Ahn Duk Kyun, Kim Sang Wha, Park Sung Yul, Kim Youn Hwan
Department of Plastic and Reconstructive Surgery, Gangnam Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea.
Department of Plastic and Reconstructive Surgery, The Catholic University of Korea, Seoul, Korea.
Urology. 2014 Nov;84(5):1217-22. doi: 10.1016/j.urology.2014.06.023. Epub 2014 Aug 15.
To classify defects in the penoscrotal region according to their specific anatomic sites.
From January 2002 to December 2012, 20 male patients underwent reconstruction for penoscrotal defects. The causative factors were Fournier's gangrene in 12 patients, extramammary Paget's disease in 4, skin tumors in 3, and deformity after a burn injury in 1. The defects were categorized according to their anatomic location: penis (P), and right (r) and left (l) scrotum (Sr and Sl), inguinal area (Ir and Il), and perianal area (Ar and Al).
Seven patients with defects in the penis received skin grafts. Defects affecting more than 2 anatomic regions or extensive defects (>100 cm(2)) were reconstructed by free tissue transfer. Other defects were reconstructed by perforator-based island flap coverage. All of the flaps survived without complications.
We introduce a classification that provides a simple way to specify the anatomic location and extent of a defect. This classification will permit more effective and straightforward reconstruction in the penoscrotal region.
根据阴茎阴囊区域缺损的具体解剖部位进行分类。
2002年1月至2012年12月，20例男性患者接受了阴茎阴囊缺损重建手术。病因包括12例Fournier坏疽、4例乳房外佩吉特病、3例皮肤肿瘤和1例烧伤后畸形。根据解剖位置对缺损进行分类：阴茎（P）、右侧（r）和左侧（l）阴囊（Sr和Sl）、腹股沟区（Ir和Il）以及肛周区（Ar和Al）。
7例阴茎缺损患者接受了植皮手术。累及2个以上解剖区域的缺损或广泛缺损（>100 cm²）通过游离组织移植进行重建。其他缺损通过穿支蒂岛状皮瓣覆盖进行重建。所有皮瓣均存活，无并发症。
我们引入了一种分类方法，该方法为明确缺损的解剖位置和范围提供了一种简单的方式。这种分类将使阴茎阴囊区域的重建更加有效和直接。
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