使用填充剂注射增加阴茎越来越受欢迎;然而,可能会出现异物反应等并发症,导致阴茎溃疡和坏死等问题,随后需要重建。现有的阴茎重建方法主要旨在填补赤字。在本文中,我们描述了一个病例,其中阴囊皮瓣和自体扩增被用来治疗由阴茎填充剂注射后延迟感染引起的软组织缺损。病人,一个41岁的男性,收到了Aquafilling®(Biomedica,布拉格,捷克共和国)填充剂注射在七年前和七年后发展为延迟感染。清创术后,阴茎缺陷跨越了整个轴,松弛阴茎的周长为7.5厘米。使用双侧阴囊皮瓣技术,去上皮化后,两个皮瓣的下缘均向内滚动,以实现自体增强.在术后三个月的随访中,未观察到感染和皮瓣坏死。阴茎周长增加到12厘米,患者报告对结果的满意度很高。这种新的手术技术可以广泛应用于各种阴茎缺损的治疗。
Penile augmentation using filler injections is gaining popularity; however, complications such as foreign body reactions can arise, leading to issues like penile ulceration and necrosis, subsequently necessitating reconstruction. The existing method of the reconstruction of the penis is primarily aimed at filling the deficit. In this paper, we describe a
case in which a scrotal flap and autologous augmentation were utilized to treat a soft tissue defect caused by a delayed infection following a penile filler injection. The patient, a 41-year-old male, had received an Aquafilling® (Biomedica, Prague, Czech Republic) filler injection seven years earlier and later developed a delayed infection. After debridement, the penile defect spanned the entire shaft, and the circumference of the flaccid penis was 7.5 cm. Using a bilateral scrotal flap technique, the lower margins of both flaps were rolled inward after de-epithelialization to achieve autologous augmentation. Over the three-month post-surgery follow-up, neither infections nor flap necrosis were observed. The penile circumference increased to 12 cm, and the patient reported high satisfaction with the outcome. This new surgical technique can be widely applied as treatment for a variety of penile defects.