Complex genitalia reconstruction for acute and rare case of penile pyoderma gangrenosum

Ceruti, C., Dalmasso, E., Falcone, M., Frea, B., Gontero, P., Melloni, G., Rolle, L., Sedigh, O., Timpano, M.

Genital trauma, penile necrosis

This video demonstrates a urological emergency in a 30-year old patient. After circumcision this patient is seen at first aid with a rapid progressive necrotic event. This patient needed urgent surgical therapy. Because of necrosis of the penile skin, the penile skin was removed and the penis was embedded in the scrotum. 8 months later in a second stage procedure a ventral lifting of the penile shaft is demonstrated with a penile and scrotum reconstruction.

The patient was seen with a follow up of 6 months and subsequently fathered a child.

1. Bajory Z, Mohos G, Rosecker A, Bordas N, Pajor L. Surgical solutions for the complications of the Vaseline self-injection of the penis. J Sex Med. 2013 Apr;10(4):1170-7.