The use of a dermal substitute (Integra®, Integra Lifesciences Corp., Plainsboro, NJ) is a viable and highly effective option in the treatment of full-thickness burns to the penis. The cosmetic and functional results are very encouraging in this single case report. The patient recovered from a full-thickness thermal injury to the dorsum of the penis to achieve erections suitable for sexual intercourse and had an excellent cosmetic result. This approach should be considered when one encounters this rare, unusual, and potentially devastating injury.
This case report describes the use of a dermal substitute (Integra®, Integra Lifesciences Corp., Plainsboro, NJ) in the reconstruction of full-thickness burns to the penis. Although this dermal substitute has been approved by the US Food and Drug Administration (FDA) for use in burn reconstruction, the authors present this case report to illustrate its efficacy in penile reconstruction. In the past, penile reconstruction has been attempted with skin grafts, local flaps, and even free flaps, which often result in scarring and an inability to achieve erections. This dermal substitute provides a smooth, noncontracting neodermal bed for skin grafting. This eventually allowed the authors' patient to achieve erection and have sexual intercourse.