Two-Staged Scrotal Tunnel Flap Repair: Treatment of Self-administered Penile Injection
Keywords:
Penile injection, scrotal tunnel flap, self-administeredAbstract
Objective: The numbers of patients, suffered from complications of self-administered penile injection, increase every year. We present 2-staged scrotal tunnel flap repair to solve their problems.
Methods: From August 2002-May 2004, we performed 8 cases by this technique. All the patients used olive oil injections except one who misused formalin injection. The case with previous bead-embedded penile skin was included. The first stage operation, the excised skin lesion penis was buried to subscrotal tunnel. Three months later, the second stage operations, flap detachment, were managed in 3 styles: 4 cases by linear incision, 2 cases by W-shapes incision and the last 2 cases by Z-plasty incision orderly.
Results: All of the cases, the flaps were healthy and the wounds had neither dehiscence nor infection. The patients had normal sensation and painless erection.
Conclusion: We have found that the 2-staged scrotal tunnel flap repair especially Z-plasty style is a simple operation that regains satisfied function and cosmetic outcome to the complicated self-administered penile injection patient.
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