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Surgical treatment of giant penile and scrotal lymphedema after syphilitic infection. Case report.
Ann Chir Plast Esthet
September 2024
Clinical Professor & Chief Department of Plastic & Reconstructive Surgery Hospital Universitário Gaffrée e Guinle, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil; Clinical Professor & Chief Department of Plastic & Reconstructive Surgery Hospital Casa de Portugal, Instituto de Ciências da Saúde Carlos-Chagas, Portugal.
Penile and scrotal lymphedema is characterized by an abnormal retention of fluid in the subcutaneous tissue of the penis and scrotum, due to a deficiency in lymphatic drainage, causing edema, pain, dysuria and sexual dysfunction. The present report describes a patient with a giant penile and scrotal lymphedema after syphilitic infection, treated by excision of all the compromised skin and subcutaneous cellular tissue, with primary reconstruction with partial skin autograft and flap rotation. Literature review showed good functional results (erections and ejaculation) with the use of techniques that resected the skin and subcutaneous tissue and reconstructed the penis using skin grafts.
View Article and Find Full Text PDFScrotal reconstruction after Fournier's Gangrene using the superficial circumflex iliac artery perforator (SCIP) propeller flap: A case report.
Ann Chir Plast Esthet
July 2024
Plastic, Reconstructive, and Aesthetic Surgery Department, Croix-Rousse Hospital, Hospices Civils de Lyon, 103, Grande Rue de la Croix-Rousse, 69004 Lyon, France; Faculty of Medicine Lyon Est, Claude Bernard University Lyon 1, 8, Avenue Rockefeller, 69003 Lyon, France.
Introduction: Fournier's gangrene, a rare infectious condition affecting the external genitalia, often requires aggressive medical-surgical interventions, resulting in variable scrotal tissue loss. Despite numerous proposed reconstruction techniques, achieving a consensus on the most effective approach that balances aesthetics and function remains elusive. This case report presents a one-year follow-up on scrotal reconstruction using a pedicled Superficial Circumflex Iliac Artery Perforator (SCIP) propeller flap.
View Article and Find Full Text PDF[Penile and scrotal avulsion caused by zebu horns].
Pan Afr Med J
April 2016
Service d'Urologie, HU Joseph Ravoahangy Andrianavalona, Antananarivo 101 Madagascar.
[Trans-scrotal penile degloving, a new procedure for corporoplasties].
Urologia
July 2012
Cattedra di Urologia, Università di Milano, Italy.
Introduction: The subcoronal approach is the most widely used skin degloving procedure for corporoplasty. Although it is relatively easy and it fully exposes the corpora cavernosa, it is not free from several complications (subcoronal lymphedema, decrease of glans sensitivity, paraphimosis, distal skin necrosis), which sometimes require a postoperative circumcision, or a preoperative prophylactic circumcision.
Aim: To describe our own degloving approach, the "Trans-scrotal Penile Degloving (TPD)", that is suitable for most corporoplasties, and to present the outcomes.
[Penile and scrotale abnormalities in children and adult].
Rev Prat
December 2008
Service de chirurgie pédiatrique, hôpital Saint-Jacques, centre hospitalier universitaire de Besançon, 25000 Besançon, France
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