TOTAL PENILE DEGLOVING INJURY RESURFACED WITH A SPLIT SKIN GRAFT – A CASE REPORT

Author:

Venkata Mahipathy Surya Rao Rao1,Durairaj Alagar Raja2,Sundaramurthy Narayanamurthy3,Jayachandiran Anand Prasath4,Rajendran Suresh5

Affiliation:

1. Professor & Head, Dept. Of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105, Tamilnadu, India.

2. Professor, Dept. Of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105, Tamilnadu, India. Narayanamurthy Sundaramurthy Associate Professor, Dept. Of Plastic & Reconstructive Surger

3. Associate Professor, Dept. Of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105, Tamilnadu, India.

4. Assistant Professor & Head, Dept. Of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105, Tamilnadu, India.

5. Senior Resident, Dept. Of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105, Tamilnadu, India

Abstract

Degloving injuries of the penis are a rare occurrence often requiring reconstruction. They are usually caused by industrial or agricultural machinery and tend to involve both the penile shaft and the scrotal skin with young adults being the usual victims. A penile degloving usually begins just proximal of the coronal line and progress down to the base of the shaft. Deep erectile tissue and the spermatic cord are usually undamaged and the endogenous skin of glans usually survives. The management requires thorough debridement and resurfacing the raw area by either using the degloved skin as a ap or a free skin graft, or by using a split skin or a full thickness skin graft. Here, we report a case of a total penile skin degloving managed with a split skin graft with satisfactory cosmetic result.

Publisher

World Wide Journals

Reference18 articles.

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2. Mathur RK, Lahoti BK, Aggarwal G, Satsangi B. Degloving injury to the penis. Afr J Paediatr Surg. 2010;7:19–21.

3. Jha AK, Singh S, Gupta S. Split thickness skin graft for penile skin avulsion – Simple solution for a rare injury. Surg Clin India. 2012;1:1–3.

4. Sarin YK, Sinha A, Ojha S. “Snapped in” penis: An unusual presentation of degloving injury of the penis. Indian J Urol. 2004;20:56–7.

5. Selvan SS, Alagu GS, Gunasekaran R. Use of a hypogastric flap and split-thickness skin grafting for a degloving injury of the penis and scrotum: A different approach. Indian J Plast Surg. 2009;42:258–60.

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