The use of Matriderm for penile reconstruction: a case series

Background Appearance of dermal matrices has had an incredibly positive impact on the functional and aesthetic aspects in burned patients, and other wounds with loss of subcutaneous tissue. Nevertheless, dermal matrices can be applicable to other reconstructive fields, especially in organs in which the recovery of skin elasticity is essential. Methods From January 2012 to May 2021, all patients with penile wounds treated at our department with dermal matrices were included in the present study. The following aspects of each case were reviewed: patients’ age, wound mechanism, defect location and size, clinical follow-up, and postoperative complications. Results Four patients were included in this study. Average age was 27.7 years (range: 15-43 years). The mechanism of penile injury was subcutaneous penile paraffin injection (n=2), electrical burn (n=1) and surgical complication (n=1).We used Matriderm® monolayer in all cases. There were no cases of total or partial loss. In all cases, a good functional and aesthetic result was achieved. Conclusions Use of dermal matrices must be a daily option in our units, both for acute penile wounds and sequelae, and we all must be familiar with their indications, management, and results. A multidisciplinary approach between Plastic Surgery and Urology is highly recommended. Level of evidence: Level V, therapeutic study.