A case of surgical reconstruction after penoscrotal skin avulsion is described. Penile coverage was gained by two full thickness grafts helicoidally placed to avoid retractions. Scrotal reconstruction was carried out in two steps after testis subcutaneous implantation, with axial flaps expanded in the abdominal region. The procedure has the advantage of ensuring vitality of the flaps; it avoids patient discomfort produced by perineal expansion, while cosmetic appearance is satisfactory and normal sexual function is restored.
PryorJ.P., HillJ.T., PackhamD.A., Yates-BellA. J.: Penile injuries with particular reference to injury to the erectile tissue. Br. J. Urol., 53: 42–45, 1981.
2.
WespesE., LibertM., SimonJ., SchulmanC.C.: Fracture of the penis: conservative versus surgical treatment. Eur. Urol., 50: 426–428, 1987.
ReidC.F., WrightJ.H.: Scrotal reconstruction following an avulsion injury. J. Urol., 133: 681–682, 1984.
7.
VincentM.P.: An evaluation of skin graft for reconstruction of the penis and scrotum. Clin. Plast. Surg., 15 (3): 411–424, 1988.
8.
GambaroG., BerettaM.: Lesioni traumatiche dei genitali esterni: su un caso di avulsione della cute del pene. Arch It. Urol., 63: 167–172, 1991.
9.
Mc DougalS.W.: Scrotal reconstruction using thigh pedicle flaps. J. Urol., 129: 757–759, 1983.
10.
BerettaG., AscaniL., FanciullacciF., ZanolloA., SaltarelliO.: The use of Prostaglandin El in the treatment of impotence. In: IV International Congress of Andrology. Serono Symposia Review. SerioM. Ed., pp. 211–212, Firenze 1989.
11.
BerettaG., MarzottoM.C., ZanolloA.: Iniezioni intracavernose di Prostaglandina E1 (PGE1) e miglioramento delle erezioni spontanee. In: Atti VII Congresso Nazionale S.I.A. Monduzzi Ed., pp. 481–484, Bologna 1991.