Abstract
Genital skin loss is an unusual condition, which in addition to obvious physical deformity can lead to significant psychological and emotional distress. A variety of causes have been described, including external trauma, burns, infections, self-mutilation, constrictive devices, and lymphedema. Each of these has a different underlying mechanism leading to eventual skin loss. Initial management depends on the underlying etiology and ultimately directs the timing and appropriate surgical choice for definitive reconstruction. Extensive skin loss poses a considerable challenge for the urologic surgeon. Several different surgical techniques have been described, all of which share the goal of restoring functionality and cosmesis while at the same time minimizing morbidity. In recent years skin grafting has become the most commonly used reconstructive technique with good functional and cosmetic outcomes.
Published Version
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