Ausgedehnter Penishautdefekt

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Extensive penile skin defects and avulsions are unfortunate occurrences of male circumcision. Avulsion is the forcible tearing away of a body part by trauma or surgery.

Bode et al. (2010) reported 23 very serious injuries from proximal migration of the Plastibell circumcision ring. There was extensive skin loss in 17 (74%) babies. Urethrocutaneous fistulae were the result in nine (39%) of these cases, while partial necrosis of the glans penis occurred in four (17%).

Osifo & Oriaifo (2010) reported on 346 complications of child circumcision in Nigeria. Urethrocutaneous fistula (73, [21.1%]), redundant prepuce (51, [14.7%]), haemorrhage (46, [13.3%]), glandular injury (33, [9.5%]), glandulopenile adhesion (30, [8.7%]), implantation cyst (10, [2.9%]) [figure 1], proximal migration of plastibell ring (11, [3.2%]) and penile tissues avulsions (17, [4.9%]) were more commonly seen than glandular amputations (9, [2.6%]), transmission of infection (4, [1.2%]), local wound infections and penopubic adhesion (2, [0.6%]).

Gao & Qu (2019) presented the case of a 31-year-old man who presented with extensive defects in his penile skin, infection, and necrosis following a circumcision. A reverse bilateral anterior scrotal flap was used to correct complete penile skin loss following debridement of the infected and necrotic tissue.