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Postsurgical Pyoderma Gangrenosum After Penile Inversion Vaginoplasty: Case With Review of Diagnostic and Management
Michael M Talanker1, Jessica R Nye1, David T Mitchell1
1Division of Plastic Surgery, Department of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas.
Postsurgical pyoderma gangrenosum (PSPG) is a rare complication after vaginoplasty. Prompt diagnosis and immunosuppressive treatment led to successful healing without recurrence.
Area of Science:
- Genitourinary Surgery
- Dermatology
- Wound Healing
Background:
- Postsurgical pyoderma gangrenosum (PSPG) is an uncommon ulcerative complication.
- It typically affects breast surgery sites but can occur after other procedures.
Observation:
- A patient developed PSPG 10 days post-penile inversion vaginoplasty.
- Ulcers appeared on perineal wound edges despite an uncomplicated initial recovery.
Findings:
- Treatment with prednisone, cyclosporine, doxycycline, and ciprofloxacin rapidly improved ulceration.
- Immunosuppressive therapy converted purulent ulcers to healthy granulation tissue within 5 days.
Implications:
- This case underscores the need for prompt dermatological consultation for suspected PSPG.
- Early immunosuppression and avoiding further trauma are crucial for managing PSPG after vaginoplasty.
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