616
675610226014562118
KAZUISTIKY4325207016976175264361404481560603687776
Ces38157936014570127174
Urol40147936014578115180208
2021;42477936014562121178233249
25(1):45217936014562122153207231253
62–6848007936014561120176241303
gain6242248013160112136196
sufficient8472248013151110141177202253277333393428
lenght,1301224801313489150212272307328
we16562248013190145
decided18272248013171126178202264320383
to22362248013145104
perform23662248013171128162197256291384
a6242398013149
suprapubic698239801313895155188239299358418441490
lipectomy1213239801312144104158208245302392438
and16772398013147105165
complete18672398013146103192252276330364415
suspenso‑2307239801313996136195250308349407443
ry624254801313285
ligament734254801312245105155244298357390
division.1150254801315781131155195218277337357
The15322548013149110164
body17222548013158118179229
mass19762548013187137178219
index2221254801312179140194243
of2489254801315686
out26012548013155114149
patient6242698013160111144168221280313
was9632698013176127168
35,11562698013151102120
with13012698013177100135194
the1521269801313190144
typical1691269801313184145169219270293
fat2010269801312678111
tissue214726980131315595136193247
deposit24202698013157111171231273295330
in624284801312383
the733284801313292148
prepubic907284801315993147209269330355405
region.1339284801313184146170230291312
At1677284801316396
this1799284801313393117158
point,19832848013159121145205239260
a22692848013148
testicular2343284801313386128165189240299323374407
prosthesis624299801316094153195231291346388411452
(Polytech1102299801312884141166216255308360419
Health15472998013168123173197232292
and18652998013148108169
Aesthetics/Ger‑20602998013163116158195255310345369419462503570626659690
many6243148013190141201249
2×2.29003148013153120176196253
cm)11793148013147138165
was13713148013179131173
implanted15703148013123114175201252312346399461
in2058314801312282
the2166314801313495150
prepubic2342314801316195149211271333357408
space,6243298013141101153203255273
to923329801313289
prevent1038329801315992145195249308341
adhesion14053298013148109168222264287346406
of1837329801315686
disconnected1949329801315781121171229289348402453491543605
sus‑2580329801313996137170
pensory6243448013161117177219279313367
ligaments1017344801312650111162253308369402446
(Fig.1490344801313182106167188
3C).17053448013155118151168
Next7743598013170123171208
stage1006359801313973123182235
of1265359801315685
our13743598013156114145
reconstruction1543359801313182132188246286320352410459495517575633
included2200359801312179127149206266319379
pe‑26033598013158112147
nile624374801315981103155
fixation803374801312854101151183205263321
with11483748013181103136194
so13673748013141100
called1491374801314999121143196256
„tacking1771374801313366115164209233291350
sutures“2145374801314299132190221273313344
(Vicril2513374801313089113161193215237
4.0)624389801315472125152
between8013898013169123156238291345403
the12283898013143101154
tunica14073898013142100158180228278
albuginea1710389801315880140198258280338391439
of2174389801316795
the22933898013143101154
penile24723898013169123181203225278
shaft624404801314198147175213
base8614048013164114154207
and10924048013154112171
edges12874048013157117177230270
of1581404801316291
subdermal16964048013145101161221274305395444466
dartos21864048013164113144181237277
of2487404801316291
ab‑26024048013154113148
dominal6244198013161120211234292342365
skin1014419801315096120179
to12184198013142100
prevent13424198013170103156205258317350
retraction1717419801314194127160211261298320379439
of2181419801316797
the23024198013143102156
penis.24834198013170125184207247267
This6244348013151110131169
manoeuvre8164348013185133190247300357405437488
allows132743480131466788145222262
formation1612434801312581112201249280302359416
of2052434801315481
the2157434801312986139
penoscro‑23194348013156109166223263310341397431
tal624449801313586109
and7584498013159119180
penopubic9634498013170126185245307367428451501
angle.14894498013159119180203257275
The17894498013161122177
urethral19914498013168100153187247279330354
flap2370449801313562112173
was25684498013190141182
inspected624464801312381121181236286322374435
and10834648013159117177
left1285464801313185113151
intact,1461464801313189122172221258277
the17624648013143101155
margins19424648013198148180238260319358
served23254648013149103135188241302
as2651464801315999
