Clinical, Cosmetic and Investigational Dermatology (Oct 2022)
Satisfactory Wound Reconstruction with a Local Rotation Flap After Removal of Large Penile Divided Nevi: Original Technique, Early and Mid-Term Results
Abstract
Peng Wang,1,2,* Yueying Fan,2,* Wenqin Lian,2,* Yingjun Su,3 Hou’an Xiao,1 Chiyu Jia2 1Department of Burns and Plastic and Cosmetic Surgery, Xi’an Ninth Hospital, Xi’an, People’s Republic of China; 2Department of Burns and Plastic and Wound Repair Surgery, Xiang’an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, People’s Republic of China; 3Department of Burns and Plastic Surgery, Plastic Surgery Hospital, Xi’an International Medical Center, Xi’an, People’s Republic of China*These authors contributed equally to this workCorrespondence: Chiyu Jia, Department of Burns and Plastic and Wound Repair Surgery, Xiang’an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, People’s Republic of China, Email [email protected] Hou’an Xiao, Department of Burns and Plastic and Cosmetic Surgery, Xi’an Ninth Hospital, Xi’an, People’s Republic of China, Email [email protected]: To investigate the application of local rotation flaps for reconstruction of divided nevi of the penises in young male patients.Methods: A group of 8 patients of divided nevi of the penises who underwent wound reconstruction with local rotation flaps after surgical lesion removal was enrolled in a retrospective clinical study. Postoperative complication, sexual function and psychological traits were evaluated during the follow-up.Results: All patients, with ages ranged from 16 to 32 years (mean 23.25 years), were followed up for 6 to 48 months (mean 19.86 months). The patient’s average length of hospital stay was 7.85 day (7 to 15 days). The average dimension of the lesions was (2.31± 0.44) × (1.46± 0.48) cm2 on the glans and (1.38± 0.40) × (1.01± 0.46) cm2 on the inner prepuce plate. All patients had no postoperative infection and were satisfied with the postoperative outcome upon discharge. Five cases of benign intradermal nevi and 3 cases of compound nevi without malignant transformation were confirmed by pathological evaluation on the removed samples. The sexual function of all patients was unaffected postoperatively by male sexual function scale (BMSFI and IIEF-5) evaluation. The psychological status of depression, anxiety and stress was all improved after the surgical reconstruction confirmed by the psychological traits scale (DASS) evaluation.Conclusion: Reconstruction with the local rotation flap is a simple, safe and appropriate surgical procedure, achieves satisfactory cosmetic outcome, and maintains intact male sexual function when used for the repair of defect after removal of divided nevi of the penises.Keywords: divided nevi, local rotation flap, genital plastic surgery, postoperative, follow-up
