Extensive penile skin defect: Difference between revisions

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'''Extensive penile skin defects/avulsion''' are unfortunate occurrences of male [[circumcision]]. Avulsion is the forcible tearing away of a body part by trauma or surgery.<ref>{{REFweb
'''Extensive penile skin defects''' and '''[[avulsion]]s''' are unfortunate occurrences of male [[circumcision]]. [[Avulsion]] is the forcible tearing away of a body part by [[trauma]] or surgery.<ref>{{REFweb
  |url=https://medical-dictionary.thefreedictionary.com/avulsion
  |url=https://medical-dictionary.thefreedictionary.com/avulsion
|title=Avulsion
|publisher=The Free Dictionary
|date=2004
|accessdate=2022-01-23
}}</ref>
Bode et al. (2010) reported 23 very serious injuries from proximal migration of the [[Plastibell]] circumcision ring. There was extensive skin loss in 17 (74%) babies. [[Urethral fistula| Urethrocutaneous fistulae]] were the result in nine (39%) of these cases, while partial [[necrosis]] of the [[glans penis]] occurred in four (17%).<ref name="bode2010">{{REFjournal
|last=Bode
|first=
|init=CO
|author-link=
|last2=Ikhisemojie
|first2=
|init2=S
|author2-link=
|last3=Ademuyiwa
|first3=
|init3=AO
|author3-link=
|etal=no
|title=Penile injuries from proximal migration of the Plastibell circumcision ring
|journal=J Pediatr Urol
|location=
|date=2010-02
|volume=6
|issue=1
|article=
|page=
|pages=23-7
|url=https://www.sciencedirect.com/science/article/abs/pii/S1477513109003556
  |archived=
  |archived=
  |title=Avulsion
  |quote=
  |trans-title=
  |pubmedID=19570722
  |language=
|pubmedCID=
  |last=
|DOI=10.1016/j.jpurol.2009.05.011
  |accessdate=2022-01-13
}}</ref>
 
Osifo & Oriaifo (2010) reported on 346 [[complication]]s of child [[circumcision]] in Nigeria. Urethrocutaneous fistula (73, [21.1%]), redundant [[prepuce]] (51, [14.7%]), [[haemorrhage]] (46, [13.3%]), glandular injury (33, [9.5%]), glandulopenile adhesion (30, [8.7%]), implantation cyst (10, [2.9%]) [figure 1], proximal migration of plastibell ring (11, [3.2%]) and penile tissues avulsions (17, [4.9%]) were more commonly seen than glandular amputations (9, [2.6%]), transmission of infection (4, [1.2%]), local wound [[infection]]s and penopubic adhesion (2, [0.6%]).<ref name="osifo2010">{{REFjournal
  |last=Osifo
  |first=
  |first=
|init=OD
  |author-link=
  |author-link=
  |publisher=The Free Dictionary
  |last2=Oriaifo
  |website=
  |first2=
  |date=2004
|init2=IA
|author2-link=
|etal=no
|title=Circumcision mishaps in Nigerian children
|journal=Ann Afr Med
|location=
  |date=2009-10
|volume=8
|issue=4
|article=
|page=
|pages=266-70
|url=https://www.annalsafrmed.org/article.asp?issn=1596-3519;year=2009;volume=8;issue=4;spage=266;epage=270;aulast=Osifo
|archived=
|quote=
|pubmedID=20139551
|pubmedCID=
|DOI=10.4103/1596-3519.59583
  |accessdate=2022-01-23
  |accessdate=2022-01-23
  |format=
}}</ref>
 
Gao & Qu (2019) presented the case of a 31-year-old man who presented with extensive defects in his [[penile skin]], [[infection]], and [[necrosis]] following a [[Adolescent and adult circumcision| circumcision]]. A reverse bilateral anterior [[Scrotal skin|scrotal flap]] was used to correct complete [[penile skin]] loss following debridement of the infected and [[Necrosis|necrotic tissue]].<ref name="gao2019">{{REFjournal
|last=Gao
|first=
|init=QG
|author-link=
|last2=Qu
|first2=
|init2=W
|author2-link=
|etal=no
|title=Penile resurfacing using a reverse bilateral anterior scrotal artery flap
|journal= Medicine (Baltimore)
|location=
|date=2019-12
|volume=98
|issue=49
|article=
|page=:e18106
|pages=
|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919477/
  |archived=
  |quote=
  |quote=
|pubmedID=31804321
|pubmedCID=6919477
|DOI=10.1097/MD.0000000000018106.
|accessdate=2022-01-23
}}</ref>
}}</ref>


{{REF}}


{{REF}}
[[Category:Circumcision complication]]
[[Category:Circumcision term]]


[[Category:Term]]
[[de:Ausgedehnter Penishautdefekt]]
[[Category:Circumcision complications]]

Latest revision as of 05:50, 18 August 2023

Extensive penile skin defects and avulsions are unfortunate occurrences of male circumcision. Avulsion is the forcible tearing away of a body part by trauma or surgery.[1]

Bode et al. (2010) reported 23 very serious injuries from proximal migration of the Plastibell circumcision ring. There was extensive skin loss in 17 (74%) babies. Urethrocutaneous fistulae were the result in nine (39%) of these cases, while partial necrosis of the glans penis occurred in four (17%).[2]

Osifo & Oriaifo (2010) reported on 346 complications of child circumcision in Nigeria. Urethrocutaneous fistula (73, [21.1%]), redundant prepuce (51, [14.7%]), haemorrhage (46, [13.3%]), glandular injury (33, [9.5%]), glandulopenile adhesion (30, [8.7%]), implantation cyst (10, [2.9%]) [figure 1], proximal migration of plastibell ring (11, [3.2%]) and penile tissues avulsions (17, [4.9%]) were more commonly seen than glandular amputations (9, [2.6%]), transmission of infection (4, [1.2%]), local wound infections and penopubic adhesion (2, [0.6%]).[3]

Gao & Qu (2019) presented the case of a 31-year-old man who presented with extensive defects in his penile skin, infection, and necrosis following a circumcision. A reverse bilateral anterior scrotal flap was used to correct complete penile skin loss following debridement of the infected and necrotic tissue.[4]

References

  1. REFweb (2004). Avulsion, The Free Dictionary. Retrieved 23 January 2022.
  2. REFjournal Bode CO, Ikhisemojie S, Ademuyiwa AO. Penile injuries from proximal migration of the Plastibell circumcision ring. J Pediatr Urol. February 2010; 6(1): 23-7. PMID. DOI. Retrieved 13 January 2022.
  3. REFjournal Osifo OD, Oriaifo IA. Circumcision mishaps in Nigerian children. Ann Afr Med. October 2009; 8(4): 266-70. PMID. DOI. Retrieved 23 January 2022.
  4. REFjournal Gao QG, Qu W. Penile resurfacing using a reverse bilateral anterior scrotal artery flap. Medicine (Baltimore). December 2019; 98(49): :e18106. PMID. PMC. DOI. Retrieved 23 January 2022.