OBJECTIVE: To explore the timing and suitable method of reconstructing @entity546 caused by devastating electrical burn. METHODS: Thirteen @entity1 with @entity546 after devastating electrical burn, hospitalized from September 1998 to August 2013, were included in this study. After the @entity39 tissues in the wounds were removed by dressing changes, a local or a hinge-like flap constructed from scrotum or abdominal wall, a prelaminated hinge-like flap from forearm, or a free forearm flap was selected, according to the injury degree of the penis, for the repair of the defect or reconstruction of penis respectively. RESULTS: The flaps survived and the wounds healed well in 2 @entity1 repaired with local flaps from scrotum or abdominal wall. @entity6369 occurred in 2 @entity1 6 to 9 months after the transplantation of hinge-like flaps from scrotum, and they were cured by appropriate drugs. Functions of urination and erection of penis were recovered in these 4 @entity1 . All flaps survived in the 5 @entity1 repaired with hinge-like flaps from abdominal wall or prelaminated flaps from forearm. The wounds in 2 @entity1 healed; wound @entity6783 occurred in the other 3 @entity1 in different degrees, and they healed after suturing for 2 or 3 times. The function of erection of penis recovered in these 5 @entity1 , but with discontinuity of urinary stream during urination. Among them, 3 married @entity1 enjoyed satisfactory sexual life. All free forearm flaps survived and the wounds healed well in 4 @entity1 . @entity9132 occurred in 1 @entity1 , and it was repaired by a secondary operation. These 4 @entity1 experienced normal urination function, but only 2 @entity1 in whom corpus spongiosum partially remained retained the function of erection of penis to certain degree. All these 4 @entity1 could not perform normal sexual intercourse. All @entity1 were followed up for 6 to 13 months after surgery. Under ordinary state, the length of penis was 5.9-9.3 cm, and the circumference of penis was 8.4-10.0 cm. Wound scar was not obvious in all cases. Nine @entity1 reported a restricted erection. CONCLUSIONS: @entity546 caused by devastating electrical burn should be repaired with a suitable flap after @entity39 tissues are removed with dressing change. To repair affected penis with @entity39 of a small part of cavernous body and/or corpus spongiosum, or combined with urethra defects, local flaps from scrotum or abdominal wall or hinge-like flap from scrotum should be employed. To repair those with @entity39 of a large part or the whole of corpus spongiosum combined with urethra defects, hinge-like skin flaps from abdominal wall or prelaminated flaps from forearm should be employed. In @entity1 with @entity39 of a large part of cavernous body and corpus spongiosum combined with urethra defect, or total loss of penis, free forearm flaps should be employed to reconstruct penis.

[Opportune time and method of reconstruction of XXXX caused by devastating electrical burn.]

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity6369 :: ('MESH:D014526', 'Disease') :: ['Urethritis'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrotic', 'necrosis'] @entity6783 :: ('MESH:D013529', 'Disease') :: ['dehiscence'] @entity9132 :: ('MESH:D014548', 'Disease') :: ['Urinary fistula'] @entity546 :: ('MESH:D004414', 'Disease') :: ['penile defects', 'Penile defect']
@entity546 :: (MESH:D004414,Disease) :: ['penile defects']