the624479801313492145
neo‑sulcus7934798013167121180215255312334382440479
border.12964798013169128160218271303317
The16374798013159119172
final1834479801313461118167189
step2048479801314983134194
was22664798013188137177
aimed2467479801315880169222283
to624494801313490
correct7384948013152108140172224273309
the1071494801313795148
total1243494801313793125175197
penis14644948013163117175197236
shaft17244948013144101150178215
skin1964494801314388112170
defect,21584948013162115143195245281300
which24824948013182141162211268
was6245098013179129168
substituted816509801313794153193227249282340373424484
with1324509801317598131189
STSG.1537509801314799150217237
The17985098013148107160
graft1982509801315687137165202
was22085098013175125165
typically2396509801313182142165213262284306354
harvested6245248013159108139192244284319369430
from1078524801313568124214
the1316524801314098152
upper14925248013164124184238270
left1786524801312982110148
lateral1958524801312978110161193243265
thigh2247524801314098120179237
using25085248013164104125182242
a6245398013150
pneumatic6985398013169127181238327376408430479
dermatome12015398013168120152242291323379469522
(at1747539801313783115
a18875398013158
thickness19695398013142100121170215275328369408
0.42401539801316280133
mm,25585398013185174192
size624554801314162106158
of806554801316593
the923554801314199152
graft1099554801316698147175213
was13365548013186136175
9×715355548013161126176
cm).17355548013156145170186
The19455548013157117170
skin2139554801314893117174
graft2337554801316798148176213
was25755548013185135175
meshed6245698013190143184241294354
at1002569801315789
the1115569801314199152
ratio1291569801313989121143201
of1516569801316594
1:1.51634569801316071115128181
(Fig.1839569801313685107166184
3D,20475698013161130145
E).2216569801315887102
The23425698013158118171
graft2537569801316698148175213
was6245848013179129169
sutured817584801314399133191222273334
at1175584801315184
the1283584801313694147
critical1454584801315182105138160208258280
areas1758584801315284135183223
around2005584801315283140197255315
the2344584801313694147
penis25155848013162117174196235
base,6245998013161112153207224
neo‑sulcus8735998013167121181217258315338387446486
with13835998013189112146205
a16135998013158
running16965998013141100159218240298359
Saphilquick20795998013160111171231253276336394416465511
4.02615599801316381135
suture.624614801314197131189220272289
Consequently,9376148013169125184223276336394446504536559606620
quilting15816148013166123145167200222280339
sutures19446148013148104138196227279319
were22876148013186138169221
used25326148013165105158218
to624629801313593
enhance7426298013164124184234294345397
the11656298013143103158
overall13496298013168119172205257280303
adherence16786298013159121181236269322382433486
and21896298013160120181
optimal23966298013168131165188280331354
graft624644801315990139166203
take.851644801313079123174191
Saphilquick1065644801314796155213234255314370391439483
4.01572644801314967119
interrupted1715644801311875106157187219276335367418477
sutures2216644801313692125182212263303
were25426448013175126157208
placed624659801316184132181232292
between9406598013168122155237289343400
the1365659801314098151
graft1541659801316697147175213
and17786598013157115174
superficial19766598013148104164218249279306354376424446
part24466598013168118149186
of2656659801316694
the624674801313492145
tunica793674801313693151173221271
albuginea1088674801315173132191250272329382431
to1543674801313591
improve16586748013124113173205261309361
the2043674801313694147
stabilization.2214674801314277126186208230252296346379401458517536
The6246898013151110162
graft810689801315687136163201
was10346898013175124164
covered12216898013145100148199230281341
with1586689801317597130187
117976898013149
layer1870689801311967113164195
of2089689801315482
nonadhering21956898013155112170218277334387418440497556
dressing624704801316193147188229251311372
(JENONET‑Paraffin1021704801313877129199274346398453480538588620672700728757816
gauze),18627048013170120179224277303320
followed2207704801313897121143203283337399
by26317048013170119
the624719801313594149
„tie‑over79871980131417497151187249298351384
dressing“12077198013169101154196236259318378411
bolster16437198013170131155195230283315
placement.1983719801317094144194246337392451484504
Penis25127198013164116175198238
shaft624734801314198147175213
