Extensive penile skin necrosis after surgery for Peyronie's disease
https://doi.org/10.21886/2308-6424-2021-9-4-142-146
Abstract
The clinical case represents the surgical correction of postoperative complications in a patient with Peyronie's disease. The patient underwent flap corporoplasty using an autovein. The late postoperative period in the patient was complicated by extensive necrosis of the penile skin, which required repeated surgery as follows. The first stage of surgical treatment was performed by excision of necrotic tissues of the penile skin. Within 10 days of the postoperative period, chymotrypsin with an ointment containing dioxomethyltetrahydropyrimidine with chloramphenicol was applied to the penile wound surface to prepare the wound for subsequent skin autotransplantation. Further, within 5 days, the polymeric drainage sorbent «Aseptisorb DT» was applied to the wound surface until the wound was cleansed and granulation tissue was formed. The second stage of the surgical treatment performed penile skin replacement plasty with a free perforated skin graft taken from the patient's femoral surface.
About the Authors
M. E. Topuzov
Mechnikov North-Western State Medical University
Russian Federation
Competing Interests:
Russian Federation
Marlen E. Topuzov — M. D., Dr.Sc. (Med), Assoc. Prof. (Docent); Prof., Dept. of Urology, Mechnikov North-Western State Medical University.
191015, St. Petersburg, 41 Kirochnaya St.
Competing Interests:
The authors declare no conflicts of interest.
O. V. Stetsik
Mechnikov North-Western State Medical University
Russian Federation
Competing Interests:
Russian Federation
Oleg V. Stetsik- M. D., Cand.Sc. (Med); Assist. Prof., Dept. of Urology, Mechnikov North-Western State Medical University.
191015, St. Petersburg, 41 Kirochnaya St.
Competing Interests:
The authors declare no conflicts of interest.
S. M. Basok
Mechnikov North-Western State Medical University
Russian Federation
Competing Interests:
Russian Federation
Stanislav M. Basok — M. D.; Urologist, Peter the Great Clinic, Mechnikov North-Western State Medical University.
191015, St. Petersburg, 41 Kirochnaya St.
Competing Interests:
The authors declare no conflicts of interest.
P. V. Kustov
Mechnikov North-Western State Medical University
Russian Federation
Competing Interests:
Russian Federation
Peter V. Kustov — M. D.; Postgrad. student, Dept. of Urology, Mechnikov North-Western State Medical University.
191015, St. Petersburg, 41 Kirochnaya St.
Competing Interests:
The authors declare no conflicts of interest.
O. A. Abinov
Mechnikov North-Western State Medical University
Russian Federation
Competing Interests:
Russian Federation
Osman A. Abinov — Resident, Dept. of Urology, Mechnikov North-Western State Medical University.
191015, St. Petersburg, 41 Kirochnaya St.
Competing Interests:
The authors declare no conflicts of interest.
References
1. Brake M, Loertzer H, Horsch R, Keller H. Treatment of Peyronie's disease with local interferon-alpha 2b. BJU Int. 2001;87(7):654-7. DOI: 10.1046/j.1464-410x.2001.02139.x.
2. Levine LA, Schmid TM, Emeigh Hart SG, Tittelbach T, McLane MP, Tursi JP. PD22-03 Collagenase clostridium histolyticum degrades type I and III collagen while sparing type IV collagen in vitro in Peyronie's plaque explants. J Urol. 2014;191: e672-e673. DOI: 10.1016/j.juro.2014.02.1854.
3. Moskaleva Y. S., Ostapchenko A. Y., Korneyev I.A. Peyronie's disease. Urology reports (St. — Petersburg). 2015;5(4):30-35. DOI: 10.17816/uroved5430-35.
4. Moscaleva Y. S., Korneyev I. A. Results of surgical treatment of Peyroni's disease. Urology reports (St. — Petersburg). 2017;7(1):25-29. DOI: 10.17816/uroved7125-29.
5. Kalinina S. N., Fesenko V. N., Nikolskii A. V., Burla-ka O. O. Surgical treatment of Peyronie disease. Urology reports (St. — Petersburg). 2018;8(2):24-29. DOI: 10.17816/uroved8224-29.
6. Kalmin O. V., Nikolsky V. I., Fyodorova M. G., Yangura-zova E. V., Nikolsky A. V. Morfologicheskie izmenenija kse-noperikarda v uslovijah gnojno-vospalitel'nogo processa. University proceedings. Volga region. Medical sciences. 2011;(4):12-20. (In Russ.). eLIBRARY ID: 17255076.
7. Carson CC. Penile prosthesis implantation in the treatment of Peyronie's disease. Int J Impot Res. 1998;10(2):125-8. DOI: 10.1038/sj.ijir.3900330.
8. Mufti GR, Aitchison M, Bramwell SP, Paterson PJ, Scott R. Corporeal plication for surgical correction of Peyronie's disease. J Urol. 1990;144(2 Pt 1):281-2; discussion 283. DOI: 10.1016/s0022-5347(17)39432-6.
9. Milanov N. O., Adamian R. T., Istranov A. L., Vasil'eva E. E. The plastic surgery of the male urogenital tract. Part 1: falloplasty; fallouretheroplasty. Pirogov Russian journal of surgery. 2012;(10):65-69. (In Russ.). eLIBRARY ID: 18226426.
Review
For citations:
Topuzov M.E., Stetsik O.V., Basok S.M., Kustov P.V., Abinov O.A. Extensive penile skin necrosis after surgery for Peyronie's disease. Urology Herald. 2021;9(4):142-146. (In Russ.) https://doi.org/10.21886/2308-6424-2021-9-4-142-146
Views:
3618
Email this article 
