Multistep, surgical treatment of total degloving of the penis, scrotum and perineum
Article published in Urologia Polska 2005/58/4.

authors

Zbigniew Wolski, Janusz Tyloch, Andrzej Szymański

Katedra i Klinika Urologii Ogólnej, Onkologicznej i Dziecięcej Collegium Medicum w Bydgoszczy Uniwersytetu Mikołaja Kopernika w Toruniu
Kierownik katedry i kliniki: prof. dr hab. Zbigniew Wolski

keywords

male genitals, degloving of the penis, degloving of the scrotum, degloving of the perineum

summary

A patient with a severe degloving injury to the penis, scrotum and perineum, sustained in an accident while harvesting crops, is presented. Following the accident, the patient was immediately transferred to the regional surgical department, where the wound was cleaned and covered with normal saline compress. The patient was then referred to the Department of Urology, University Hospital in Bydgoszcz, where he underwent multi-stage surgery. The first surgical procedure involved implantation of the penis under the skin of the hypogastrium and implantation of the testes under the skin of the thighs. In the second surgical procedure, the penis was covered with the hypogastric skin and the hanging part of the penis was freed. In the subsequent procedure, the scrotum was formed from a pedanculated skin flap of the thigh and the testes were displaced therein. The fourth stage of the surgery involved a plasty of the penile skin, excision of extensive scar and bilateral orchidopexy. A long-term followup showed satisfactory functional and esthetic result.

references

correspondence