EVALUATING THE EFFICACY OF SPLIT – THICKNESS SKIN GRAFTING SURGERY FOR MALE GENITAL RECONSTRUCTION

Bá Tiến Dũng Mai, Vũ Tân Lê, Quang Bình Đinh

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Abstract

Introduction and objective: Genital skin lost is a rare urological trauma, it is caused by many reasons. The main objective of this study is to evaluate the efficacy of split – thickness skin grafting surgery for male genital reconstruction. Patients and methods: This is a case series at Binh Dan hospital from 01/2018 to 12/2023. We described the characteristics of etiology, diagnosis and its surgical treatment. Results: 45 patients were admitted in our study with different causes: working accident due to shrimp air blower (21 cases), post injecting silicone (paraffinoma: 15 cases), post Fournier’s gangrene (6 cases), post reconnecting an amputation penile (1 case) and burn of the genital organ due to chemical (1 case), post circumcision at a private clinic (1 case). All cases were grafted with split – thickness skin. Post operation, they maintained or improved erection, normal voiding and had good cosmetic outcome. Conclusion: We show the wide variety of indications for split thickness skin grafting use, the ease of the technique, and its successful outcomes. This procedure should be offered to patients as a first-line treatment.

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References

1. Allen F.M., Thomas A.R. (2007), “Injuries of the External Genitalia”, Campbell ‘s urology, W.B. saunders Company, 9th edi., chapter 83.
2. Amjad A. (2015), “Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction”,
 Urology, vol. 86: pp. 835 - 839
3. Athanasios E. (2017), “Minimal surgical management of penile paraffinoma after subcutaneous penile paraffin injection”, Arab Journal of Urology
4. Benjamin I.C., Graham S., James D.B. (2012), “Anatomy of the Lower Urinary Tract and Male Genitalia - Penis”, Campbell’s urology, W.B. saunders Company, 10th edi., chapter 2, pp. 86 – 89.
5. Cavalcanti A. (2006), “Surgical reconstruction after liquid silicone injection for penile augmentation”, Plastic Reconstruction Surgery, vol. 117: pp. 1660 - 1661.

6. Eric Z. (2011), “Technique for
 Preservation of Penile Skin in Genital Reconstruction”, Journal of Urology, vol.4
7. Hema J. Thakar (2013), “Skin Grafting of the Penis”, Urological Clinical North America, vol. 40: pp. 439 – 448
8. Giulio G. (2013), “Penile reconstruction in the male”, Arab Journal of Urology
9. McAninch J. (1989), “Management of genital skin loss”, Urological Clinic North America, vol.16: pp.387 - 397. 

10. Nguyễn Quang Quyền (2001), “Cơ quan sinh dục nam”, Bài giảng giải phẫu học, NXB Y Học, tập 2, tr. 245 – 250.
11. Nguyễn Thành Như (2013), “Vết thương mất da dương vật bìu”, Nam khoa lâm sàng, NXB Tổng Hợp, tr. 345 – 352.
12. Phạm Đăng Diệu (2003), “Cơ quan sinh dục nam”, Giải phẫu ngực – bụng, NXB Y Học, tr. 388 – 398.