PMC8516557_01
Scrotal wall wound measurement 12 cm (width) x 11 cm (length). Right base of penis wound measuring 3 cm (width) x 4 cm (length) x 3 cm (depth). Intraoperative during debridement.
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On hospital day three, he returned to the operative suite for a second exploration of the wounds with washout and further debridement (Figure 1).
POD 3 after wound vac was removed. Integra graft seen to have taken well.
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A 59-year-old male with a past medical history of chronic obstructive pulmonary disease (COPD), hyperlipidemia, diabetes mellitus type 2, and coronary artery disease (CAD) requiring multiple coronary stents and on Plavix presented with a giant condyloma involving his penis and perineum for greater than twelve years (see Figure 2).
PMC8516557_02
POD 3 after wound vac was removed. Integra graft seen to have taken well.
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fig2
A 59-year-old male with a past medical history of chronic obstructive pulmonary disease (COPD), hyperlipidemia, diabetes mellitus type 2, and coronary artery disease (CAD) requiring multiple coronary stents and on Plavix presented with a giant condyloma involving his penis and perineum for greater than twelve years (see Figure 2).
A patient's presentation with giant GU condyloma and liquefactive necrosis of the scrotum.
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fig3
Preoperatively, he carried several diagnoses including Fournier's gangrene, sepsis, giant genital condyloma, and left inguinal hernia (Figure 3).
POD 7 from incision and debridement of the penis and scrotum, scrotectomy, and bilateral orchiectomy. POD 2 from colostomy creation, excision of condyloma, sharp debridement with Integra graft application, and wound vac placement. Photo taken after wound vac was removed.
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Simultaneously, plastic surgery performed sharp debridement of the lower abdominal wall and genital area with application of an Integra graft in addition to a traditional wound vacuum device (Figure 4).