[SavageGlow]

:

A 52-year-old male patient presented in our emergency room with massive traumatic avulsion of the penile and scrotal skin following mishandling of an electric drill during work 9 h earlier. The missing skin was not retrievable.

The patient was taken to the local hospital immediately after the accident. The wound was quickly dressed and the patient was referred to the Emergency Department of our hospital.

The patient was healthy prior to the accident with no history of chronic disease.

Physical examination showed full-thickness skin of both scrota and the proximal part of the penis was denuded with active bleeding . Urinary catheterization was successfully performed which indicated that there was no damage to the urethra.

Laboratory studies revealed a white blood cell count of 12.3 × 109/L (neutrophil percentage, 74.5%) which was higher than the normal level and was believed to be caused by the open trauma. Other results were normal.

A pelvic computed tomography scan revealed that the perineum skin had multiple spots of dense shadows, and the subcutaneous fat gap was slightly blurred.

The final diagnosis was massive penoscrotal skin avulsion.

Following discussion, we repaired the skin defect using three steps. First, excision of the necrotic and inflammatory tissues was carefully performed and hemostasis was meticulously achieved to prevent infection, seroma and hematoma. Polyurethane foam was then applied to the wound and sealed with a transparent dressing to avoid air leak. The tube which was previously attached to the dressing was connected to a vacuum setting which was set at a constant negative pressure (125 mmHg) and supplied to the region.

One week later when the graft bed had been appropriately prepared, the Pelnac dermal regeneration template was grafted onto the defect region according to the wound size, and with the assistance of negative pressure therapy described above, the artificial dermis was firmly secured and incorporated into the wound.

Finally, after confirmation that Pelnac was clinically incorporated into the defect, the silicone layer was removed and a split-thickness skin graft, which was harvested from the left inner thigh, was applied over the artificial dermis one week . The vacuum setting was again utilized and maintained at a continuous negative pressure to assist grafting. The device was dismantled seven days later and the skin graft was found to have completely survived.

The combined grafting achieved a good cosmetic appearance and stable coverage of the defect which was elastic and of good quality and texture at the three-month follow-up. Furthermore, urination and sexual function in this patient were not greatly affected by his injuries or treatment. He is satisfied with his erectile length and sexual function .

[jenna_live]

You had me at "The missing skin was not retrievable.

[BMAC7777]

……Just put me out of my misery at that point

[kellyhound]

turned out not all too bad at the end seeing the first pictures

[HIGHTECHDUDE]

So, why did he teabag a power drill? Guess we'll never know...

[kbt3168]

He got wrapped up in his work.

[jenna_live]

He's a douche, for shaving his pubes for the pic

[Mr.NoCredit]

Originally Posted by jenna_live ↗

He's a douche, for shaving his pubes for the pic

He’s a douche for having his genitalia anywhere near a fucking power tool in use. You know, come to think about it, he’s just a complete douche regardless of any of the above comments. He was like that before his shredded dic pics… He’s just one of those “wrong” kinda people..

[REVZZYBAN]

For once, someone with a smaller chubby than me. Hooray!

[Killabee75]

. Damn! Even I felt that pain...And I'm a woman!