J 2024

Penile burn reconstruction after self-mutilation using electrothermal device-a case report

HOKYNKOVÁ, Alica, Petr ŠÍN, Gabriela MICHALČÁKOVÁ, Aleš ČERMÁK, Andrea POKORNÁ et. al.

Basic information

Original name

Penile burn reconstruction after self-mutilation using electrothermal device-a case report

Authors

HOKYNKOVÁ, Alica (703 Slovakia, belonging to the institution), Petr ŠÍN (203 Czech Republic, belonging to the institution), Gabriela MICHALČÁKOVÁ (703 Slovakia, belonging to the institution), Aleš ČERMÁK (203 Czech Republic, belonging to the institution) and Andrea POKORNÁ (203 Czech Republic, belonging to the institution)

Edition

Burns Open, Amsterdam, Elsevier, 2024, 2468-9122

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Netherlands

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Organization unit

Faculty of Medicine

Keywords in English

Penile burn; Case report; Plastic surgery; Self-mutilation; Multidisciplinary treatment

Tags

Tags

International impact, Reviewed
Změněno: 19/8/2024 13:13, Mgr. Tereza Miškechová

Abstract

V originále

Introduction Isolated genital burns are not frequent injuries; more often, they are part of larger surface-area burn injuries. Aetiology and mechanisms of genital burn injuries differ regarding country, age and patients’ socioeconomic status. Aim The aim is to describe a rare case report of a 69-year-old man who incurred a deep penile burn after using an electrothermal sexual device. Methods The patient was admitted to the Department of Urology (blinded for review) with deep penile burn a week after the injury. Debridement, conservative therapy, and deferred reconstruction due to extensive lymphoedema were performed. Due to numerous small, contracted skin scars of penile corpus arising from multiple healed burns caused by self-mutilation by repeatedly using an electrothermal sexual device, the penile defect reconstruction was performed. A local ventral foreskin skin flap in combination with a full split-thickness graft was done in order to avoid extensive scar contracture with possible penile deviation. Results There were no complications in postoperative care in the follow-up period of 26 months, with satisfactory aesthetical and functional results. Conclusion In the case of penile wounds, the reconstruction technique depends on the injury's size, depth and localisation of the damage.