Case Report: Isolated Penile Degloving from Milling Machine Injury in a Child

Abstract

Degloving injuries of the male perineum are an uncommon urological emergency often requiring reconstruction. They are usually related to industrial and/or agricultural machinery and tend to involve both the penile shaft and the scrotal skin. Adolescents and young adults are the usual victims. The treatment options commonly employed include the use of the degloved skin either as a flap or more often as a free skin graft, yielding variable results. Other modalities include the use of free split skin grafts or free full thickness skin grafts (FTSG) (Wolfe grafts). We report a case of degloving injury in a 10‑year‑old child, with injury exclusively affecting the skin of the penile shaft, who presented in the sub‑acute phase. Optimization of the wound and subsequent cover of the defect with an FTSG yielded a good outcome and patient satisfaction. 

Keywords: Circumferential penile skin loss, Delayed presentation, Isolated penile degloving,
Pediatric penile degloving, Wolfe graft