Circumferential penile defect reconstruction with pull-up double-opposing keystone-designed perforator island flaps:...

Area of Science:

• Urology
• Plastic Surgery
• Reconstructive Surgery

Background:

• Reconstructing penile defects presents significant challenges due to the lack of universally accepted methods.
• This case report details a novel approach for circumferential penile shaft defect repair.

Observation:

• A 43-year-old male presented with complications following petroleum jelly injection, leading to wound dehiscence and skin necrosis.
• A large, circumferential penile defect (5.5 × 12 cm) resulted after debridement.

Findings:

• The defect was successfully reconstructed using bilateral pull-up double-opposing keystone-designed perforator island flaps (KDPIFs).
• The flaps achieved complete survival with no postoperative complications.
• A 6-month follow-up confirmed no erectile dysfunction or penile shortening.

Implications:

• This technique provides a viable and effective option for extensive penile defect reconstruction.
• The use of KDPIFs offers both aesthetic and functional restoration in complex cases.
• This case highlights a potential advancement in penile reconstructive surgery.