Penile burn reconstruction after self-mutilation using electrothermal device-a case report
Introduction: Isolated genital burns are not frequent injuries; more often, they are part of larger surface-area burn injuries. Aetiology and mechanisms of genital burn injuries differ regarding country, age and patients’ socioeconomic status. Aim: The aim is to describe a rare case report of a 69-y...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Burns Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S246891222400021X |
| _version_ | 1827279077585715200 |
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| author | Alica Hokynková Petr Šín Gabriela Michalčáková Aleš Čermák Andrea Pokorná |
| author_facet | Alica Hokynková Petr Šín Gabriela Michalčáková Aleš Čermák Andrea Pokorná |
| author_sort | Alica Hokynková |
| collection | DOAJ |
| description | Introduction: Isolated genital burns are not frequent injuries; more often, they are part of larger surface-area burn injuries. Aetiology and mechanisms of genital burn injuries differ regarding country, age and patients’ socioeconomic status. Aim: The aim is to describe a rare case report of a 69-year-old man who incurred a deep penile burn after using an electrothermal sexual device. Methods: The patient was admitted to the Department of Urology (blinded for review) with deep penile burn a week after the injury. Debridement, conservative therapy, and deferred reconstruction due to extensive lymphoedema were performed. Due to numerous small, contracted skin scars of penile corpus arising from multiple healed burns caused by self-mutilation by repeatedly using an electrothermal sexual device, the penile defect reconstruction was performed. A local ventral foreskin skin flap in combination with a full split-thickness graft was done in order to avoid extensive scar contracture with possible penile deviation. Results: There were no complications in postoperative care in the follow-up period of 26 months, with satisfactory aesthetical and functional results. Conclusion: In the case of penile wounds, the reconstruction technique depends on the injury's size, depth and localisation of the damage. |
| first_indexed | 2024-04-24T08:13:09Z |
| format | Article |
| id | doaj.art-b2b041fdb05646e992d8779fba7b0c0d |
| institution | Directory Open Access Journal |
| issn | 2468-9122 |
| language | English |
| last_indexed | 2024-04-24T08:13:09Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Burns Open |
| spelling | doaj.art-b2b041fdb05646e992d8779fba7b0c0d2024-04-17T04:49:40ZengElsevierBurns Open2468-91222024-04-0182143146Penile burn reconstruction after self-mutilation using electrothermal device-a case reportAlica Hokynková0Petr Šín1Gabriela Michalčáková2Aleš Čermák3Andrea Pokorná4Department of Burns and Plastic Surgery, University Hospital Brno, Czech Republic, Jihlavská 20, 625 00 Brno, Czech Republic; Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech RepublicDepartment of Burns and Plastic Surgery, University Hospital Brno, Czech Republic, Jihlavská 20, 625 00 Brno, Czech Republic; Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech Republic; Corresponding author at: Department of Burns and Plastic Surgery, University Hospital Brno, Czech Republic, Jihlavská 20, 625 00 Brno, Czech Republic.Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech RepublicDepartment of Urology, University Hospital Brno, Czech Republic, Jihlavská 20, 625 00 Brno, Czech Republic; Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech RepublicDepartment of Health Sciences, Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech RepublicIntroduction: Isolated genital burns are not frequent injuries; more often, they are part of larger surface-area burn injuries. Aetiology and mechanisms of genital burn injuries differ regarding country, age and patients’ socioeconomic status. Aim: The aim is to describe a rare case report of a 69-year-old man who incurred a deep penile burn after using an electrothermal sexual device. Methods: The patient was admitted to the Department of Urology (blinded for review) with deep penile burn a week after the injury. Debridement, conservative therapy, and deferred reconstruction due to extensive lymphoedema were performed. Due to numerous small, contracted skin scars of penile corpus arising from multiple healed burns caused by self-mutilation by repeatedly using an electrothermal sexual device, the penile defect reconstruction was performed. A local ventral foreskin skin flap in combination with a full split-thickness graft was done in order to avoid extensive scar contracture with possible penile deviation. Results: There were no complications in postoperative care in the follow-up period of 26 months, with satisfactory aesthetical and functional results. Conclusion: In the case of penile wounds, the reconstruction technique depends on the injury's size, depth and localisation of the damage.http://www.sciencedirect.com/science/article/pii/S246891222400021XPenile burnCase reportPlastic surgerySelf-mutilationMultidisciplinary treatment |
| spellingShingle | Alica Hokynková Petr Šín Gabriela Michalčáková Aleš Čermák Andrea Pokorná Penile burn reconstruction after self-mutilation using electrothermal device-a case report Burns Open Penile burn Case report Plastic surgery Self-mutilation Multidisciplinary treatment |
| title | Penile burn reconstruction after self-mutilation using electrothermal device-a case report |
| title_full | Penile burn reconstruction after self-mutilation using electrothermal device-a case report |
| title_fullStr | Penile burn reconstruction after self-mutilation using electrothermal device-a case report |
| title_full_unstemmed | Penile burn reconstruction after self-mutilation using electrothermal device-a case report |
| title_short | Penile burn reconstruction after self-mutilation using electrothermal device-a case report |
| title_sort | penile burn reconstruction after self mutilation using electrothermal device a case report |
| topic | Penile burn Case report Plastic surgery Self-mutilation Multidisciplinary treatment |
| url | http://www.sciencedirect.com/science/article/pii/S246891222400021X |
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