Reconstruction of the male external genitalia in diverse disease processes: Our reconstructive algorithm, techniques, and experience
Abstract. Background. Male genital form and function may be rendered abnormal by a number of disease processes, with profound associated psychological and functional consequences. The aim of the study is to review our reconstructive experience with cases of genital loss or distortion due to nonmalig...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2022-09-01
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| Series: | Current Urology |
| Online Access: | http://journals.lww.com/10.1097/CU9.0000000000000112 |
| _version_ | 1797945030404472832 |
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| author | Stefanie M. Croghan Caroline Kelly Anne E. Daniels Linda Fitzgibbon Pádraig J. Daly Ivor M. Cullen |
| author_facet | Stefanie M. Croghan Caroline Kelly Anne E. Daniels Linda Fitzgibbon Pádraig J. Daly Ivor M. Cullen |
| author_sort | Stefanie M. Croghan |
| collection | DOAJ |
| description | Abstract. Background. Male genital form and function may be rendered abnormal by a number of disease processes, with profound associated psychological and functional consequences. The aim of the study is to review our reconstructive experience with cases of genital loss or distortion due to nonmalignant diseases processes and atypical neoplasia.
Materials and methods. A retrospective review of a prospectively maintained database was performed to identify reconstructive cases performed from 2018 to 2020 under the care of a single surgeon. Male patients 18 years or older with a disease diagnosis other than squamous cell carcinoma affecting genital form were included. Disease processes, patient factors, surgical techniques, and both functional and cosmetic outcomes were reviewed.
Results. Fourteen cases were identified. The patients had a mean age of 52.2 years (range, 21–72 years). Acquired buried penis was present in 8 patients. Etiology of genital abnormality included balanitis xerotica obliterans (n = 6), excess skin loss at circumcision (n = 2), self-injection of petroleum jelly to penile shaft (n = 1), Fournier gangrene (n = 1), hidradenitis suppurativa (n = 1), extramammary Paget disease (n = 1), idiopathic lymphoedema (n = 1), and penoscrotal webbing (n = 1). Reconstructive techniques performed included penile debridement/shaft skin release, scrotectomy, suprapubic apronectomy, and division of penoscrotal webbing, in combination with split-thickness skin grafting where required. A penile implant was inserted in one patient. Reconstructive planning, techniques, and outcomes are described.
Conclusions. A variety of reconstructive techniques in andrology can be used to improve the aesthetic and functional outcomes of multiple disease processes affecting the male external genitalia. |
| first_indexed | 2024-04-10T20:47:49Z |
| format | Article |
| id | doaj.art-3e09bf3c3f9f4838885b9bf87966d582 |
| institution | Directory Open Access Journal |
| issn | 1661-7649 |
| language | English |
| last_indexed | 2024-04-10T20:47:49Z |
| publishDate | 2022-09-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Current Urology |
| spelling | doaj.art-3e09bf3c3f9f4838885b9bf87966d5822023-01-24T00:57:06ZengWolters Kluwer HealthCurrent Urology1661-76492022-09-0116318519010.1097/CU9.0000000000000112202209000-00013Reconstruction of the male external genitalia in diverse disease processes: Our reconstructive algorithm, techniques, and experienceStefanie M. Croghan0Caroline Kelly1Anne E. Daniels2Linda Fitzgibbon3Pádraig J. Daly4Ivor M. Cullen5a Department of Urology and Andrology, University Hospital Waterford, Waterford, Irelanda Department of Urology and Andrology, University Hospital Waterford, Waterford, Irelanda Department of Urology and Andrology, University Hospital Waterford, Waterford, Irelanda Department of Urology and Andrology, University Hospital Waterford, Waterford, Irelanda Department of Urology and Andrology, University Hospital Waterford, Waterford, Irelanda Department of Urology and Andrology, University Hospital Waterford, Waterford, IrelandAbstract. Background. Male genital form and function may be rendered abnormal by a number of disease processes, with profound associated psychological and functional consequences. The aim of the study is to review our reconstructive experience with cases of genital loss or distortion due to nonmalignant diseases processes and atypical neoplasia. Materials and methods. A retrospective review of a prospectively maintained database was performed to identify reconstructive cases performed from 2018 to 2020 under the care of a single surgeon. Male patients 18 years or older with a disease diagnosis other than squamous cell carcinoma affecting genital form were included. Disease processes, patient factors, surgical techniques, and both functional and cosmetic outcomes were reviewed. Results. Fourteen cases were identified. The patients had a mean age of 52.2 years (range, 21–72 years). Acquired buried penis was present in 8 patients. Etiology of genital abnormality included balanitis xerotica obliterans (n = 6), excess skin loss at circumcision (n = 2), self-injection of petroleum jelly to penile shaft (n = 1), Fournier gangrene (n = 1), hidradenitis suppurativa (n = 1), extramammary Paget disease (n = 1), idiopathic lymphoedema (n = 1), and penoscrotal webbing (n = 1). Reconstructive techniques performed included penile debridement/shaft skin release, scrotectomy, suprapubic apronectomy, and division of penoscrotal webbing, in combination with split-thickness skin grafting where required. A penile implant was inserted in one patient. Reconstructive planning, techniques, and outcomes are described. Conclusions. A variety of reconstructive techniques in andrology can be used to improve the aesthetic and functional outcomes of multiple disease processes affecting the male external genitalia.http://journals.lww.com/10.1097/CU9.0000000000000112 |
| spellingShingle | Stefanie M. Croghan Caroline Kelly Anne E. Daniels Linda Fitzgibbon Pádraig J. Daly Ivor M. Cullen Reconstruction of the male external genitalia in diverse disease processes: Our reconstructive algorithm, techniques, and experience Current Urology |
| title | Reconstruction of the male external genitalia in diverse disease processes: Our reconstructive algorithm, techniques, and experience |
| title_full | Reconstruction of the male external genitalia in diverse disease processes: Our reconstructive algorithm, techniques, and experience |
| title_fullStr | Reconstruction of the male external genitalia in diverse disease processes: Our reconstructive algorithm, techniques, and experience |
| title_full_unstemmed | Reconstruction of the male external genitalia in diverse disease processes: Our reconstructive algorithm, techniques, and experience |
| title_short | Reconstruction of the male external genitalia in diverse disease processes: Our reconstructive algorithm, techniques, and experience |
| title_sort | reconstruction of the male external genitalia in diverse disease processes our reconstructive algorithm techniques and experience |
| url | http://journals.lww.com/10.1097/CU9.0000000000000112 |
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