chondroitin-sulfates and Penile-Diseases

Lymphangiomatosis is a rare disease affecting lymphatic vessels that causes a marked increase of them in the affected area. The final objective of treatment of the genital disease is to preserve sexual function and voiding with a satisfactory aesthetic result with the aim to minimize the emotional impact.. For the first time in children, we report a case of local reconstruction using artificial dermis after the excision of a genital lymphatic malformation in an eight year old patient.. We performed surgical excision of the lymphatic malformation genital component and reconstruction of the scrotal and penile area in two steps, using an autologous graft over artificial dermis. No complications were registered. Both aesthetic and functional results were excellent, and spontaneous erections that were not present before, were also evidenced. No local recurrence was seen at two year follow up.. The use of artificial dermis for genital surface reconstruction enables radical excision of tissues involved by diffuse lymphangiomatosis in this location. Surgical technique is simple, postoperative care is easy, being ambulatory care feasible. Final result is an elastic, fine skin, very satisfactory aesthetically, and functionally normal, which even keeps local sensitivity. In the long term, this will benefit the sexual field, so damaged in this patients.

Topics: Child; Chondroitin Sulfates; Collagen; Genital Diseases, Male; Humans; Lymphangiectasis; Male; Penile Diseases; Plastic Surgery Procedures; Scrotum; Urologic Surgical Procedures, Male

Necrotising fasciitis of the external genitalia following routine circumcision is uncommon. We describe reconstruction of the scrotum with local perforator flaps and a dermal regeneration template (Integra) to cover the penile shaft after debridement. Lotus petal flaps were originally designed to cover vulvo-vaginal defects, but in this instance integrated well with the remaining scrotal sac to produce a good volume neoscrotum for testicular cover. Integra creates an acceptable neodermis usually to cover areas of debrided full thickness burns. In this case, Integra adequately replaced the mobile dermal layer over Bucks fascia over the penis to create a pliable and cosmetically acceptable result with erectile capability.

Topics: Abdominal Wall; Adult; Chondroitin Sulfates; Circumcision, Male; Collagen; Fasciitis, Necrotizing; Humans; Male; Penile Diseases; Penis; Plastic Surgery Procedures; Scrotum; Streptococcal Infections; Surgical Flaps; Treatment Outcome

Topics: Chondroitin Sulfates; Collagen; Humans; Male; Middle Aged; Mineral Oil; Penile Diseases; Penis