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Skin free flap for penile skin covering defect - Case report

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dc.creatorArévalo D.A.C.spa
dc.creatorOrtiz A.M.C.spa
dc.creatorDaniel M.G.spa
dc.creatorIsaza M.P.G.spa
dc.creatorReyes N.J.A.spa
dc.creatorMuñoz M.C.B.spa
dc.date.accessioned2020-05-26T00:02:01Z
dc.date.available2020-05-26T00:02:01Z
dc.date.created2019spa
dc.description.abstractIntroduction Report the case of a patient with penile sclerosinglipogranuloma who was taken to corrrection of complex penile curvature with split-thickness graft with later secondary retraction that caused penile curvature preventing intercourse and during surgical mangement generated a skin coverge defect that required the use of free skin flap from the abdominal wall. Material and Methods 46 year old men with a history of surgical resection of sclerosinlipogranuloma in dorsal penile resected in 2006 and erectile dysfunction managed with intracavernous therapy with prostaglandin E2; that required abdominal skin grafts in 2 opportunities for skin defect coverage, with subsequent fibrosis and dorsal penile curvature of 60 degrees associated with pain during erection. Carried complex penile curvature correction in Hopsital Universitario Mayor - Méderi. Plication of the tunica albuginea with Yachia technique is performed until correction of dorsal curvature in 90%. Coverage defect area is identified, so that flap of hypogastric abdominal region is lifted and anchored in the distal edge of coverage defect. 6 weeks later is taken to second surgical procedure, with release and remodeling of the flap and anchorage of it in the proximal edge of the defect. 3 months after, the patient is reassessed finding complete coverage of the area on the dorsal surface of the penis. Erection is induced by intracavernousalprostadil showing dorsal penile curvature of less than 5 degrees. Discussion Patients with sclerosing penile lipogranuloma undergo plaques in penile layers that when resected may require the use of skin grafts or pedicle flaps for coverage in an area with high probability of ischemia in these tissues. In cases in which the graft contraction result in penile curvature, that in the event of preventing coitus require surgical correction thereof. The use of autologous grafts or allografts have shown satisfactory results, but may require two surgical procedures to obtain adecuate tissue. In patients in whom the penile skin is not enough to cover the defect, the second option is scrotal skin, which retains similar characteristics, as well as an excellent vascularization. When there is no adecuate scrotal skin, full thickness skin grafting as last option is used with satisfactory results. Conclusions Currently, the use of abdominal skin in these skin defects has no wide acceptance because of the presence of dermal annexes, ending in a suboptimal aesthetic appearance, however, it is evident in this case, is a tissue that is easily adapted to its new location and allows the latter, which is to achieve adequate organ receptor function. Copyright © 2019, Sociedad Colombiana de Urología. Publicado por Thieme Revinter Publicações Ltda., Rio de Janeiro, Brazil. Todos los derechos reservados.eng
dc.format.mimetypeapplication/pdf
dc.identifier.issn0120789X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23437
dc.language.isoengspa
dc.publisherThieme Medical Publishers, Inc.spa
dc.relation.citationEndPage75
dc.relation.citationIssueNo. 1
dc.relation.citationStartPage70
dc.relation.citationTitleUrologia Colombiana
dc.relation.citationVolumeVol. 28
dc.relation.ispartofUrologia Colombiana, ISSN:0120789X, Vol.28, No.1 (2019); pp. 70-75spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85069757008&partnerID=40&md5=05a07bc094b8d7cd48d228c297487debspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordProstaglandin E2spa
dc.subject.keywordAdultspa
dc.subject.keywordArticlespa
dc.subject.keywordCase reportspa
dc.subject.keywordClinical articlespa
dc.subject.keywordErectile dysfunctionspa
dc.subject.keywordFree tissue graftspa
dc.subject.keywordHumanspa
dc.subject.keywordHuman tissuespa
dc.subject.keywordLipogranulomaspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordPatient history of surgeryspa
dc.subject.keywordPenile fibrosisspa
dc.subject.keywordPenile skin covering defectspa
dc.subject.keywordSclerosinlipogranulomaspa
dc.subject.keywordSkin defectspa
dc.subject.keywordSkin flapspa
dc.subject.keywordSurgical techniquespa
dc.subject.keywordPenile curvaturespa
dc.subject.keywordPenisspa
dc.subject.keywordSkin graftspa
dc.titleSkin free flap for penile skin covering defect - Case reportspa
dc.title.TranslatedTitleColgajo libre de piel para defecto de cubrimiento de piel peneana - reporte de casospa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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