The inner prepuce flap for penile scald burns.

Area of Science:

• Reconstructive surgery
• Burn management
• Urology

Background:

• Full-thickness penile shaft burns are rare and pose significant reconstructive challenges.
• Inner preputial skin shares characteristics with penile shaft skin, suggesting its potential for reconstruction.

Observation:

• A retrospective review of three pediatric patients with full-thickness penile burns treated with inner preputial flaps was conducted.
• Patients sustained varying degrees of scald and grease burns, with intact inner prepuces utilized for reconstruction.

Findings:

• Inner preputial skin flaps, based on Dartos fascia, successfully resurfaced full-thickness penile shaft burns.
• This technique provided a unique gliding and stretchable surface cover, crucial for penile function and aesthetics.

Implications:

• Inner preputial skin is a valuable, often spared, resource for reconstructing penile shaft defects.
• This flap technique offers an advantageous solution for challenging penile burn cases, preserving function and improving outcomes.