[Penile skin necrosis after application of a ring and defect coverage by a skin mesh graft].
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.
Sommerauer
M
M
Klinik und Poliklinik für Urologie, Universitätsklinikum Schleswig-Holstein (UK-SH), Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck. martin.sommerauer@web.de
Walden
O
O
Doehn
C
C
Jocham
D
D
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
D000900:Anti-Bacterial Agents