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Penis/Scrotum Reconstruction Example
46 year old male with congenital lymphedema (blockage of lymph drainage in the tissues) of the genitals and lower extremity. His scrotum was massively enlarged, whereas his penis was only moderately involved. The entire skin and tissues of the scrotum
were removed except for the testicles, which were not involved. A split thickness skin graft was placed on the testicles to reconstruct the scrotum. The penis was not reconstructed except for a portion on the underside near his scrotum.
53 year old male who had a hidden penis and then developed
chronic inflammation of the penile skin and head of the penis. The penile
skin ulcerated and scarred causing chronic pain, inability to pull his
penis out of his pubic fat, and inability to have sexual intercourse. He
had to sit to urinate and could not void with a stream. The patient
underwent removal of suprapubic fat with tacking, excision of all penile
shaft skin, and placement of a thick split thickness skin graft. His pain
is now gone, and he can now void while standing and have sexual
45 year old male with a severe buried penis with
inability to pull out his penis. He had massive weight loss after gastric
bypass surgery. The penile skin was damaged from chronic inflammation and
dampness. He had previous unsuccessful attempts to correct the buried
penis by other physicians. I performed a suprapubic excision of excess
skin and fat, tacking of the pubic tissues to the underlying fascia,
excision of all his damaged penile skin, and grafting of thigh skin onto
the penis. The photos are 3 months postoperation. The residual penile
swelling will decrease over the next 1-2 years.
Copyright © 2004 Board
Certified Beverly Hills Plastic Surgeon & Board Certified Urologist Gary J. Alter, MD,
Beverly Hills, CA