Two laterally based scrotal pedicled flap grafts in the treatment of penile skin necrosis due to ring incarceration: a case series.

IF 2.6 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Sexual Medicine Pub Date : 2024-05-28 eCollection Date: 2024-04-01 DOI:10.1093/sexmed/qfae030
Jiaokui Xie
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引用次数: 0

Abstract

Introduction: The rise in the incidence of penile ring incarceration has led to additional cases of ischemic necrosis of the penile skin. Two laterally based scrotal pedicled flaps (LSPFs), noted for their rich blood flow and skin source, resemble penile skin and are the preferred donor sites for repairing such necrosis.

Aims: This study summarizes the outcomes of 2 LSPF grafts for the treatment of penile skin necrosis.

Methods: Data were collected from 5 patients with penile skin necrosis due to ring incarceration who sought treatment at Ankang Central Hospital between 2012 and 2023.

Results: All patients exhibited varying degrees of necrosis in the urethral corpus cavernosum and the penis's anterior tip. Two LSPFs were used for wound repair, with direct suturing of the donor site. None of the 5 patients experienced flap necrosis postsurgery, and they regained normal urination function. The patients reported satisfaction with both the aesthetic and functional results.

Conclusion: Two LSPF grafts are an effective approach for repairing penile skin defects. They reliably cover necrotic penile skin defects, prevent further wound progression, preserve penile structure, and improve patients' life quality.

两侧阴囊带蒂皮瓣移植治疗阴茎皮肤因环状嵌顿而坏死:一个病例系列。
导言:阴茎环嵌顿发病率的上升导致了阴茎皮肤缺血性坏死病例的增加。两个侧基阴囊带蒂皮瓣(LSPF)以其丰富的血流和皮肤来源而著称,与阴茎皮肤相似,是修复此类坏死的首选供皮部位。目的:本研究总结了2个LSPF移植物治疗阴茎皮肤坏死的结果:方法:收集2012年至2023年期间在安康市中心医院就诊的5名阴茎皮肤坏死患者的数据:所有患者的尿道海绵体和阴茎前端均有不同程度的坏死。采用两个 LSPF 进行伤口修复,并直接缝合供体部位。5 名患者术后均未出现皮瓣坏死,并恢复了正常的排尿功能。患者对美观和功能效果均表示满意:结论:两种 LSPF 移植物是修复阴茎皮肤缺损的有效方法。结论:两种 LSPF 移植物是修复阴茎皮肤缺损的有效方法,它们能可靠地覆盖坏死的阴茎皮肤缺损,防止伤口进一步恶化,保护阴茎结构,提高患者的生活质量。
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来源期刊
Sexual Medicine
Sexual Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
5.40
自引率
0.00%
发文量
103
审稿时长
22 weeks
期刊介绍: Sexual Medicine is an official publication of the International Society for Sexual Medicine, and serves the field as the peer-reviewed, open access journal for rapid dissemination of multidisciplinary clinical and basic research in all areas of global sexual medicine, and particularly acts as a venue for topics of regional or sub-specialty interest. The journal is focused on issues in clinical medicine and epidemiology but also publishes basic science papers with particular relevance to specific populations. Sexual Medicine offers clinicians and researchers a rapid route to publication and the opportunity to publish in a broadly distributed and highly visible global forum. The journal publishes high quality articles from all over the world and actively seeks submissions from countries with expanding sexual medicine communities. Sexual Medicine relies on the same expert panel of editors and reviewers as The Journal of Sexual Medicine and Sexual Medicine Reviews.
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