Fournier’s gangrene is a necrotizing soft tissue infection of the genital, perineal, and perirectal areas. A primary isolated involvement of the penis is rare, but it can be affected in some circumstances. The purpose of this case series is to present the findings of our thirteen years’ experience in the reconstruction of the penis in Fournier’s gangrene and our full-thickness grafting technique to cover the penis rod. We retrospectively reviewed patient data who underwent a penis reconstruction following Fournier’s gangrene in 2018. The data was analyzed to report the estimated percentage of complications, of patients with primary or secondary gangrene of the penis, the number of reinterventions, and finally the percentage of deaths or recovery. 23 patients underwent reconstruction with our technique of full-thickness skin graft. In all cases, the skin graft was harvested from the upper arm with an arrow shape mark. No further penile revision surgery was required, and neither patient complained about retraction, nor traction, or pain during erection. The donor site healed without any complications. We believe that the coverage of the penis using our grafting technique is safe, easily reproducible, and demonstrates excellent esthetic and functional results.

中文翻译：

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Fournier 病回顾性病例系列：阴茎覆盖的应急管理和移植技术

Fournier 坏疽是生​​殖器、会阴部和直肠周围区域的坏死性软组织感染。阴茎的主要孤立受累很少见，但在某些情况下可能会受到影响。本案例系列的目的是展示我们在 Fournier 坏疽中重建阴茎的 13 年经验以及我们覆盖阴茎杆的全层移植技术的结果。我们回顾性审查了 2018 年 Fournier 坏疽后接受阴茎重建的患者数据。分析数据以报告并发症的估计百分比、阴茎原发性或继发性坏疽患者的百分比、再次干预的次数以及最后的死亡百分比或恢复。23 名患者使用我们的全层皮肤移植技术进行了重建。在所有情况下，从上臂采集皮肤移植物，带有箭头形标记。不需要进一步的阴茎翻修手术，患者也没有抱怨收缩、牵引或勃起时的疼痛。供区愈合，没有任何并发​​症。我们相信，使用我们的移植技术覆盖阴茎是安全的、易于复制的，并且表现出出色的美学和功能效果。