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阴囊肉膜-筋膜-肌肉-皮肤瓣用于医源性阴茎体皮肤次全切除术后的阴茎重建。

Scrotal Dartos-Fascio-Myo-Cutaneous flaps for penis reconstruction after iatrogenic skin shaft sub-amputation.

作者信息

Moussa Mohamad, Abou Chakra Mohamed

机构信息

Department of Urology, Zahra University Hospital, Beirut, Lebanon.

Department of Urology, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

出版信息

J Surg Case Rep. 2019 Jul 23;2019(7):rjz206. doi: 10.1093/jscr/rjz206. eCollection 2019 Jul.

Abstract

Penile amputation is an uncommon genital injury, the causes of penile trauma are varied; it can be iatrogenic or caused by traffic accidents, burns, circumcision, animal bites, gunshots or self-mutilation. The type and extent of penile trauma vary from mild to severe injuries, sometimes even with total amputation. A wide variety of surgical options exist for penile reconstruction. Often, not only the surgical but also psychological aspects of treatment will determine the success or failure of therapy. Regardless of the method of reconstruction, the goals of surgery remain the same; these include creating a functional and esthetic phallus. We present a case of 49-year-old male diabetic presented for penile reconstruction after iatrogenic skin shaft sub-amputation post penile implant surgery complications done 1 year ago in a country where technical experts for this surgery are absent. Dartos Fascio-Myo-Cutaneous Flaps for penile skin loss is used with satisfactory results.

摘要

阴茎离断是一种罕见的生殖器损伤,阴茎创伤的原因多种多样;可能是医源性的,也可能由交通事故、烧伤、包皮环切术、动物咬伤、枪伤或自残导致。阴茎创伤的类型和程度从轻度到重度不等,有时甚至会完全离断。阴茎重建有多种手术选择。通常,治疗的成功与否不仅取决于手术方面,还取决于心理方面。无论采用何种重建方法,手术目标都是一致的;这些目标包括打造一个功能和外观良好的阴茎。我们报告一例49岁男性糖尿病患者,该患者在1年前于一个缺乏此类手术技术专家的国家进行阴茎植入手术后,因医源性阴茎皮肤轴部次离断而前来接受阴茎重建。采用肉膜筋膜肌皮瓣修复阴茎皮肤缺损,效果满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98d5/6649847/0e08b8e0207e/rjz206f01.jpg

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