MP25-13 OUTPATIENT SURGICAL MANAGEMENT OF ACQUIRED BURIED PENIS PERFORMED IN A SINGLE CENTER: SHORT AND INTERMEDIATE FOLLOW-UP

Abstract

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: External Genitalia Reconstruction and Urotrauma (including transgender surgery) II1 Apr 2018MP25-13 OUTPATIENT SURGICAL MANAGEMENT OF ACQUIRED BURIED PENIS PERFORMED IN A SINGLE CENTER: SHORT AND INTERMEDIATE FOLLOW-UP Marilyn Hopkins, Scott Erpelding, James Liau, and Shubham Gupta Marilyn HopkinsMarilyn Hopkins More articles by this author , Scott ErpeldingScott Erpelding More articles by this author , James LiauJames Liau More articles by this author , and Shubham GuptaShubham Gupta More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.850AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Penile liberation with split thickness skin grafting with or without escucheonectomy has been performed at our institution since 2014. In contrast to other centers, we aim to discharge these patients home on the same day of surgery or on postoperative day number one. We present our institutional experience with this approach, including the 30 day and 90 day complication rate and rate of skin graft take. METHODS Retrospective chart review of all patients who underwent penile liberation, split thickness skin grafting, with or without escucheonectomy from December 2014 to August 2017 at our tertiary care center by a single surgeon. We discharged patients home on the day of surgery or on postoperative day one depending on medical comorbidities and adjunctive surgeries. We evaluated the 30 day and 90 day complication rates and also examined the rate of skin graft success. We collected final pathology from escucheonectomy. RESULTS 16 patients underwent penile liberation with split-thickness skin grafting, 12 of whom underwent simultaneous escucheonectomy. 10 of these patients were discharged home on the day of surgery, and the remainder were discharged home on post-operative day one. Four patients underwent simultaneous scrotoplasty; two patients underwent simultaneous urethroplasty. No postoperative mobility restrictions were given to any patient. The 30 day and 90 day complication rates were 19‰ (n&[ident]3) and 25‰ (n&[ident]4) respectively. All complications were Clavien II. Three patients required treatment with antibiotics for surgical site infection; one patient had pneumonia within the 90 day interval. The skin graft take rate was 100‰. Pathology from 7 of the 12 patients demonstrated lichen sclerosis. CONCLUSIONS Penile liberation with split thickness skin grafting with escucheonectomy can be performed safely in the setting of same day discharge without activity restriction. Complication rates are low in conjunction with excellent skin graft take. Pathology demonstrated lichen sclerosis in over half of the patients. Like other similar studies, this is a single institutional study, made unique by limited inpatient admission and lack of post operative mobility restrictions. We plan to continue this current management and observe more long term results in this patient population. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e331-e332 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Marilyn Hopkins More articles by this author Scott Erpelding More articles by this author James Liau More articles by this author Shubham Gupta More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...