Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Thoracic Surgery
  •  Breast Surgery
  •  Gastroenterological Surgery
  •  Emergency Surgery
  •  Vascular Surgery
  •  Urology
  •  Oral and Maxillofacial Surgery
  •  Colon and Rectal Surgery

Abstract

Citation: Clin Surg. 2016;1(1):1081.Case Report | Open Access

Use of Panniculus Flap with Delayed Penile Reconstruction for Management of Buried Penis in a Patient with Massive Localized Lymphedema of the Scrotum: A Case Report

Azouz V, Kareh A and Bialowas C

Department of Surgery, University of Texas Health Science Center, USA

*Correspondance to: Christie Bialowas 

 PDF  Full Text DOI: 10.25107/2474-1647.1081

Abstract

Buried penis is a rare debilitating phenomenon that has been associated with obesity, lymphedema, radical circumcision, and penoscrotal elephantiasis. Traditional management of this condition involves limited panniculectomy, excision of penile shaft skin, and skin grafting. Buried penis secondary to massive localized lymphedema of the scrotum is seldom described in the literature and further complicates the use of local reconstruction as local tissue is damaged and may be unfit for reconstructive purposes. The authors report the case of a morbidly obese patient with buried penis secondary to massive localized lymphedema of the scrotum reconstructed using a panniculus flap and delayed penile skin grafting. After undergoing scrotal reconstruction using a panniculus flap, the patient returned to the operating room five days later to undergo penile reconstruction with meshed split thickness skin grafting. Sequential compression wrapping between the first and second procedures allowed the swelling and edema to decrease significantly so that the penile bed would be more amenable to split thickness skin graft. In treating buried penis in the setting of massive scrotal lymphedema, the authors propose reconstructive staging and sequential compression dressings between procedures to maximize patient safety by limiting postoperative complications and minimize edema.

Keywords

Buried penis; Massive localized lymphedema; Scrotal reconstruction

Cite the article

Azouz V, Kareh A, Bialowas C. Use of Panniculus Flap with Delayed Penile Reconstruction for Management of Buried Penis in a Patient with Massive Localized Lymphedema of the Scrotum: A Case Report. Clin Surg. 2016; 1: 1081.

Search Our Journal

Journal Indexed In

Articles in PubMed

Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
Antimicrobial Peptides: A Potential Therapeutic Option for Surgical Site Infections
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

The Value of Fetal Reduction in IVF Dichorionic Triplets: A Retrospective Controlled Study
 Abstract  PDF  Full Text
Treatment of Refractory Condylomata Acuminata with 5-Aminolevulinic Acid-Photodynamic Therapy Combined with Tretinoin: Report of 66 Cases
 Abstract  PDF  Full Text
View More...