Page 604 - Read Online

Demzik et al. Plast Aesthet Res 2020;7:52 I http://dx.doi.org/10.20517/2347-9264.2020.93 Page 5 of 9

Table 1. Published studies with ≥ 10 patients undergoing penile skin grafting since 2005
Author Years n Location Indication Skin graft Failure, n (%) Bedrest (days)
Parnham et al. [21] 2005-2016 172 Glans CA STSG (0.014-0.018) Partial 29 (17%) None
(2018) non-meshed Complete 5 (3%)
Smith et al. [22] (2007) NR 72 Glans CA STSG, non-meshed Partial: 2 (3%) 4
[17]
Pariser et al. (2018) 2007-2017 61 Shaft BP STSG (0.012-0.015) NR 2
*Tang et al. [18] (2008) fenestrated
Hampson et al. [19] 2005-2016 42 Shaft BP STSG (0.015) Partial: 6 (14%) 5
(2017) 1:1 meshed or

[4]
Figleret al. (2015) unmeshed
Jun et al. [16] (2018) 2007-2017 36 Shaft BP STSG (0.015) NR 2
Non-meshed
[3]
Tausch et al. (2016) 2007-2015 31 Shaft BP STSG, non-meshed 3 (10%) NR
Garaffa et al. [23] 1997-2010 31 Glans LS STSG (0.00-0.016) Partial: 1 (3%) 2
(2011)
Shabbir et al. [24] 2001-2010 25 Glans CA STSG (0.008-0.016) 1 (4%) 2
(2011) non-meshed
Harris et al. [25] NR 23 Shaft Pediatrics STSG (0.016-0.018) 5 (22%) NR
(2020) Exstrophy FTSG, fenestrated
Epispadias
[9]
Cocci et al. (2019) 2006-2016 23 Shaft BP STSG (0.016 or "thick") NR
[8]
Figler et al. (2020) 2016-2019 19 Shaft BP STSG (0.018), non- 0 None
meshed
Chertin et al. [26] NR 17 Shaft Pediatrics STSG (0.012) 1 (6%) NR
(2016) Prior surgery fenestrated or meshed
Trauma
Modolin et al. [27] NR 17 Shaft LE STSG NR 3
(2006)
Palminteri et al. [28] 1998-2004 17 Glans CA, LS STSG, non-meshed Partial: 2 (12%) 3
(2007)
Theisen et al. [14] 2015-2017 16 Shaft BP STSG (0.016) NR 2
(2018) fenestrated
*Fuller et al. (2017)
[15]
[13]
Erpelding et al. 2014-2017 16 Shaft BP STSG, meshed 0 None
(2019)
Monn et al. [10] (2019) 2013-2018 13 Shaft LE FTSG, non-fenestrated 0 NR
Boonjindasup et al. [29] 2000-2013 11 Shaft LE, LS STSG (0.012-0.018) NR
(2016) Prior surgery meshed 1.5:1
[11]
Voznesensky et al. 2011-2015 11 Shaft BP STSG NR 2
(2016) meshed and non-
meshed
Thompson et al. [30] 11 Shaft Pediatrics FTSG 0 NR
(2006) Prior surgery,
LE
[31]
Rybak et al. (2014) 2007-2011 10 Shaft BP STSG (0.016-0.018) NR
fenestrated
Hadway et al. [20] NR 10 Glans CA STSG, non-meshed 0 5
(2006)
*Indicates technique paper. N: number of patients in study with penile skin graft; LE: lymphedema; HS: hidradenitis suppurativa; BP:
buried penis; LS: lichen sclerosus; NF: necrotizing fasciitis; CA: cancer

to reduced metabolic requirements, and the ability to easily mesh and expand the graft to cover a larger
recipient site. Additional benefits of meshing are preventing accumulation of fluid under the graft (which
can interfere with graft take) and easier accommodation of the graft to the contours of an irregular graft
bed. In non-meshed STSGs and FTSGs, fluid accumulation under the graft can be achieved by fenestration
of the graft with an 11 blade or hollow bore needle. While meshed regions typically heal via epithelial
ingrowth from the surrounding skin graft, mesh lines may persist and be aesthetically unpleasing [Figure 2].
When meshing is performed on the penis, it is usually at a ratio of 1.5:1 to 2:1, although the use of non-
expanded 1:1 meshing has been suggested as a way to achieve appealing cosmesis while preserving other
[12]
benefits of meshing .