was8617348013179128168
wrapped10537348013179111161221281335395
within,14727348013179102135193215272290
and17867348013150107167
two19777348013133115172
bolsters21737348013160119143181216267298339
were25367348013179131163214
sutured624749801314095128184214264323
together970749801312984143194226283334365
in1358749801311874
order1455749801315485141192223
to1701749801312984
maintain18087498013184132153209239288308364
compression.2196749801314498186244275325364402423479536554
(Fig.624764801312978100159178
3F).8267648013161110139155
We10057648013198148
routinely1177764801314097155188210268321343391
tend1592764801314293151211
to1827764801314298
leave1949764801313184132179231
the22047648013142100153
dressing2381764801316899151191231252310369
for2976224801312985117
531172248013149
days31902248013156104150190
(Fig.340422480131257495154173
3K,36002248013150102123
L)3747224801314573
in3844224801311976
situ394422480131375891148
either4116224801314971104161214245
for4385224801312481113
scrotal,4522224801313785116172204253275292
penile48382248013157110168189211263
shaft2976239801314198147175213
grafting3213239801316091141169206228286345
or3582239801315991
glans3697239801316082131188228
resurfacing3949239801313284124180212244294343365422482
cases.4455239801314998138191232251
The31262548013151108159
harvested3306254801315399128179228266298346404
areawasmanagedwith3731254801314473122167262309346452498553600656707764859879910966
the4718254801312884134
appli‑48742548013144101158179198228
cation2976269801314895124143197252
of3249269801315277
Biatain3347269801314968113142188207261
silicone36292698013134527190135187242292
bolster39422698013154109130165197244272
(10×204236269801312266110171222270
cm,45272698013142127142
Coloplast/46902698013156108129183240260305342373412
Austria)29762848013164118155188217238284307
and33052848013146101159
the3485284801313086137
negative36442848013154105163210239259306356
pressure4022284801315686135173211265294344
V.A.C4387284801315262126146204
therapy4613284801312985136165213270315
(KCI4950284801312576133152
Medical,29762998013186137195214260308328343
Austria).33412998013164118155187217237283307320
The36832998013150108159
pressure3864299801316090139177215269298347
was42332998013179127164
set4419299801314091122
to4563299801313487
-50mmHg4672299801313282131220306373430
for2976314801312984114
7231113148013153103
hours32363148013158114170199238
in3496314801312277
the3595314801313389140
first375731480131265381120152
phase39313148013160117163201252
(Fig.420531480131287594151168
3G,43943148013153118135
H).4551314801316894107
Thereafter46803148013150108159188237283309344393422
the2976329801313491142
wound31413298013185141198254312
was34753298013186134172
evaluated36693298013160107155176231278309358417
for4108329801313590121
secretion,4251329801314799147176226257278334391407
initial4680329801312985105137157204224
gra‑4926329801316696144176
nulation,29763448013159114134180210230285342358
oedema,33553448013161113171222309355371
and37483448013152108165
degree39353448013162113171200249301
of4258344801316086
erythema4366344801315685135170226276363410
around4798344801315281135191247304
themargins2976359801313490141247294323378398453491
(Fig.348835980131247190147164
3I).367335980131486793106
When38003598013185142193248
thewound4070359801312984135231286342397455
secretionwas4547359801313586133162212242262318374470517555
limited,2976374801312443131151183232291307
we33053748013187137
applied34653748013156114173194214265324
OpSite‑Post‑OP‑VISIBLE38113748013181140187206238287320375429468501528603657686739761808827880927976
(10×204809374801313682127191243293
cm,29763898013150138154
Smith31523898013158145165197253
&Nephew‑Austria)34283898013155141193251308360437469530585623656686707753778
waterproof42283898013186134165214244303334389446473
adhesive47233898013157115171223261281329379
transparent2976404801313465114170208266315345395452483
dressing3481404801316797147186225244301359
on38634048013165123
the4008404801314198150
4th41804048013161423740540762055
postoperative43154048013168126165198253312365395444475495543594
day,49314048013167115160171
which29764198013179136155201257
allowed325541980131456585141217267325
us3602419801315491
continuous3715419801314598155184204259314370426463
inspection4200419801311974111168220267301321376433
of4655419801315480
the4757419801313086136
area.4915419801314675124170187
