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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2002, Number 2

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Cir Plast 2002; 12 (2)

Perineum and external genitalia skin reconstruction. A case report

Ferreira ÁFE

Language: Spanish
References: 17
Page: 74-79
PDF size: 140.20 Kb.


ABSTRACT

A clinical case is presented of a patient who was an apparently healthy man in his early twenties. He had avulsion of the scrotum and the skin of the distal portion of the penis at one cm of the gland, the testicles were denuded, but the vascular pedicles were: the penis with the integrity of the gland, the deep fascia and the albugineae tunic of the testicles, as well as the penis integrity of the urethral penis. Surgery was planned in two phases: the first, to cover the bleeding areas, and to conserve the testicles as a marsupial bag, the second to externalize the testicles, and to form scrotal bags correcting the scars of the perineum raphe, and to conserve the perineum thigh furrows. The result after two years of treatment is satisfactory conserving micturition, erection and penetration. The hormonal emotional-affective stratum and self-esteem were not significantly affected by the traumatism, or by surgeries, as the shape, location, and functions were preserved at nearly 100%.


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