McAninch J W
Department of Urology, University of California School of Medicine, San Francisco.
Urol Clin North Am. 1989 May;16(2):387-97.
Figure 12 is an algorithm outlining the methods of management. In most patients, partial skin loss can be managed by closure with remaining local skin. Tensive partial loss of penile skin may require grafting. Potent patients should have thick split-thickness grafts or full-thickness grafts. Impotent patients should have coverage with meshed split-thickness grafts or scrotal flaps when available. Partial scrotal loss is seldom a problem, as local flaps and closure of the defect with the remaining scrotal skin can usually be accomplished. After total scrotal loss, the testicles should be placed temporarily in thigh pouches. Later, a new scrotum can be created with meshed split-thickness grafts or thigh-based cutaneous flaps. Aggressive wound care, appropriate timing of reconstruction, and adherence to basic principles of reconstructive surgery will result in functional recovery and a cosmetically acceptable appearance.
图12是概述治疗方法的算法。在大多数患者中，部分皮肤缺损可以通过利用剩余的局部皮肤进行缝合来处理。阴茎皮肤的紧张性部分缺损可能需要植皮。有性功能的患者应采用厚中厚皮片或全厚皮片移植。阳痿患者在条件允许时应采用网状中厚皮片覆盖或阴囊皮瓣覆盖。阴囊部分缺损很少成为问题，因为通常可以通过局部皮瓣并用剩余的阴囊皮肤闭合缺损来解决。阴囊全部缺损后，睾丸应暂时置于大腿袋中。之后，可以用网状中厚皮片或大腿皮瓣构建一个新的阴囊。积极的伤口护理、适当的重建时机以及遵循整形手术的基本原则将实现功能恢复和外观上可接受的效果。