Two29764348013151120176
days31734348013160106151189
later,338443480131236999148177188
we35944348013179129
left374543480131237399135
the3902434801313389140
wound40644348013179134190245302
open.43884348013158116168224241
Topical4651434801315099157178224271291
ad‑49644348013150107138
ministration29764498013190109164183220252281329359378433489
of3487449801315379
Vaselinemixtedwith3587449801315095132182203222277327433452497531579637732752783838
Baneocin4447449801315097152203259306326381
cream4849449801314372121167253
(Bacitracin/Neomycin)2976464801313083132180200232263312360380437475544597655744789836856913937
was39364648013186135174
recommended4133464801313989138193283371424481539591651
for4807464801313591122
the4952464801314198150
next29764798013159110155190
7–1031884798013157104148193
days34034798013164110154193
for3618479801313287117
the3757479801313894145
harvested39244798013163109138189239277309358416
and43624798013154109167
grafting4551479801316493140166201221277334
area.4907479801315483132178195
Strict2976494801315180109130176210
bed32084948013156108166
rest3396494801312877115147
was35654948013175122160
advised37474948013145102150170207258316
for4085494801312479109
342164948013149
days.42874948013155101146184201
As45104948013160100
a46324948013145
thrombo‑4699494801312985114168256313370403
prophylactic2976509801316191146205262306328374421456476523
measure35215098013196148194232287316366
Enoxaparin‑Natrium39095098013158114170214262320368398418474506575623653683704759846
(Sanofi­4778509801313581129185242266293324
‑Aventis‑Austria;2976524801313393137187242272292329358418472509542571592638652
40mg36505248013150102207264
subcutaneously)3936524801313791148195251282329385436493548585605651675
was46335248013175123160
started4815524801313769116145180229287
the2976539801313593146
evening31455398013161109161219239297356
after3524539801315885122172203
the3750539801314199152
operation.39255398013166127180211261292313371429447
Broad4395539801316394150200259
spectrum46775398013149108162211246277335425
second2976554801314192139193249306
generation33045548013165116171222251299329349404461
cephalosporin37875548013153102159216262282338376433490520540596
(Cefuroxim4404554801313492140166223252306350370457
1.54882554801315969120
g)5024554801315378
twice29765698013134113133178226
dailywas32245698013153100119138184278325362
administered36085698013143100186205260279316348396425474531
for4161569801312277106
next42895698013152103148182
544925698013148
days.45615698013154100143181199
Urethral4781569801316391140170225254301321
catheter2976584801314997127182233264313342
CH33405848013165130
1434925848013156100
was36145848013182129167
left3803584801312576102137
in3962584801312581
situ406558480131436293149
for4235584801313186116
1043735848013156101
days.44965848013162108153191208
The47265848013154111162
next49105848013161112158192
abdominal29765998013150107166221309328384430450
CT34485998013161113
scan3583599801313985133188
was37935998013177125162
performed39775998013159111140170225254342393451
344505998013152
and45245998013147103160
647065998013151
months47795998013188144201230286323
postoperatively29766148013161118156188242300351381428458478525575595641
with3639614801317494125181
negative38426148013153104162208238258305355
result.4219614801312676114168188219236
the4477614801312884135
patient46336148013155103133153203259288
was49436148013174121159
also2976629801315070107163
advised31606298013155112159180216267325
to3507629801313892
further3621629801313390119154210260290
check39326298013154109160207250
the4204629801313894145
neo‑glans43716298013163114171204263283330385422
as4815629801315492
well49296298013183133154173
as2976644801315087
inguinal3085644801312177134189208264310330
region.3437644801313080138157213269286
DISCUSSION297868580181100138213302399473546582688790
Short29767198013150107165197234
term3234719801313181113202
follow‑up3460719801312582105127185262296354414
(63898719801312575
months)39977198013186144202234292331356
revealed,4377719801312980128180228250303363381
that4782719801313088137169
we49757198013175127
were29767348013178130161212
able32127348013146105129181
to3417734801313086
achieve3527734801314694151173225274325
acceptable3876734801314694140191250283332391414466
voiding43677348013145102124183205262321
as4712734801314685
well48217348013175127150171
as5016734801314686
