Shin Yu Seob, You Jae Hyung, Choi Hwang, Zhang Li Tao, Zhao Chen, Choi In Sung, Park Jong Kwan
Department of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, South Korea;
Department of Urology, Armed Forces Capital Hospital, Seongnam, Korea;
Can Urol Assoc J. 2015 Mar-Apr;9(3-4):E145-7. doi: 10.5489/cuaj.2615.
A 48-year-old male patient had an injection of industrial silicone under the penile skin for augmentation by non-medical practitioners a week before. There was complete necrosis of the dorsal part of the penile skin and soft tissue. In a penile magnetic resonance image, big masses of silicone under the penile skin were found and a part of the silicone was partially exposed. Debridement of the necrotic tissue was done. As the right side of the tunica albuginea was thin-walled, a silicone-induced infection developed. Because of this, the wet dressing was done daily without closing the wound for the next 23 days. Finally, both scrotal skins were drawn and sutured to the dorsal glandular skin after the total penile skin was completely removed and sutured with T-style anastomosis. The ventral flap was anastomosed to the ventral glandular skin with the end-to-end technique with inverted V incision at 1 cm proximal from the sutured margin. Flaps survived completely without skin necrosis or dehiscence.
一名48岁男性患者一周前由非医务人员在阴茎皮肤下注射工业硅胶以进行增大。阴茎皮肤和软组织的背侧部分完全坏死。在阴茎磁共振图像中，发现阴茎皮肤下有大量硅胶，且部分硅胶已部分暴露。对坏死组织进行了清创。由于白膜右侧壁薄，发生了硅胶诱导的感染。因此，在接下来的23天里每天进行湿敷，伤口不缝合。最后，在完全切除阴茎皮肤并用T形吻合术缝合后，将双侧阴囊皮肤牵拉并缝合至背侧腺体皮肤。腹侧皮瓣在距缝合边缘近端1 cm处做倒V形切口，采用端端技术与腹侧腺体皮肤吻合。皮瓣完全存活，无皮肤坏死或裂开。
