Title: Management of Degloving Penoscrotal Injury with Anteromedial Testicular Thigh Pouch and Skin Graft
Authors: Shanky Singh, Priyabrata Das, Vaibhav Vikas, Jatin Soni
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.27
Abstract
Background: Degloving penoscrotal injuries are uncommon events. Accidents with agricultural machine belts or industrial machines are its leading cause. Management of degloving injury can be either single stage or staged procedures depending on the severity. We report our experience in management of degloving penoscrotal injury with anteromedial testicular thigh pouch and skin graft.
Materials and Methods: In between July 2014 and June 2017, seven male patients presented to us with degloving penoscrotal injury and their data were recorded. Investigations included blood examinations, wound swab culture and sensitivity, ultrasonography and retrograde urethrogram. All were managed with anteromedial thigh testis burial and skin graft over the penile shaft. Treatment outcome was assessed in terms of cosmesis, voiding function, quality of life, and complications.
Results: At a mean follow-up of 25 months all had good quality of life. Their median age was 29.29 yrs (range 20-40 yrs). Industrial and agricultural machine injury was cause of degloving penoscrotal injury in 3 patients each and dog bite was seen in 1 patient. Anteromedial testicular thigh pouch and skin graft was performed in all patients. All complications were transient and managed conservatively. Normal voiding function and erection of penis were seen in all patients with satisfactory cosmetic result.
Conclusion: Anteromedial testicular thigh pouch with skin graft, as a single stage procedure is a good surgical option in the management of degloving penoscrotal injury.
Keywords: Degloving; Penoscrotal; Testicular; Thigh Pouch; Skin Graft.
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