Aaron Boonjindasup1, Michael Pinsky1, Carrie Stewart1, Landon Trost2, Abigail Chaffin3, David Jansen3, Wayne Hellstrom1. 1. Department of Urology, Tulane University School of Medicine, New Orleans, LA, United States. 2. Department of Urology, Tulane University School of Medicine, New Orleans, LA, United States; Department of Urology, Mayo Clinic, Rochester, MN, United States. 3. Department of Plastic Surgery, Tulane University School of Medicine, New Orleans, LA, United States.
Abstract
INTRODUCTION: Concealed penis (CP) is a rare problem faced by urologists and plastic surgeons. CP occurs secondary to trauma, obesity, or infection. Surgical treatment is individualized and based on patient and provider variables. We aim to review our recent experience using meshed split-thickness skin grafting (STSG) for CP management. METHODS: A retrospective review was performed on patients who underwent STSG for CP at our institution. Records were reviewed for demographic, operative, and postoperative variables. Preoperative and postoperative photos were obtained to monitor cosmetic results. RESULTS: Eleven patients underwent CP release with meshed STSG placement. All cases showed improved functional phallic length and good cosmetic results, regardless of etiology. CONCLUSIONS: STSG is a viable option for penile coverage for management of this difficult-to-treat CP population. This primary or salvage modality offers excellent cosmetic results and may be used following prior reconstructive attempts.
INTRODUCTION: Concealed penis (CP) is a rare problem faced by urologists and plastic surgeons. CP occurs secondary to trauma, obesity, or infection. Surgical treatment is individualized and based on patient and provider variables. We aim to review our recent experience using meshed split-thickness skin grafting (STSG) for CP management. METHODS: A retrospective review was performed on patients who underwent STSG for CP at our institution. Records were reviewed for demographic, operative, and postoperative variables. Preoperative and postoperative photos were obtained to monitor cosmetic results. RESULTS: Eleven patients underwent CP release with meshed STSG placement. All cases showed improved functional phallic length and good cosmetic results, regardless of etiology. CONCLUSIONS: STSG is a viable option for penile coverage for management of this difficult-to-treat CP population. This primary or salvage modality offers excellent cosmetic results and may be used following prior reconstructive attempts.
Authors: Ivo A Pestana; Jason M Greenfield; Mark Walsh; Craig F Donatucci; Detlev Erdmann Journal: Plast Reconstr Surg Date: 2009-10 Impact factor: 4.730