关键词: Gangrene Penile constriction ring Penile necrosis Penile reconstruction Split thickness skin graft

来  源:   DOI:10.1016/j.eucr.2024.102762   PDF(Pubmed)

Abstract:
Penile strangulation secondary to utilization of a constrictive ring is a rare urologic emergency that requires urgent decompression to prevent prolonged vascular obstruction resulting in necrosis and gangrene. Current literature is mainly comprised of case presentations that focus on management in the acute setting via removal of the ring. Herein, we describe surgical management of a patient who presents in delayed fashion after self-removal of the constrictive ring. We discuss our penectomy-sparing technique of debridement and split thickness skin graft.
摘要:
使用收缩环继发的阴茎绞窄是一种罕见的泌尿外科急症,需要紧急减压以防止长时间的血管阻塞导致坏死和坏疽。当前的文献主要包括案例介绍,这些案例介绍侧重于通过移除戒指在急性环境中的管理。在这里,我们描述了一名患者的手术治疗,该患者在自我摘除收缩环后以延迟的方式出现。我们讨论了清创和分层厚度皮肤移植的保留肺切除术技术。
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