Penile Degloving injuries, a quagmire riddled out: A case series

Abstract

Penile Degloving injuries are rare among all genitourinary injuries. These injuries occur as a result of road traffic accidents, animal injuries (bites), industrial injuries, etc. Penile skin avulsion occurs due to traction injury or trapping of the skin resulting in tear of skin from underlying tunica albuginea. Due to excellent blood supply early primary repair if done early and possible results in the best outcome. Patients with skin loss can be managed by flaps mobilization from remaining skin. In occasional cases when primary closure is not possible, split skin grafting is required. The timely repair results in minimal short-term complications and excellent long-term cosmetic results without scarring and normal erectile function. Whenever possible these injuries should be primarily closed, employing grafts and flaps when required even in delayed presentation and animal bites. We describe degloving injuries in case series of two patients with unalike aetiologies. These were managed by primary closure with degloved skin after mobilization and debridement of nonviable skin after adequate washing with normal saline. Despite minor wound complication like wound infection, flap necrosis, penile oedema, ultimately wound recovered within few days. On follow up patients were able to void normally in addition cosmetic and aesthetic outcomes were excellent. Furthermore, patients were able to achieve good erections with no curvature.  We concluded that penile skin if reposed early with good wound management results in excellent outcomes with minimal long-term scarring, voiding and erectile dysfunction

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