Our Summary

This study looked at the use of a certain type of skin graft, called fenestrated sheet split-thickness skin grafts (STSGs), in children who had lost skin on their penis due to injuries or surgeries. The skin for the graft was taken from the thigh or buttock area. The researchers followed up with the 17 patients, who ranged in age from 2 to 18 years old, for an average of 13 years. They found that the grafts were successful in 94% of cases. One patient needed an extra graft due to an infection, and a few had additional surgeries. Two patients developed a bend in their penis and two others needed more surgery due to a blockage in their urethra. However, six patients who were sexually active reported no issues with sensation or sexual activity after the graft. The researchers concluded that this type of graft can be a good option for patients who have lost skin on their penis, and that the buttocks may be the best place to take the skin from in order to avoid visible scarring.

FAQs

  1. What type of skin graft was used in this study for pediatric urologic reconstruction?
  2. What were the common complications experienced by patients after the graft procedure?
  3. What was the success rate of the fenestrated sheet split-thickness skin grafts (STSGs) used in the study?

Doctor’s Tip

It is important to follow your doctor’s instructions for post-operative care, including keeping the surgical area clean and avoiding strenuous activities that could disrupt the healing process. Be sure to attend all follow-up appointments to monitor your progress and address any concerns that may arise. It is also important to communicate any changes or issues you may experience during the healing process to your healthcare provider. Additionally, maintaining a healthy lifestyle and managing any underlying medical conditions can help promote successful outcomes after pediatric urologic reconstruction surgery.

Suitable For

Patients who are typically recommended for pediatric urologic reconstruction include those who have congenital abnormalities of the urinary tract, such as hypospadias or epispadias, bladder exstrophy, or cloacal anomalies. Other indications for pediatric urologic reconstruction may include traumatic injuries to the genital area, complications from previous surgeries, or conditions such as urethral strictures, neurogenic bladder, or vesicoureteral reflux. These procedures are typically performed by pediatric urologists who specialize in treating children with urologic conditions.

Timeline

  • Initial consultation with pediatric urologist to discuss treatment options for condition affecting the penis
  • Pre-operative evaluations and tests to assess the patient’s overall health and suitability for surgery
  • Surgical procedure to perform pediatric urologic reconstruction using fenestrated sheet split-thickness skin grafts
  • Post-operative recovery period with monitoring for any complications or issues
  • Follow-up appointments with pediatric urologist to assess the success of the graft and address any concerns or complications
  • Long-term follow-up to monitor the patient’s sexual function and overall satisfaction with the results of the reconstruction

Overall, the timeline for pediatric urologic reconstruction involves a thorough evaluation, surgical intervention, and ongoing follow-up care to ensure the best possible outcome for the patient.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with pediatric urologic reconstruction using fenestrated sheet split-thickness skin grafts?
  2. How long is the recovery process for this type of surgery, and what can be expected in terms of post-operative care?
  3. Are there any long-term effects or considerations to keep in mind for children who undergo this type of reconstruction surgery?
  4. How does the location of the skin graft (thigh vs. buttock) impact the overall success and cosmetic outcome of the surgery?
  5. What alternative treatment options are available for pediatric patients who have lost skin on their penis and require reconstruction surgery?
  6. How often will follow-up appointments be necessary after the surgery, and what signs or symptoms should prompt immediate medical attention?
  7. Are there any specific lifestyle modifications or restrictions that should be followed after undergoing pediatric urologic reconstruction?
  8. How does this type of surgery impact future sexual function and sensation in pediatric patients as they grow and develop?
  9. What is the success rate of this type of surgery in pediatric patients compared to other types of reconstruction techniques?
  10. Are there any specific factors or considerations that should be taken into account when deciding on the timing of this type of surgery for pediatric patients?

Reference

Authors: Chertin B, Kocherov S, Binenboym R, Gronovich Y, Tuchman I, Chertin L, Baskin L. Journal: J Pediatr Surg. 2016 Aug;51(8):1362-5. doi: 10.1016/j.jpedsurg.2015.12.018. Epub 2016 Jan 13. PMID: 26901826