CC-BY 4.0 · European J Pediatr Surg Rep 2017; 05(01): e47-e50
DOI: 10.1055/s-0037-1606282
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Penile Reconstruction with Skin Grafts and Dermal Matrices: Indications and Management

Paloma Triana Junco1, Mariela Dore1, Vanesa Nuñez Cerezo2, Javier Jimenez Gomez1, Miriam Miguel Ferrero2, Mercedes Díaz González2, Pedro Lopez-Pereira3, Juan Carlos Lopez-Gutierrez4
  • 1Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain
  • 2Department of Pediatric Surgery, Hospital La Paz, Madrid, Spain
  • 3Department of Pediatric Urology, Hospital Universitario La Paz, Madrid, Spain
  • 4Department of Pediatric Surgery, Division of Vascular Anomalies, La Paz Children's Hospital, Madrid, Spain
Further Information

Publication History

11 June 2017

16 July 2017

Publication Date:
31 August 2017 (online)

Abstract

Introduction The penis eventually needs specific cutaneous coverage in the context of reconstructive procedures following trauma or congenital anomalies. Local flaps are the first choice but are not always available after multiple previous procedures. In these cases, skin graft and dermal matrices should be considered.

Materials and Methods This study was a retrospective review of the past 4 years of four patients with severe loss of penile shaft skin who underwent skin reconstruction. Dermal matrices and skin grafts were utilized. Dermal matrices were placed for a median of 4.5 weeks (3.0–6.0 weeks). The skin graft was harvested from the inner thigh region for split-thickness skin graft (STSG) and the inguinal region for full-thickness skin graft (FTSG).

Results The four patients presented with complete loss of skin in the penile shaft. One patient had a vesical exstrophy, one had a buried penis with only one corpus cavernosum, one had a wide congenital lymphedema of the genitalia, and one had a lack of skin following circumcision at home. They underwent reconstruction with three patients undergoing split-thickness skin graft; two dermal matrices; and one full-thickness graft, respectively, thereby achieving a good cosmetic and functional result. There were no complications, and all the patients successfully accepted the graft.

Conclusion Dermal matrices and skin grafts may serve as effective tools in the management of severe penile skin defects unable to be covered with local flaps.