Pediatric penile reconstruction using autologous split-thickness skin graft

Area of Science:

• Urology
• Pediatric Surgery
• Reconstructive Surgery

Background:

• Penile entrapment is a rare complication following circumcision, often due to excessive skin removal.
• Reconstruction may be necessary to restore penile anatomy and function.

Purpose of the Study:

• To present a case report on pediatric penile reconstruction using autologous split-thickness skin graft (STSG).
• To detail the technical aspects and key considerations for successful STSG in this context.

Main Methods:

• Autologous split-thickness skin graft (STSG) harvested from the lateral thigh using a dermatome.
• Meticulous hemostasis and elimination of redundant tissue to ensure graft adherence.
• Application of a pressure dressing or bolster for 5 days to promote graft uptake.

Main Results:

• Successful reconstruction of the penis using STSG.
• Demonstrated importance of infection prevention, graft-to-wound bed contact, and appropriate dressing techniques.
• Highlighted the risk of lymphedema with excessive distal skin excision.

Conclusions:

• Autologous STSG is a viable option for pediatric penile reconstruction after entrapment.
• Careful surgical technique, including adequate hemostasis and graft fixation, is essential.
• Preventing excessive distal skin excision is crucial to avoid complications like lymphedema.