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Case Reports
. 2019 Jul 23;2019(7):rjz206.
doi: 10.1093/jscr/rjz206. eCollection 2019 Jul.

Scrotal Dartos-Fascio-Myo-Cutaneous flaps for penis reconstruction after iatrogenic skin shaft sub-amputation

Mohamad Moussa  1 , Mohamed Abou Chakra  2
Affiliations
Case Reports

Scrotal Dartos-Fascio-Myo-Cutaneous flaps for penis reconstruction after iatrogenic skin shaft sub-amputation

Mohamad Moussa et al. J Surg Case Rep. .

Abstract

Penile amputation is an uncommon genital injury, the causes of penile trauma are varied; it can be iatrogenic or caused by traffic accidents, burns, circumcision, animal bites, gunshots or self-mutilation. The type and extent of penile trauma vary from mild to severe injuries, sometimes even with total amputation. A wide variety of surgical options exist for penile reconstruction. Often, not only the surgical but also psychological aspects of treatment will determine the success or failure of therapy. Regardless of the method of reconstruction, the goals of surgery remain the same; these include creating a functional and esthetic phallus. We present a case of 49-year-old male diabetic presented for penile reconstruction after iatrogenic skin shaft sub-amputation post penile implant surgery complications done 1 year ago in a country where technical experts for this surgery are absent. Dartos Fascio-Myo-Cutaneous Flaps for penile skin loss is used with satisfactory results.

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Figures

Figure 1:
Figure 1:
Preoperative image showed a small penile length &small glans tissue, length in flaccidity of 2 cm.
Figure 2:
Figure 2:
Intraoperatively: a two dartos-fascio-myo-cutaneous flaps were designed to cover the shaft.
Figure 3:
Figure 3:
Penile form on post operative day 30.
See this image and copyright information in PMC

References

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