sexual2976749801314194142200249272
functioning3272749801312685143192228251309367389447507
(self3803749801312665118141170
stimulation399774980131387396184242264313346368426485
and45067498013147105164
oral4695749801315588138161
inter‑4880749801312078110161193222
course).29767648013149106165198240294320336
However33377648013170129209262312365397
due37597648013160118172
to3957764801313491
the4073764801313493147
relative4246764801313285109158191215265318
short45897648013141100159192230
penis,48457648013160115174197237257
boli624898013156108127145
nazvájom786898013160111151197247264316400
fixované12028980131295595146188237290333
sutúrami,155289801314191119171198246330348363
aby1931898013159111151
vytvárali209889801315095126171221248297315333
dostatočnú2448898013159110143171220247297339391443
kompresiu290889801314899182234262303337354405
za333089801314797
účelom3443898013160101142161212296
ideálnej375689801312677120171190242285303
adherencie4076898013159110163206233274327369387429
štepu.452289801314269110162214230
V4769898013158
oblasti4843898013159111130181214242260
kritickýchmiestboli62410480131457391119136178218262303355452470512546574639691710728
naloženédodatočnéfixačnéstehy.Dressingbol136810480131511021201712092493023444104615135645916406827347768128378779279691020106311111139117912311270128313621390143014641497151415661616168217341752
ponechaný31371048013149101153196237289340392431
intaktnýpodobu5dní.G,H)35851048013116689514318421426630537142348853959164270376982183985593094710241047
Kontinuálny4648104801314695148174192244295346364416455
podtlakovýdressingnamiesteodberu62411980131551071591872052562963463884325005275686016346517037548228739729901033106610941135120212541305134813751427
štepubol2067119801313461102153205272324343
udržiavanýna24261198013152103130170188238281330382422490541
tlakovýchhodnotách51mmHg2984119801312745961371872282733143664344855375906416687177588108739131012109511571208
(VAC–VacuumAssisted4208119801312578128181248315362404454505588659694727743775802843894
Closure,624134801315977128160210237278293
KCI;9331348013146100118132
KineticConcept;1081134801314766118161189207248318367420461501553580596
Rakúsko)1693134801314899140191223262312334
podobu5dní.20441348013150102168219271323385452504522538
Pacientmal2598134801314795137155197249276374425444
indikovaný3058134801311870121139179229271320373412
kľudna3486134801314060111162230281
lôžku.3783134801311868107147198214
I)4013134801311841
3.4071134801314561
pooperačnýdeň41491348013150102154206249276324365417456522565617
–47781348013155
miesto48491348013182100142176204253
odberu.6241498013155107158201229280296
J)936149801313660
7.1012149801314955
pooperačný10831498013153105157209252280327369420459
deň1559149801315396148
–17211498013155
miesto17931498013185103145179207256
odberu,20661498013153105156199226278293
pozorovať23751498013154105143193220270311361388
takmer2779149801313079120204246273
kompletnú3069149801314393176228246289317369420
granuláciu3505149801315481129181232250301343361412
spodiny,3933149801313686138190208260299311
po42611498013153105
dvoch4382149801315496146188240
cykloch4639149801314487127146197240292
VAC49471498013153103156
počas3dní6241648013155107149199231293359411429
a10691648013150
jedendeňbezVACsystému.113616480131165811015220527131336543147551658163168473377480883687695910101026
K,2178164801314665
L)2259164801314065
Týždeňpozákrokupozorovať2340164801314382122172214266332384438488529557606648699765817855904932981102310721099
vitálny345616480131405886134153205244
transplantát,3716164801312754102154186236254305357384432460475
bezakýchkoľvekpríznakov4208164801314992133199240284325377418467487530571612678706724762815865624179801314595137
zápalualebo777179801313888140191210261327346388439491
ischemickýchzmien.M)Dva12851798013117498914118426728532636641045150355864165870175376986388696610091059
týždnepooperácii2360179801312771111161213256322374440492536563611652670688
pozorovať30651798013150101139189216266307357384
ideálneujatie3465179801311869111162181233275342360411438456498
štepuaznámkykonečnej3980179801313360100152204270325377428511551595652702754797838890933950
fázy4946179801312373112156
epitelializácie.624194801314798117144185203221272290308347396438456498513
N)1154194801316487
Objektívny12581948013167120137180221251269311364403
nález16771948013154105123165206
po2mesiacoch19001948013152104168268311345361412454502545597