title: [Avulsion of the penile skin: a conservative approach].
abstract: BACKGROUND
  Skin avulsion of male genital is a rare urological emergency. Although not life-threatening such lesions are both physically and psychologically traumatic. If poorly managed in the acute setting, these injuries may result in long-term problems or permanent disabilities.
  
  
  METHODS
  A 58 year-old male patient was admitted to the Emergency Department of our hospital with a traumatic injury of the penis, caused by a bike trauma. At the inspection, a rather complete degloving of penis and a tear in scrotal skin with no involvement of testes were observed. The skin was completely detached, out of the penis, but for a small flap at the peno-scrotal angle. After a careful cleaning, the penis was covered again with the skin attached to peno-scrotal angle through multiple circumferential sutures.
  
  
  RESULTS
  A complete cover of the defects was obtained with one-step surgery. The patient was treated with broad spectrum of antibiotics for 1 month. No infections occurred. The patient was discharged from hospital after 5 days. After 3 months from trauma, the patient is able to achieve sexual intercourse, with normal erectile function, no painful erections and no penile recurvatum.
  
  
  CONCLUSIONS
  Traumatic skin avulsion of penis is a rare condition; the best aesthetic and functional results depends on the choice of the proper treatment. Conservative approach in selected cases can provide good results both aesthetically and functionally.
authors.forename: C L A
authors.initials: CL
authors.lastname: Negro
authors.forename: P
authors.initials: P
authors.lastname: Destefanis
authors.forename: A
authors.initials: A
authors.lastname: Bosio
authors.forename: A
authors.initials: A
authors.lastname: Bisconti
authors.forename: C
authors.initials: C
authors.lastname: De Maria
authors.forename: M
authors.initials: M
authors.lastname: Carchedi
authors.forename: A
authors.initials: A
authors.lastname: Buffardi
authors.forename: L
authors.initials: L
authors.lastname: Rolle
authors.forename: D
authors.initials: D
authors.lastname: Fontana
mesh_terms: D019072:Antibiotic Prophylaxis; D001642:Bicycling / Q000293:injuries*; D004630:Emergencies; D006801:Humans; D022125:Lacerations / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000293:injuries* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012611:Scrotum / Q000293:injuries / Q000601:surgery; D013536:Suture Techniques