Functional restoration of penis with partial defect by scrotal skin flap.
J Urol
; 182(5): 2358-61, 2009 Nov.
Article
em En
| MEDLINE
| ID: mdl-19762052
ABSTRACT
PURPOSE:
We investigated a reconstructive method with better sensory and erectile function for partial penile defects and report our long-term results of surgical correction using scrotal skin flaps. MATERIALS ANDMETHODS:
We retrospectively analyzed the records of 18 patients with penile defects referred to us between 1992 and 2007. All cases were treated with a scrotal skin flap initially to repair the secondary defect after penile elongation.RESULTS:
Of the 18 cases treated during the 15-year period the mechanism of primary injury was circumcision in 3, animal bite in 9 and penile tumor dissection in 6. Penile elongation, division of the suspensory ligament and scrotal skin flaps achieved penile augmentation and enhancement. Six cases were treated with a bilateral scrotal skin flap supplied by the anterior scrotal artery and 12 were repaired with a total anterior scrotal skin flap supplied by the anterior and posterior scrotal arteries. Penile length in the flaccid and erectile states was obviously increased postoperatively (p <0.05). All patients were followed 1 to 9 years (mean 2.3) postoperatively. Deep and superficial sensation recovered and erectile function was retained. Of the 18 patients 15 reported satisfied sexual intercourse during the 0.5 to 5-year followup.CONCLUSIONS:
The method of correcting partial penile defect using scrotal skin flaps is effective and simple according to our long-term experience. This method achieves reasonable cosmesis and penile length in most cases with better sensory and erectile function.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Penianas
/
Pênis
/
Escroto
/
Retalhos Cirúrgicos
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Adult
/
Humans
/
Male
Idioma:
En
Revista:
J Urol
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
China