음경 및 음낭 피부 완전 박피창의 치험예 = Treatment of Traumatic Avulsion of the Skin of the penis and Scrotum

다국어 초록 (Multilingual Abstract)

Since the inception of the machine, industrial and accidents have steadily increased. All portions of the human body have been involved and the genitalia are no exception.
Avulsion injury of the male genitalia with its attendant fear for sexual potency may produce complex physical and psychological problems for the reconstructive surgeon. Although etiology may vary, the ultimate goals of reconstruction include the restoration of esthetic continuity, the preservation of sexual function and the maintenance of testicular function.
In the majority of instances, sexual function can be maintained by prompt repair. Sterility, however, is a common complication of the more extensive injuries where local tissue is unavailable for scrotal repair unless the testicles can be implanted immediately beneath the adjacent thigh or inguinal skin.
The basic technique include; (1) the routine use of split-thickness grafts to replace totally or partially avulsed penile skin; (2) the utilization of residual scrotal fragments where possible to resurface the denuded testes; (3) the surperficial implantation of the testicles either beneath the adjacent thigh or inguinal skin when local coverage can not be accomplished; (4) the use of local pedicle grafts containing the implanted testes for reconstruction.
In this paper, one case of satisfactory reconstruction of the denuded testes and complete loss of penile skin was reported with some reviews of the relating references.