Surgical management of genitoperineal hidradenitis suppurativa in men.
Identifieur interne : 001585 ( PubMed/Corpus ); précédent : 001584; suivant : 001586Surgical management of genitoperineal hidradenitis suppurativa in men.
Auteurs : Mang L. Chen ; Brian Odom ; Richard A. SantucciSource :
- Urology [ 1527-9995 ] ; 2014.
English descriptors
- KwdEn :
- Adult, Aged, Debridement (methods), Follow-Up Studies, Genital Diseases, Male (diagnosis), Genital Diseases, Male (surgery), Graft Rejection, Graft Survival, Hidradenitis Suppurativa (diagnosis), Hidradenitis Suppurativa (surgery), Humans, Lymphedema (diagnosis), Lymphedema (surgery), Male, Middle Aged, Perineum (pathology), Perineum (surgery), Reconstructive Surgical Procedures (methods), Retrospective Studies, Sampling Studies, Scrotum (pathology), Scrotum (surgery), Severity of Illness Index, Skin Transplantation (methods), Treatment Outcome, Wound Healing (physiology).
- MESH :
- diagnosis : Genital Diseases, Male, Hidradenitis Suppurativa, Lymphedema.
- methods : Debridement, Reconstructive Surgical Procedures, Skin Transplantation.
- pathology : Perineum, Scrotum.
- physiology : Wound Healing.
- surgery : Genital Diseases, Male, Hidradenitis Suppurativa, Lymphedema, Perineum, Scrotum.
- Adult, Aged, Follow-Up Studies, Graft Rejection, Graft Survival, Humans, Male, Middle Aged, Retrospective Studies, Sampling Studies, Severity of Illness Index, Treatment Outcome.
Abstract
To report our successful experience in treating genital and perineal hidradenitis suppurativa (HS) and its sequelae including localized chronic lymphedema. We describe our method of diseased tissue resection and wound defect coverage with local flaps and split-thickness skin grafts (STSG).
DOI: 10.1016/j.urology.2014.01.011
PubMed: 24685061
Links to Exploration step
pubmed:24685061Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surgical management of genitoperineal hidradenitis suppurativa in men.</title>
<author><name sortKey="Chen, Mang L" sort="Chen, Mang L" uniqKey="Chen M" first="Mang L" last="Chen">Mang L. Chen</name>
<affiliation><nlm:affiliation>Department of Urology, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, PA. Electronic address: chenml@upmc.edu.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Odom, Brian" sort="Odom, Brian" uniqKey="Odom B" first="Brian" last="Odom">Brian Odom</name>
<affiliation><nlm:affiliation>Department of Urology, Detroit Medical Center, Michigan State College of Medicine, Detroit, MI.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Santucci, Richard A" sort="Santucci, Richard A" uniqKey="Santucci R" first="Richard A" last="Santucci">Richard A. Santucci</name>
<affiliation><nlm:affiliation>Department of Urology, Detroit Medical Center, Michigan State College of Medicine, Detroit, MI.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Surgical management of genitoperineal hidradenitis suppurativa in men.</title>
<author><name sortKey="Chen, Mang L" sort="Chen, Mang L" uniqKey="Chen M" first="Mang L" last="Chen">Mang L. Chen</name>
<affiliation><nlm:affiliation>Department of Urology, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, PA. Electronic address: chenml@upmc.edu.</nlm:affiliation>
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<author><name sortKey="Odom, Brian" sort="Odom, Brian" uniqKey="Odom B" first="Brian" last="Odom">Brian Odom</name>
<affiliation><nlm:affiliation>Department of Urology, Detroit Medical Center, Michigan State College of Medicine, Detroit, MI.</nlm:affiliation>
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<author><name sortKey="Santucci, Richard A" sort="Santucci, Richard A" uniqKey="Santucci R" first="Richard A" last="Santucci">Richard A. Santucci</name>
<affiliation><nlm:affiliation>Department of Urology, Detroit Medical Center, Michigan State College of Medicine, Detroit, MI.</nlm:affiliation>
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<series><title level="j">Urology</title>
<idno type="eISSN">1527-9995</idno>
<imprint><date when="2014" type="published">2014</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Debridement (methods)</term>
<term>Follow-Up Studies</term>
<term>Genital Diseases, Male (diagnosis)</term>
<term>Genital Diseases, Male (surgery)</term>
<term>Graft Rejection</term>
<term>Graft Survival</term>
<term>Hidradenitis Suppurativa (diagnosis)</term>
<term>Hidradenitis Suppurativa (surgery)</term>
<term>Humans</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Perineum (pathology)</term>
<term>Perineum (surgery)</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Retrospective Studies</term>
<term>Sampling Studies</term>
<term>Scrotum (pathology)</term>
