Abstract：
To report outcomes of surgical treatment in patients with penile foreign body granuloma and compare surgical outcomes between single- and two-stage scrotal flap reconstructions.
Medical records of patients with penile foreign body granuloma who underwent surgical treatment were reviewed. Patients with single- and two-stage scrotal flap reconstructions were compared.
Forty-two patients underwent surgical treatment from January 1, 2018 to October 31, 2022. Twenty-three patients underwent single-stage reconstruction with bilateral scrotal flap while 12 patients underwent two-stage repair with 19 operations. Five patients underwent circumcision; one had excision with primary closure. Another patient underwent reconstruction by penile skin preservation technique. There was no statistically significant differences between single- and two-stage groups in wound infection (8.69% vs. 0%, RR 2.71, 95%CI; 0.14-52.29), wound dehiscence (21.74% vs. 8.33%, RR 2.61, 95%CI 0.34-19.87), reoperation rate (26.08% vs. 8.33%, RR 3.13, 95%CI; 0.42-23.10). Postoperative fever was significantly higher in single-stage group (56.52 vs. 8.33%, RR 6.78, 95%CI; 1.01-43.83). Total length of hospital stay was shorter in single-stage group (7.43 ± 3.19 days vs. 10.86 ± 1.57 days, MD -3.42, 95%CI; -5.28 to -1.57). Incidence of patients without Clavien-Dindo surgical complications was significantly lower in single-stage group (43.48% vs. 83.33%, RR 0.53, 95%CI; 0.31-0.89).
Both single- and two-stage techniques may be considered for penile foreign body granuloma reconstruction. Although the hospital stay was longer in two-stage group, the complication rates were lower.
Medical records of patients with penile foreign body granuloma who underwent surgical treatment were reviewed. Patients with single- and two-stage scrotal flap reconstructions were compared.
Forty-two patients underwent surgical treatment from January 1, 2018 to October 31, 2022. Twenty-three patients underwent single-stage reconstruction with bilateral scrotal flap while 12 patients underwent two-stage repair with 19 operations. Five patients underwent circumcision; one had excision with primary closure. Another patient underwent reconstruction by penile skin preservation technique. There was no statistically significant differences between single- and two-stage groups in wound infection (8.69% vs. 0%, RR 2.71, 95%CI; 0.14-52.29), wound dehiscence (21.74% vs. 8.33%, RR 2.61, 95%CI 0.34-19.87), reoperation rate (26.08% vs. 8.33%, RR 3.13, 95%CI; 0.42-23.10). Postoperative fever was significantly higher in single-stage group (56.52 vs. 8.33%, RR 6.78, 95%CI; 1.01-43.83). Total length of hospital stay was shorter in single-stage group (7.43 ± 3.19 days vs. 10.86 ± 1.57 days, MD -3.42, 95%CI; -5.28 to -1.57). Incidence of patients without Clavien-Dindo surgical complications was significantly lower in single-stage group (43.48% vs. 83.33%, RR 0.53, 95%CI; 0.31-0.89).
Both single- and two-stage techniques may be considered for penile foreign body granuloma reconstruction. Although the hospital stay was longer in two-stage group, the complication rates were lower.
摘要：
目的：报告阴茎异物肉芽肿患者的手术治疗结果，并比较单阶段和两阶段阴囊皮瓣重建的手术结果。
方法：回顾性分析接受手术治疗的阴茎异物肉芽肿患者的病历。比较了单期和两期阴囊皮瓣重建的患者。
结果：从2018年1月1日至2022年10月31日，42例患者接受了手术治疗。23例患者接受了双侧阴囊皮瓣的单期重建，而12例患者接受了19例手术的两期修复。五名患者接受了包皮环切术；其中一名进行了初次闭合切除。另一名患者通过阴茎皮肤保存技术进行了重建。在伤口感染方面，单阶段组和两阶段组之间没有统计学上的显着差异（8.69％vs.0%,RR2.71，95CI；0.14-52.29)，伤口裂开（21.74%vs.8.33%，RR2.61，95CI0.34-19.87)，再手术率（26.08%vs.8.33%，RR3.13，95CI；0.42-23.10）。单阶段组术后发热明显高于对照组（56.52vs.8.33%，RR6.78，95CI；1.01-43.83）。单阶段组的总住院时间较短（7.43±3.19天vs.10.86±1.57天，MD-3.42，95CI；-5.28至-1.57）。单阶段组无Clavien-Dindo手术并发症的患者的发生率显着降低（43.48％vs.83.33%,RR0.53，95CI；0.31-0.89）。
结论：单阶段和两阶段技术均可用于阴茎异物肉芽肿重建。尽管两阶段组的住院时间更长，并发症发生率较低。
方法：回顾性分析接受手术治疗的阴茎异物肉芽肿患者的病历。比较了单期和两期阴囊皮瓣重建的患者。
结果：从2018年1月1日至2022年10月31日，42例患者接受了手术治疗。23例患者接受了双侧阴囊皮瓣的单期重建，而12例患者接受了19例手术的两期修复。五名患者接受了包皮环切术；其中一名进行了初次闭合切除。另一名患者通过阴茎皮肤保存技术进行了重建。在伤口感染方面，单阶段组和两阶段组之间没有统计学上的显着差异（8.69％vs.0%,RR2.71，95CI；0.14-52.29)，伤口裂开（21.74%vs.8.33%，RR2.61，95CI0.34-19.87)，再手术率（26.08%vs.8.33%，RR3.13，95CI；0.42-23.10）。单阶段组术后发热明显高于对照组（56.52vs.8.33%，RR6.78，95CI；1.01-43.83）。单阶段组的总住院时间较短（7.43±3.19天vs.10.86±1.57天，MD-3.42，95CI；-5.28至-1.57）。单阶段组无Clavien-Dindo手术并发症的患者的发生率显着降低（43.48％vs.83.33%,RR0.53，95CI；0.31-0.89）。
结论：单阶段和两阶段技术均可用于阴茎异物肉芽肿重建。尽管两阶段组的住院时间更长，并发症发生率较低。
