title: [Penile skin necrosis after application of a ring and defect coverage by a skin mesh graft].
abstract: BACKGROUND
  Penile strangulations are rare and always need an individual emergency treatment. Functional impairment and loss of organ integrity are the most serious complications.
  
  
  METHODS
  A 43-year-old man came to our ambulance with a penile skin necrosis and a penile abscess. This was caused by a heating pipe that he had put on his penis six weeks ago. We first removed the pipe and performed a necrosectomy in a second step a skin mesh graft was applied. Six months later we observed a satisfactory cosmetic and good functional result.
  
  
  CONCLUSIONS
  Even in serious penile injuries caused by strangulation a penectomy can be avoided by means of an individually planned emergency treatment.
authors.affiliation: Klinik und Poliklinik für Urologie, Universitätsklinikum Schleswig-Holstein (UK-SH), Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck. martin.sommerauer@web.de
authors.forename: M
authors.initials: M
authors.lastname: Sommerauer
authors.forename: O
authors.initials: O
authors.lastname: Walden
authors.forename: C
authors.initials: C
authors.lastname: Doehn
authors.forename: D
authors.initials: D
authors.lastname: Jocham
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D004359:Drug Therapy, Combination; D004756:Enterobacteriaceae Infections / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D008297:Male; D020613:Morganella morganii; D009336:Necrosis; D010409:Penile Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D010413:Penis / Q000098:blood supply; D012867:Skin / Q000098:blood supply / Q000473:pathology*; D016038:Skin Transplantation
chemical_list: D000900:Anti-Bacterial Agents