Use of negative-pressure dressings and split-thickness skin grafts following penile shaft reduction and reduction scrotoplasty in the management of penoscrotal elephantiasis.

Abstract

From 1988 to 2005, 8 men who presented with penoscrotal elephantiasis underwent penile shaft degloving and reduction scrotoplasty, followed by transplantation of a split-thickness skin graft (STSG) to the penile shaft. The etiology of elephantiasis in these patients included self-injection of viscous fluid and postsurgical obstructive lymphedema. In the 6 most recent cases, negative-pressure dressings were applied over the STSG to promote graft take, and STSG take rate was 100%. The results of our series corroborate those of a previous report, which showed circumferential negative-pressure dressings to be safe and efficacious in bolstering STSGs to the penile shaft. Furthermore, these results suggest that the use of negative-pressure dressings may improve graft take in this patient population.

• Authors: Tracey H Stokes, Keith E Follmar, Ari D Silverstein, Alon Z Weizer, Craig F Donatucci, Everett E Anderson, Detlev Erdmann
• Journal: Annals of plastic surgery (Ann Plast Surg) Vol. 56 Issue 6 Pg. 649-53 (Jun 2006) ISSN: 0148-7043 [Print] United States
• PMID: 16721079 (Publication Type: Journal Article)

Topics

• Bandages
• Combined Modality Therapy
• Elephantiasis (surgery, therapy)
• Genital Diseases, Male (surgery, therapy)
• Humans
• Male
• Middle Aged
• Penile Diseases (surgery, therapy)
• Penis (surgery)
• Postoperative Care
• Pressure
• Plastic Surgery Procedures
• Scrotum (surgery)
• Skin Transplantation
• Vacuum