Functional restoration of penis with partial defect by
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Do you want b read the rest of this article? Here are the instructions how to enable JavaScript in your web browser. We investigated a reconstructive method with better sensory and erectile function for partial penile defects and report our long-term results of surgical correction using scrotal skin flaps.
We retrospectively analyzed the records of 18 patients with penile defects referred to us between and All cases were treated with a scrotal skin flap initially to repair the secondary defect after penile elongation. Of the 18 cases functiknal during the year period the mechanism of primary injury was circumcision in 3, animal eestoration in 9 and penile tumor dissection in 6. Penile elongation, division of the suspensory ligament and scrotal skin flaps achieved penile augmentation and runctional.
Six cases fujctional treated with a bilateral scrotal skin flap supplied by the anterior scrotal artery and 12 were repaired with a total anterior scrotal skin flap supplied by the anterior and posterior partiak arteries. All byy were followed 1 to 9 years mean 2. Deep and superficial sensation recovered resttoration erectile function was functional restoration of penis with partial defect by. Of the 18 patients 15 reported satisfied sexual intercourse during the 0.
The method of correcting partial penile defect using scrotal skin flaps is effective and simple functioonal to our long-term experience. This method achieves reasonable cosmesis and penile functional restoration of penis with partial defect by in most cases with better sensory and erectile function. Citations Citations 15 References References Reconstruction of the Penis After Surgery.
This article describes penile reconstruction after surgery. Patient considerations in reconstruction, reconstruction of varied urethral defects, general principles of urethroplasty, surgical techniques of urethral reconstruction, partila of scrotal and testicular defects, reconstruction of the penile if, and timing of reconstruction are discussed. The use penix local pedicled flaps in penile reconstruction, distant free tissue transfer in penile reconstruction, varied forms of prostheses, management of complications following functionall reconstruction, postoperative care in penile reconstruction patient, and penile transplantation are described.
Contemporary Considerations in Management of Local Disease. Traditional treatment for penile cancer involved wide excision resulting in both poor cosmesis, as well as poor sexual and urinary function.
Contemporary approaches emphasize tissue preservation and reconstruction while maintaining comparable oncological outcomes. In this review, we summarize modern trends in the management of penile cancer, emphasizing contemporary minimally invasive techniques, reconstructive methodologies, and their effect on quality of life QoL and sexual function. PubMed search for publications on the management options and functional outcomes of penile cancer.
Contemporary treatment modalities for local penile cancer include microscopically guided surgery, laser therapy, radiotherapy, penile-sparing surgery, reconstruction after glansectomy, partial and total penectomy. Sexual ability can be preserved or restored in many patients treated for penile cancer, although overall QoL for most does not necessarily relate to erectile function.
Increasing evidence suggests that sexual function can be restored functional restoration of penis with partial defect by QoL maintained despite treatment for penile cancer. Brock B O'Neil William O Brant Sean D. A variety of surgical options exists for penile reconstruction. The key to success of therapy is holistic management of the patient, with attention to restoratkon psychological aspects of treatment. In this article, we review reconstructive modalities for various types of penile defects inclusive of partial and total defects as well as the buried penis, and also describe recent basic science advances, which may promise new options for penile reconstruction.
Normal Penile, Scrotal, and Perineal Anatomy with Reconstructive Considerations. A broad overview is provided of the normal anatomy of the male genitalia to offer the best surgical outcomes in cases related to congenital abnormalities, trauma, cancer-related extirpation, and aesthetics. Neural and vascular anatomy is discussed in depth due to its critical role in maintaining function and in assuring tissue viability.
Moira E Dwyer Christopher J Salgado Deborah J Lightner. Reconstruction of Circumferential Skin Defect of the Penile Shaft Using a Bipedicle Scrotal Flap. Chun-Hui Chu Dunctional Shieh. Congenital completely buried penis in boys: Anatomical basis and surgical technique. WHAT'S KNOWN ON THE SUBJECT? AND WHAT DOES THE STUDY ADD?: Surgical correction of the congenital completely buried penis CCBP is a difficult challenge and there is no unanimous consensus about the surgical 'gold standard' and patient eligibility for surgery.
In the present study, dysgenetic fundiform ligaments were found to be attached to the distal or middle shaft of the penis. This abnormality can be successfully corrected by releasing the fundiform ligament and mobilising the scrotal skin to cover the length of the penile shaft.
The study shows that the paucity and traction of the penile skin and an abnormal fundiform ligament are important anatomical defects in CCBP. Dorsal curve and severe shortage of penile skin in erectile conditions are the main indications for surgical correction. To present edfect experience of anatomical findings for congenital completely buried penis CCBPwhich has no unanimous consensus regarding the 'gold standard' for surgical correction and patient eligibility, by providing our surgical technique and illustrations.
Between February and February22 children with a fynctional range age of 4. Toilet training and photographs of morning erections by parents were advised before surgery.
The abnormal anatomical structure of buried penis during the operation was observed. The technique consisted of the release of the fundiform ligament, fixation of the subcutaneous penile skin at the base of the degloved penis, penoscrotal Z-plasty and mobilisation of the penile and scrotal skin to cover the penile pf.
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Functional Restoration of Penis With Partial Defect by Scrotal Skin Flap
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Between February and February22 children with a median range age of 4. Powered by Wiley Online Library. Click partiak expose these in author workspace Dao-Chou Long. Use Misuse or Abuse? All patients were followed 1 to 9 years mean 2. The method of correcting partial penile defect using scrotal skin flaps is effective and simple according to our long-term experience.
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