Abstract：
To analyze surgical and functional outcomes of bilateral pedicled scrotal flaps for penile shaft reconstruction.
A retrospective analysis was performed on 22 patients who underwent penile shaft reconstruction with bilateral pedicled scrotal flaps between 2009 and 2017. Demographics, peri-operative data, and surgical complications were collected. Functional outcomes were analyzed using a questionnaire made of the erection hardness score, the patient and observer scar assessment scale, and a 10-point Likert scale measuring patients... satisfaction about their skin coloration, sensitivity, elasticity and thickness, penile size, scrotal volume, erection quality, penetration ability, pain, sexual satisfaction, body image, masculinity, self-esteem, and global satisfaction.
Patients exhibited a wide range of indications, including buried penis (27.2%), or subcutaneous injections of foreign material (27.2%). Early complications were suture dehiscence (31.8%), infection (13.6%) and hematoma (4.6%), associated with 9.1% of surgical revisions. Late complications were skin retraction (27.3%), testicular ascension (22.7%), pyramidal shape (4.6%) or shortening (13.6%) of the penis, associated with 27.3% of surgical revisions. For the 12 patients who answered the questionnaire, median erection hardness score and patient and observer scar assessment scale score [IQR] were 3.5 out of 4 [2.5-4] and 11.5 out of 60 [9.5-22], respectively. The patients reported a positive impact of the surgery on their psychological condition, with a median score of global satisfaction of 8 [IQR 7.5-9.5].
Bilateral pedicled scrotal flaps seem.ßto be a safe alternative for shaft defects reconstruction despite a potential need of surgical revision, providing satisfactory functional outcomes.
A retrospective analysis was performed on 22 patients who underwent penile shaft reconstruction with bilateral pedicled scrotal flaps between 2009 and 2017. Demographics, peri-operative data, and surgical complications were collected. Functional outcomes were analyzed using a questionnaire made of the erection hardness score, the patient and observer scar assessment scale, and a 10-point Likert scale measuring patients... satisfaction about their skin coloration, sensitivity, elasticity and thickness, penile size, scrotal volume, erection quality, penetration ability, pain, sexual satisfaction, body image, masculinity, self-esteem, and global satisfaction.
Patients exhibited a wide range of indications, including buried penis (27.2%), or subcutaneous injections of foreign material (27.2%). Early complications were suture dehiscence (31.8%), infection (13.6%) and hematoma (4.6%), associated with 9.1% of surgical revisions. Late complications were skin retraction (27.3%), testicular ascension (22.7%), pyramidal shape (4.6%) or shortening (13.6%) of the penis, associated with 27.3% of surgical revisions. For the 12 patients who answered the questionnaire, median erection hardness score and patient and observer scar assessment scale score [IQR] were 3.5 out of 4 [2.5-4] and 11.5 out of 60 [9.5-22], respectively. The patients reported a positive impact of the surgery on their psychological condition, with a median score of global satisfaction of 8 [IQR 7.5-9.5].
Bilateral pedicled scrotal flaps seem.ßto be a safe alternative for shaft defects reconstruction despite a potential need of surgical revision, providing satisfactory functional outcomes.
摘要：
目的：分析双侧带蒂阴囊皮瓣重建阴茎干的手术和功能结果。
方法：回顾性分析2009年至2017年22例采用双侧带蒂阴囊皮瓣行阴茎干重建术的患者。人口统计,围手术期数据,收集手术并发症。使用由勃起硬度评分组成的问卷分析功能结果，患者和观察者的疤痕评估量表，和10点Likert量表测量患者对皮肤颜色的满意度，灵敏度,弹性和厚度，阴茎大小,阴囊体积,安装质量,穿透能力，疼痛,性满意度,身体形象，阳刚之气,自尊,全球满意度。
结果：患者表现出广泛的适应症，包括掩埋阴茎(27.2%),或皮下注射异物（27.2%）。早期并发症为缝线裂开(31.8%),感染（13.6%）和血肿（4.6%），与9.1%的手术翻修相关。晚期并发症为皮肤回缩（27.3%），睾丸升高（22.7%），锥体形状（4.6％）或缩短（13.6％）的阴茎，与27.3%的手术翻修有关。对于回答问卷的12名患者，中位勃起硬度评分和患者和观察者瘢痕评估量表评分[IQR]为4分之3.5[2.5-4]和60分之11.5[9.5-22]，分别。患者报告说手术对他们的心理状况有积极的影响，全球满意度中位数为8[IQR7.5-9.5]。
结论：双侧带蒂阴囊瓣似乎是轴缺损重建的安全选择，尽管可能需要手术翻修，提供令人满意的功能结果。
方法：回顾性分析2009年至2017年22例采用双侧带蒂阴囊皮瓣行阴茎干重建术的患者。人口统计,围手术期数据,收集手术并发症。使用由勃起硬度评分组成的问卷分析功能结果，患者和观察者的疤痕评估量表，和10点Likert量表测量患者对皮肤颜色的满意度，灵敏度,弹性和厚度，阴茎大小,阴囊体积,安装质量,穿透能力，疼痛,性满意度,身体形象，阳刚之气,自尊,全球满意度。
结果：患者表现出广泛的适应症，包括掩埋阴茎(27.2%),或皮下注射异物（27.2%）。早期并发症为缝线裂开(31.8%),感染（13.6%）和血肿（4.6%），与9.1%的手术翻修相关。晚期并发症为皮肤回缩（27.3%），睾丸升高（22.7%），锥体形状（4.6％）或缩短（13.6％）的阴茎，与27.3%的手术翻修有关。对于回答问卷的12名患者，中位勃起硬度评分和患者和观察者瘢痕评估量表评分[IQR]为4分之3.5[2.5-4]和60分之11.5[9.5-22]，分别。患者报告说手术对他们的心理状况有积极的影响，全球满意度中位数为8[IQR7.5-9.5]。
结论：双侧带蒂阴囊瓣似乎是轴缺损重建的安全选择，尽管可能需要手术翻修，提供令人满意的功能结果。
