Use of negative-pressure dressings and split-thickness skin grafts following penile shaft reduction and reduction scrotoplasty in the management of penoscrotal elephantiasis.
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.
Stokes
Tracey H
TH
Division of Plastic, Reconstructive, Maxillofacial, and Oral Surgery, Duke University Medical Center, Durham, NC 27710, USA.
Follmar
Keith E
KE
Silverstein
Ari D
AD
Weizer
Alon Z
AZ
Donatucci
Craig F
CF
Anderson
Everett E
EE
Erdmann
Detlev
D
D001458:Bandages; D003131:Combined Modality Therapy; D004604:Elephantiasis / Q000601:surgery / Q000628:therapy*; D005832:Genital Diseases, Male / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000601:surgery / Q000628:therapy*; D010413:Penis / Q000601:surgery*; D011182:Postoperative Care; D011312:Pressure; D019651:Plastic Surgery Procedures; D012611:Scrotum / Q000601:surgery*; D016038:Skin Transplantation; D014618:Vacuum