Abstract
Pediatric penile skin grafting is rarely performed. We present a case series of four pediatric patients receiving skin grafting due to the loss of penile skin. The four boys were followed up for 1 to 5 years. One full-thickness skin graft and three split-thickness skin grafts (STSGs) survived well with low Vancouver scar scale scores. One boy gradually developed lymphedema of the distal foreskin and underwent a second preputioplasty. He presented with normal erectile function and did not experience any pain. We propose thick STSGs as the most appropriate choice for pediatric penile skin reconstruction. Lymphedema of the foreskin is an important long-term complication of penile skin grafting.
Highlights
Penile congenital abnormalities or traumas require adequate skin coverage for reconstruction.[1]
Only a few reports exist on penile skin grafts in the pediatric population, as diseases that cause severe penile tissue loss appear to be rare in children
A greater amount of dermis is included in fullthickness skin grafts (FTSGs) than in split-thickness skin grafts (STSGs); some important distinctions in the nature and potential uses of the two types of grafts should be borne in mind.[6]
Summary
Penile congenital abnormalities or traumas require adequate skin coverage for reconstruction.[1]. The defect penile skin area measured 2.0 Â 2.8 cm, and the defect scrotal skin area measured 3.0 Â 3.5 cm He received debridement and an artificial dermis implant (PELNAC, GUNZE Corporation, Japan) during the primary surgery, followed by a thick STSG 14 days after surgery (►Fig. 2B). The penile skin necrosis area measured 2.2 Â 3.1 cm, and the left thigh necrosis skin area measured 38 Â 15 cm He was transferred to our department 10 days after injury, and he received debridement and an artificial dermis implant (acellular dermal matrix) during the primary surgery. The 12.5-year-old boy gradually developed lymphedema of the distal foreskin (►Fig. 4B), and he received prepuce plastic surgery 6 months after skin grafting (►Fig. 4C) He reported that he could achieve an erection and experienced no pain during urination. All parents were satisfied with the appearance and function of the penis
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