<term>Scrotum (surgery)</term>
<term>Severity of Illness Index</term>
<term>Skin Transplantation (methods)</term>
<term>Treatment Outcome</term>
<term>Wound Healing (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Genital Diseases, Male</term>
<term>Hidradenitis Suppurativa</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Debridement</term>
<term>Reconstructive Surgical Procedures</term>
<term>Skin Transplantation</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Perineum</term>
<term>Scrotum</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Diseases, Male</term>
<term>Hidradenitis Suppurativa</term>
<term>Lymphedema</term>
<term>Perineum</term>
<term>Scrotum</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Follow-Up Studies</term>
<term>Graft Rejection</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Sampling Studies</term>
<term>Severity of Illness Index</term>
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<front><div type="abstract" xml:lang="en">To report our successful experience in treating genital and perineal hidradenitis suppurativa (HS) and its sequelae including localized chronic lymphedema. We describe our method of diseased tissue resection and wound defect coverage with local flaps and split-thickness skin grafts (STSG).</div>
</front>
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<DateCreated><Year>2014</Year>
<Month>05</Month>
<Day>27</Day>
</DateCreated>
<DateCompleted><Year>2014</Year>
<Month>08</Month>
<Day>05</Day>
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<DateRevised><Year>2014</Year>
<Month>05</Month>
<Day>27</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1527-9995</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>83</Volume>
<Issue>6</Issue>
<PubDate><Year>2014</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Urology</Title>
<ISOAbbreviation>Urology</ISOAbbreviation>
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<ArticleTitle>Surgical management of genitoperineal hidradenitis suppurativa in men.</ArticleTitle>
<Pagination><MedlinePgn>1412-7</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.urology.2014.01.011</ELocationID>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To report our successful experience in treating genital and perineal hidradenitis suppurativa (HS) and its sequelae including localized chronic lymphedema. We describe our method of diseased tissue resection and wound defect coverage with local flaps and split-thickness skin grafts (STSG).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">From 2004 to 2012, we treated 6 patients with genital and perineal HS with radical resection of diseased tissue. Wound coverage was performed with skin flaps and/or STSGs.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Two patients had enough normal neighboring skin for local flap coverage of their wound defect. Four others had more extensive disease requiring STSG coverage. Two patients with secondary penile skin lymphedema required STSG for penile shaft reconstruction. All patients achieved excellent cosmetic results. There was one recurrence that required repeat resection and wound coverage. No wound complications occurred at the STSG donor site. Successful STSG "take" on the scrotum and penis ranged from 90% to 100% (mean 98%). Wound complications from local flap closure were clinically insignificant and include small (≤2 cm) areas of wound breakdown with no evidence of infection in 3 patients (50%).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Genitoperineal HS is a debilitating and disfiguring disease that results in the need for repeated abscess drainage operations, chronically painful skin boils, and chronic foul-smelling infectious discharge. It can be associated with lymphedema of surrounding tissues, requiring removal of tissues not originally affected by the disease. The use of complete resection and reconstruction with skin flaps and grafts provides a viable treatment option for these patients.</AbstractText>
<CopyrightInformation>Copyright © 2014 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>Mang L</ForeName>
<Initials>ML</Initials>
<AffiliationInfo><Affiliation>Department of Urology, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, PA. Electronic address: chenml@upmc.edu.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Odom</LastName>
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<AffiliationInfo><Affiliation>Department of Urology, Detroit Medical Center, Michigan State College of Medicine, Detroit, MI.</Affiliation>
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<Author ValidYN="Y"><LastName>Santucci</LastName>
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