CCL

Összesen 2 találat.
#/oldal:
Részletezés:
Rendezés:

1.

001-es BibID:BIBFORM116920
Első szerző:Murányi Mihály (urológus)
Cím:Recurrent penile paraffinoma treated by split-thickness skin grafting / Murányi Mihály, Flaskó Tibor
Dátum:2023
Megjegyzések:Introduction & Objectives: Penile paraffinoma has severe consequences, such as deformation, ulceration, and necrosis of the penile skin. Its treatment consists of removal of the affected tissue, followed by reconstruction of the penile skin. Repeated paraffin injection under the reconstructed penile skin is uncommon. We present a patient who had penile skin reconstruction with a scrotal skin flap, but after surgery, paraffin was injected into the penile skin again. Materials & Methods: The 56-year-old otherwise healthy man had undergone a two-stage Cecil penile skin reconstruction for paraffinoma 6 years earlier. The operation was successful, the scrotal skin flap on the penis recovered completely. 2 years later, paraffin was again injected under the reconstructed penile skin to increase the girth of the penis. The resultant sclerosing lipogranuloma caused severe penile swelling, deformity, and inability to have intercourse (Figure 1a). The paraffinoma involved skin was excised and replaced with split-thickness skin graft (STSG) harvested from the right thigh (Figure 1b). Postoperative sexual function was assessed using the International Index of Erectile Function (IIEF-5) questionnaire. Satisfaction with the appearance of the penis was evaluated with a 5-point scale question (How satisfied are you with the appearance of your penis? 1. very dissatisfied, 2. dissatisfied, 3. uncertain, 4. satisfied, 5. very satisfied). Results: The operation time was 175 minutes, length of stay after surgery was 5 days. STSG was fully adhered to the penile shaft. 3 months following surgery, the patient was able to have sexual intercourse, his IIEF-5 score was 19, and the question on the appearance of the penis was answered with a 5. Conclusions: To replace the damaged penile skin due to paraffinoma, the optimal tissue is scrotal skin. Due to its proximity to the penis, it can be used as a local flap, preserving the blood supply and innervation of the flap. In addition, its colour and elasticity are similar to the penile skin. However, the scrotal flap cannot be used if the right size is not available or if it has been used before, as in this case. In such situations, the use of STSG is a reasonable option. STSG has no size limit, a graft can be obtained from the thigh for practically any size penis. Another advantage of STSG over scrotal skin flaps is that no hair grows on the penis after reconstruction.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idézhető absztrakt
folyóiratcikk
Megjelenés:European Urology Open Science. - 57 : Suppl. 2 (2023), p. S452-S453. -
További szerzők:Flaskó Tibor (1960-) (urológus)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

2.

001-es BibID:BIBFORM109089
Első szerző:Murányi Mihály (urológus)
Cím:Functional outcomes of glansectomy and reconstruction with split-thickness skin graft / Murányi M., Domoszlai A., Drabik Gy., Flaskó T.
Dátum:2022
ISSN:2666-1683
Megjegyzések:Introduction & Objectives: Surgical treatment of primary penile tumour aims to preserve the function of the penis in addition to oncological efficacy. Glansectomy and reconstruction with split-thickness skin graft (STSG) is a popular method to spare the penis. Our aim was to assess surgical outcomes and preservation of penile function following glans reconstruction with STSG. Materials & Methods: Between 2017 and 2021, 6 glans reconstructions with STSG were performed after partial (2) or total glansectomy (4) due to penile cancer (5) or premalignant lesion (1) at our department. Length of surgery, length of hospital stay, complications, surgical margins and tumour recurrence were studied retrospectively. Penile function was evaluated by the International Index of Erectile Function (IIEF-5) questionnaire; a question about satisfaction with appearance of the penis (1: very unsatisfied, 2: unsatisfied, 3: uncertain, 4: satisfied, 5: very satisfied) and a question regarding ability to urinate while standing (yes/no). Data from the 6 patients (group A) who underwent glans reconstruction were compared with data from 11 patients (group B) who underwent partial or total glansectomy without reconstruction between 2011 and 2021 and 15 patients (group C) who underwent penile amputation between 2011 and 2021 at our department. During the questionnaire survey, data from patients in groups A and B who subsequently underwent amputation due to surgical margin positivity or recurrence were classified in group C. Results: The mean age of the patients was 59.7 ? 20.3, 63.8 ? 11.8 and 62.6 ? 11.5 years; mean operating times were 139.5 ? 13.8, 69.1 ? 27.8 and 102.2 ? 43.1 minutes; mean length of hospital stay were 7.7 ? 1.6, 2.9 ? 1.8 and 6.3 ? 5.6 days in groups A, B and C, respectively. 0, 1 (total urinary retention) and 2 (wound-edge bleeding and wound infection) complications occurred in the postoperative period; surgical margin positivity was observed in 1, 5 and 0 cases, tumour recurrence was found in 0, 2 and 3 cases in groups A, B and C, respectively. 100%, 67% and 47% of patients responded to the questionnaire on an average of 2.8 ? 1.4, 7.2 ? 3.0 and 5.2 ? 3.2 years after surgery in groups A, B and C, respectively. The mean IIEF-5 questionnaire scores were 21.4 ? 3.6, 7.5 ? 8.3 and 4.4 ? 5.8; for the question on the satisfaction with appearance of the penis, the mean scores were 4.2 ? 0.8, 2.8 ? 1.2 and 2.6 ? 1.4 in groups A, B and C, respectively. 100%, 100% and 56% of patients in groups A, B and C can urinate while standing. Conclusions: Glansectomy and reconstruction with STSG is a more complex surgical intervention compared to glansectomy and penile amputation without reconstruction. Thanks to this, the duration of the operation and the period of hospital stay are also longer. However, after glans reconstruction, patients are not only more satisfied with the appearance of the penis, but their sexual function is also better.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idézhető absztrakt
folyóiratcikk
Megjelenés:European Urology Open Science. - 44 : Suppl. 3 (2022), p. S242. -
További szerzők:Domoszlai A. Drabik Gyula (1978-) (urológus, andrológus) Flaskó Tibor (1960-) (urológus)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Rekordok letöltése1