Possibly this is the oldest patient on record to have had a foreign body erode into a bronchus and to have undergone removal through a rigid bronchoscope.