Alternative surgical management of penile siliconoma using partial degloving and resurfacing

Autor: Manuel Belmonte Chico Goerne, Abdulghani Khogeer, Peter Davison, Serge Carrier, Melanie Aubé-Peterkin
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Archivio Italiano di Urologia e Andrologia (2023)
Druh dokumentu: article
ISSN: 1124-3562
2282-4197
79666841
DOI: 10.4081/aiua.2023.11150
Popis: Introduction: Siliconoma represents an inflammatory tissue response to extravasated silicone. Penile enhancing silicone injections have been described for over 50 years. Most of the publications report complications including negative effects on penile appearance and function which require corrective procedures. Penile circumferential skin and siliconoma excision with skin grafting has been described in multiple case reports and series as an effective and feasible option to remove the silicone and achieve good esthetic results. Methods: We describe a simple and feasible single stage proce-dure removing the siliconoma with adjacent non-viable skin while preserving 50% of healthy penile skin and resurfacing the defect with a split-thickness skin graft to treat a long-term com-plication of penile silicone injection associated with recurrent infections and a chronic skin ulceration. Conclusion: Partial excision of the affected penile skin and sili-conoma with defect resurfacing with a split-thickness skin graft is a feasible with good functional and cosmetic outcomes.
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