Successful One-Step Skin Replantation After Degloving Peno-Scrotal Injury in an 8-Year-Old Boy: A Case Report.

Abstract

BACKGROUND Perineal injuries affecting the scrotum and penis are rare in pediatric patients, owing to the protective anatomy of the male genitalia. However, when such injuries do occur, timely surgical intervention is crucial. This kind of damage might not be life-threatening but could cause functional disorders and have a huge impact on the patients' psychological condition if not treated appropriately, especially as they enter puberty. This case illustrates the successful management of a severe genital injury in a young child. CASE REPORT We present the case of an 8-year-old boy who sustained a penile degloving injury extending from the glans to the penile base, exposing the suspensory ligament, both spermatic cords, and ruptured scrotal skin, due to sliding of an agricultural machine. Immediate surgical intervention involved replantation of the penile skin and closure of the scrotal wound with absorbable sutures. Postoperative care focused on infection prevention with appropriate antibiotics and daily dressing changes. The monitoring of the graft was essential to detect any signs of necrosis. CONCLUSIONS The 6-month follow-up of our patient showed that the performed procedure and appropriate medical approach led to full recovery and satisfactory esthetic results, without dysfunction of the male genitals or urethra. Through this case, we emphasize that, with rapid surgical intervention and proper postoperative care, pediatric patients with similar injuries can achieve full recovery. However, long-term follow-up until adulthood is recommended to monitor for potential complications that can arise later in the patient's life.