Use of negative-pressure dressings and split-thickness skin grafts following penile shaft reduction and reduction scrotoplasty in the management of penoscrotal elephantiasis.

Journal Article (Journal Article)

From 1988 to 2005, 8 men who presented with penoscrotal elephantiasis underwent penile shaft degloving and reduction scrotoplasty, followed by transplantation of a split-thickness skin graft (STSG) to the penile shaft. The etiology of elephantiasis in these patients included self-injection of viscous fluid and postsurgical obstructive lymphedema. In the 6 most recent cases, negative-pressure dressings were applied over the STSG to promote graft take, and STSG take rate was 100%. The results of our series corroborate those of a previous report, which showed circumferential negative-pressure dressings to be safe and efficacious in bolstering STSGs to the penile shaft. Furthermore, these results suggest that the use of negative-pressure dressings may improve graft take in this patient population.

Full Text

Duke Authors

Cited Authors

  • Stokes, TH; Follmar, KE; Silverstein, AD; Weizer, AZ; Donatucci, CF; Anderson, EE; Erdmann, D

Published Date

  • June 2006

Published In

Volume / Issue

  • 56 / 6

Start / End Page

  • 649 - 653

PubMed ID

  • 16721079

International Standard Serial Number (ISSN)

  • 0148-7043

Digital Object Identifier (DOI)

  • 10.1097/


  • eng

Conference Location

  • United States