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September 30, 1950

PLASTIC RECONSTRUCTION OF PENILE SKIN: IMPLANTATION OF THE PENIS INTO THE SCROTUM

Author Affiliations

Baltimore

From the James Buchanan Brady Urological Institute, Johns Hopkins Hospital.

JAMA. 1950;144(5):384. doi:10.1001/jama.1950.62920050003008a
Abstract

Complete loss of the skin of the penis is a terrifying and troublesome accident to the patient and to the surgeon who may care for him. The chief causes are traumatic avulsion1 and local tissue necrosis2 either secondary to urinary extravasation or to slough following local anesthesia. Most authors, in describing treatment of these cases, have advocated splitthickness skin grafts to cover the defect. A few3 have used the principle described here of embedding the denuded penis in the scrotum and later lifting it from its bed surrounded with scrotal skin. This same principle has been employed by Banham,1d who implanted the penis in the thigh. A careful review of the literature was presented by Owens in 19421b; the most recent report is that of Ferris in 1949.4 A recent experience in which a denuded penis was successfully and easily treated by scrotal implantation

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