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Abstract：
BACKGROUND: Genitalia are linked to self-esteem and male sexual identity, especially among young men, who sometimes require a surgical procedure to acquire more confidence. Among the surgical procedures requested for aesthetical purposes, circumcision is one of the most popular. Although it can be considered to be a simple surgical practice, it may cause severe complications such as penile skin necrosis.
METHODS: We report a case of a catastrophic situation after a circumcision performed on a 27-year-old HIV positive man resulted in a drastic reduction in the length of the penile shaft due to extensive skin loss; this was subsequently restored using dartos-fascio-myo-cutaneous flaps. Primary healing occurred in 10days. No infection, dehiscence or flap ischemia were reported. Donor site morbidity was minimal. An adequate aesthetical appearance and satisfactory functional results were obtained.
CONCLUSIONS: Various techniques are available for penile skin covering, such as skin grafts or cutaneous flaps. The skin of the scrotum seems to be the most suitable tissue to be used to reconstruct the skin covering of the shaft as it is the most similar. Dartos-fascio-myo-cutaneous flap is a single stage procedure that is easy and safe to perform. It can provide satisfactory cosmetic and functional results, offering a large amount of tissue, with minimal donor site morbidity.
METHODS: We report a case of a catastrophic situation after a circumcision performed on a 27-year-old HIV positive man resulted in a drastic reduction in the length of the penile shaft due to extensive skin loss; this was subsequently restored using dartos-fascio-myo-cutaneous flaps. Primary healing occurred in 10days. No infection, dehiscence or flap ischemia were reported. Donor site morbidity was minimal. An adequate aesthetical appearance and satisfactory functional results were obtained.
CONCLUSIONS: Various techniques are available for penile skin covering, such as skin grafts or cutaneous flaps. The skin of the scrotum seems to be the most suitable tissue to be used to reconstruct the skin covering of the shaft as it is the most similar. Dartos-fascio-myo-cutaneous flap is a single stage procedure that is easy and safe to perform. It can provide satisfactory cosmetic and functional results, offering a large amount of tissue, with minimal donor site morbidity.
摘要：
背景：生殖器与自尊和男性性别认同有关，尤其是在年轻人中，他们有时需要外科手术来获得更多的信心。在出于美学目的而要求的外科手术中，包皮环切术是最受欢迎的。虽然它可以被认为是一种简单的外科手术，它可能导致严重的并发症，如阴茎皮肤坏死。
方法：我们报告了一例对一名27岁的HIV阳性男性进行包皮环切术后的灾难性情况，由于广泛的皮肤损失，阴茎轴的长度急剧减少；随后使用dartos-筋膜-肌-皮肤皮瓣修复。主要愈合发生在10天。没有感染,报告了裂开或皮瓣缺血。供体部位发病率最低。获得了足够的美学外观和令人满意的功能结果。
结论：各种技术可用于阴茎皮肤覆盖，如皮肤移植物或皮瓣。阴囊的皮肤似乎是最适合用于重建轴的皮肤覆盖物的组织，因为它是最相似的。Dartos-筋膜-肌皮瓣是一个简单而安全的单阶段程序。它可以提供令人满意的化妆品和功能效果，提供大量的组织，供体部位发病率最低。
方法：我们报告了一例对一名27岁的HIV阳性男性进行包皮环切术后的灾难性情况，由于广泛的皮肤损失，阴茎轴的长度急剧减少；随后使用dartos-筋膜-肌-皮肤皮瓣修复。主要愈合发生在10天。没有感染,报告了裂开或皮瓣缺血。供体部位发病率最低。获得了足够的美学外观和令人满意的功能结果。
结论：各种技术可用于阴茎皮肤覆盖，如皮肤移植物或皮瓣。阴囊的皮肤似乎是最适合用于重建轴的皮肤覆盖物的组织，因为它是最相似的。Dartos-筋膜-肌皮瓣是一个简单而安全的单阶段程序。它可以提供令人满意的化妆品和功能效果，提供大量的组织，供体部位发病率最低。
