LymphedemaV1, Main, Exploration, bibRecord, 001640

Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction

Identifieur interne : 001640 ( Main/Exploration ); précédent : 001639; suivant : 001641

Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction

Auteurs : Amjad Alwaal ; Jack W. Mcaninch ; Catherine R. Harris ; Benjamin N. Breyer

Source :

Urology [ 0090-4295 ] ; 2015.

RBID : PMC:4920551

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Humains, Maladies de l'appareil génital mâle (), Mâle, Procédures de chirurgie reconstructive (), Procédures de chirurgie urogénitale (), Sujet âgé, Système génital de l'homme (), Transplantation de peau (), Études de suivi, Études rétrospectives.
MESH :
- Adulte, Adulte d'âge moyen, Humains, Maladies de l'appareil génital mâle, Mâle, Procédures de chirurgie reconstructive, Procédures de chirurgie urogénitale, Sujet âgé, Système génital de l'homme, Transplantation de peau, Études de suivi, Études rétrospectives.

English descriptors

KwdEn :
- Adult, Aged, Follow-Up Studies, Genital Diseases, Male (surgery), Genitalia, Male (surgery), Humans, Male, Middle Aged, Reconstructive Surgical Procedures (methods), Retrospective Studies, Skin Transplantation (methods), Urogenital Surgical Procedures (methods).
MESH :
- methods : Reconstructive Surgical Procedures, Skin Transplantation, Urogenital Surgical Procedures.
- surgery : Genital Diseases, Male, Genitalia, Male.
- Adult, Aged, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies.

Abstract

Objective

To report our successful outcomes of genital split-thickness skin graft (STSG) in covering major skin loss and providing good functional and cosmetic outcomes.

Materials and Methods

A retrospective chart review was performed for all adult urology patients who underwent STSG at our institution from 1998 to 2014. Patients had a wide range of disease etiologies, including tissue loss (eg post-Fournier's gangrene), lymphedema, buried penis, foreign body injection, and tumors.

Results

A total of 54 patients were identified with the following breakdown of etiology: 13 patients with tissue loss (eg post-Fournier's gangrene), 13 with lymphedema, 12 with buried penis, 8 with foreign body injection, 4 with hidradenitis suppurativa, and 4 with tumors. Fifty-two out of 54 patients had more than 90% graft take, with maintained or improved erection, normal voiding, good cosmetic outcome as judged by the patient and the examining surgeon, and normal mobility. One patient died at 3 months due to cardiovascular cause, and 1 patient had a poor take of the graft.

Conclusion

We show the wide variety of indications for STSG use, the ease of the technique, and its successful outcomes. We believe this procedure should be offered to patients as a first-line treatment and also as a last resort when other more conservative approaches fail.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4920551

DOI: 10.1016/j.urology.2015.07.005
PubMed: 26190089
PubMed Central: 4920551

Affiliations:

Le document en format XML

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<term>Genitalia, Male (surgery)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Retrospective Studies</term>
<term>Skin Transplantation (methods)</term>
<term>Urogenital Surgical Procedures (methods)</term>
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<term>Maladies de l'appareil génital mâle ()</term>
<term>Mâle</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Procédures de chirurgie urogénitale ()</term>
<term>Sujet âgé</term>
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<term>Transplantation de peau ()</term>
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<term>Études rétrospectives</term>
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<term>Skin Transplantation</term>
<term>Urogenital Surgical Procedures</term>
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<term>Genitalia, Male</term>
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<term>Adulte d'âge moyen</term>
<term>Humains</term>
<term>Maladies de l'appareil génital mâle</term>
<term>Mâle</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Procédures de chirurgie urogénitale</term>
<term>Sujet âgé</term>
<term>Système génital de l'homme</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">To report our successful outcomes of genital split-thickness skin graft (STSG) in covering major skin loss and providing good functional and cosmetic outcomes.</p>
</sec>
<sec id="S2"><title>Materials and Methods</title>
<p id="P2">A retrospective chart review was performed for all adult urology patients who underwent STSG at our institution from 1998 to 2014. Patients had a wide range of disease etiologies, including tissue loss (eg post-Fournier's gangrene), lymphedema, buried penis, foreign body injection, and tumors.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">A total of 54 patients were identified with the following breakdown of etiology: 13 patients with tissue loss (eg post-Fournier's gangrene), 13 with lymphedema, 12 with buried penis, 8 with foreign body injection, 4 with hidradenitis suppurativa, and 4 with tumors. Fifty-two out of 54 patients had more than 90% graft take, with maintained or improved erection, normal voiding, good cosmetic outcome as judged by the patient and the examining surgeon, and normal mobility. One patient died at 3 months due to cardiovascular cause, and 1 patient had a poor take of the graft.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">We show the wide variety of indications for STSG use, the ease of the technique, and its successful outcomes. We believe this procedure should be offered to patients as a first-line treatment and also as a last resort when other more conservative approaches fail.</p>
</sec>
</div>
</front>
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<name sortKey="Harris, Catherine R" sort="Harris, Catherine R" uniqKey="Harris C" first="Catherine R." last="Harris">Catherine R. Harris</name>
<name sortKey="Mcaninch, Jack W" sort="Mcaninch, Jack W" uniqKey="Mcaninch J" first="Jack W." last="Mcaninch">Jack W. Mcaninch</name>
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Serveur d'exploration sur le lymphœdème

Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction

Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

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