Reconstruction of the penile skin loss due to 'radical' circumcision with a full thickness skin graft

Abstract

Background. Excessive resection of penile skin is a rare but important complication of circumcision. Penis 'trapping' under the skin and consequent sexual dysfunction occur as a result. Case report. Excessive circumcision with complete resection of the penile skin is shown. Penis, trapped under the skin, was deliberated and skin defect was substituted with the full thickness skin graft. One year after the surgery penis has a good cosmetic appearance, adequate size and sexual function. Conclusion. Full thickness skin graft is a good option for augmentation of the penile skin loss in cases with intact hypodermal tissue and extensive skin loss, for the reconstruction in a single act.Uvod. Preterana resekcija koze penisa je retka, ali znacajna komplikacija cirkumcizije. Ona dovodi do potkoznog 'zarobljavanja' penisa i posledicne seksualne disfunkcije. Prikaz slucaja. Prikazan je slucaj ekscesivne cirkumcizije i potpune resekcije koze penisa. Penis zarobljen ispod koze, oslobodjen je, a nedostatak koze supstituisan koznim graftom pune debljine. Nakon godinu dana od operacije penis je bio estetski adekvatan, odgovarajucih dimenzija i seksualno funkcionalan. Zakljucak. Kozni graft pune debljine pokazao se kao dobra mogucnost za nadomestanje resecirane koze penisa u slucajevima sa intaktninim hipodermom i ekstenzivnim gubitkom koze, a za rekonstrukciju u jednom aktu.