PMC8273158_01
Intraepithelial neoplasia lesion located on the ventral side of the penis (A). Complete resection of the lesion tissue on the surface of the penile deep fascia (B). The penile surgical area was covered with a pedicled scrotal flap (C). The shape of the penis after lesion resection and plastic surgery (D). The surgical area of the penis of the patient is not completely healed half a month after the operation (E). Penile morphology after complete wound healing (F).
fsurg-08-667417-g0001.jpg
PMC8273158_01_fsurg-08-667417-g0001.jpg
F1
The lesion was located on the ventral side of the penis and the total area was ~2.2 cm x2.0 cm (Figure 1A). We cut the skin of the lesion vertically along the designed incision margin line, deep to the deep fascia layer, and completely resected the lesion tissue on the surface of the deep fascia (Figure 1B). With a formed pedicled scrotal flap, we stretched it to the ventral side of the penis and covered the surgical area of the penile skin (Figure 1C). Intermittent suturing of the subcutaneous tissue reduced cavity formation and local exudate accumulation (Figure 1D). At follow-up observation half a month after the operation, the wound edge did not heal completely because of tension (Figure 1E). Through care with wound dressing changes, the wound area finally achieved healing (Figure 1F).
Pathological image of the penile intraepithelial neoplasia lesion with H&E staining, original amplification x100, scale bar 100 mum (A). Pathological image of the penile intraepithelial neoplasia lesion with H&E staining, original amplification x200, scale bar 100 mum (B).
fsurg-08-667417-g0002.jpg
PMC8273158_01_fsurg-08-667417-g0002.jpg
F2
Pathological images (Figures 2A,B) showed that the lesion tissue was covered with squamous epithelium and showed finger-like protrusion.