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Benign tumours leading to total penile denudation treated with Manuka honey dressings: A case report and review of literature.
Int J Surg Case Rep 2019; 61:191-194IJ

Abstract

INTRODUCTION

Penile denudation is a devastating condition often reconstructed with a split-thickness skin graft(STSG). As this kind of reconstruction is challenging, we present an non-invasive treatment using Manuka honey dressings with a satisfying result. This was performed as a salvage procedure after failed STSG.

CASE

A 55-year-old non-smoking male was admitted from his general practitioner with a newly onset of phimosis and lower urinary tract symptoms. Benign tumours complicated with infection were found on all segments of the penis causing dehiscence of the skin. After surgical removal of tumours and an unsuccessful STSG, Manuka honey dressings was used. Full sexual function was regained, and the patient was satisfied with the result.

DISCUSSION

Alternatives to STSG are full-thickness skin graft using the inguinal or scrotal borrowing method, or using a dermal matrix before a STSG. A rediscovered method is using Manuka honey, with its unique combination of bactericidal, anti-inflammatory and healing-promoting properties. A wide range of wound types may benefit from Manuka honey dressings. A recent Danish in vitro study on honey derived from various Danish floras even shows high antibacterial effect superior to commercial medical grade honey. Considering a growing resistance to antibiotics, medical honey may contribute as a alternative to extensive wound care.

CONCLUSION

We successfully treated a penile denudation with Manuka honey following a failed STSG. Wounds, ulcers, and burns may be infected, and can be challenging, time consuming, and expensive to treat. Manuka honey may be a good alternative to reconstructive surgery and can be managed on an out-patient basis.

Authors+Show Affiliations

Department of Plastic- and Breast Surgery, University Hospital Zealand, Sygehusvej 10, DK-4000, Roskilde, Denmark. Electronic address: amalie@sylvester-hvid.nu.Department of Plastic- and Breast Surgery, University Hospital Zealand, Sygehusvej 10, DK-4000, Roskilde, Denmark. Electronic address: magnusavnstorp@gmail.com.Department of Plastic- and Breast Surgery, University Hospital Zealand, Sygehusvej 10, DK-4000, Roskilde, Denmark. Electronic address: fjeld73@gmail.com.Department of Plastic- and Breast Surgery, University Hospital Zealand, Sygehusvej 10, DK-4000, Roskilde, Denmark. Electronic address: bjtc@regionsjaelland.dk.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31377541

Citation

Sylvester-Hvid, Amalie, et al. "Benign Tumours Leading to Total Penile Denudation Treated With Manuka Honey Dressings: a Case Report and Review of Literature." International Journal of Surgery Case Reports, vol. 61, 2019, pp. 191-194.
Sylvester-Hvid A, Avnstorp MB, Fjeld T, et al. Benign tumours leading to total penile denudation treated with Manuka honey dressings: A case report and review of literature. Int J Surg Case Rep. 2019;61:191-194.
Sylvester-Hvid, A., Avnstorp, M. B., Fjeld, T., & Crewe, B. (2019). Benign tumours leading to total penile denudation treated with Manuka honey dressings: A case report and review of literature. International Journal of Surgery Case Reports, 61, pp. 191-194. doi:10.1016/j.ijscr.2019.07.009.
Sylvester-Hvid A, et al. Benign Tumours Leading to Total Penile Denudation Treated With Manuka Honey Dressings: a Case Report and Review of Literature. Int J Surg Case Rep. 2019;61:191-194. PubMed PMID: 31377541.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Benign tumours leading to total penile denudation treated with Manuka honey dressings: A case report and review of literature. AU - Sylvester-Hvid,Amalie, AU - Avnstorp,Magnus B, AU - Fjeld,Tobias, AU - Crewe,Bjørn, Y1 - 2019/07/19/ PY - 2018/11/11/received PY - 2019/07/01/revised PY - 2019/07/11/accepted PY - 2019/8/5/pubmed PY - 2019/8/5/medline PY - 2019/8/5/entrez KW - Balanitis KW - Manuka honey KW - Penile denudation KW - Penile reconstruction KW - Split-thickness skin graft KW - Wound infection SP - 191 EP - 194 JF - International journal of surgery case reports JO - Int J Surg Case Rep VL - 61 N2 - INTRODUCTION: Penile denudation is a devastating condition often reconstructed with a split-thickness skin graft(STSG). As this kind of reconstruction is challenging, we present an non-invasive treatment using Manuka honey dressings with a satisfying result. This was performed as a salvage procedure after failed STSG. CASE: A 55-year-old non-smoking male was admitted from his general practitioner with a newly onset of phimosis and lower urinary tract symptoms. Benign tumours complicated with infection were found on all segments of the penis causing dehiscence of the skin. After surgical removal of tumours and an unsuccessful STSG, Manuka honey dressings was used. Full sexual function was regained, and the patient was satisfied with the result. DISCUSSION: Alternatives to STSG are full-thickness skin graft using the inguinal or scrotal borrowing method, or using a dermal matrix before a STSG. A rediscovered method is using Manuka honey, with its unique combination of bactericidal, anti-inflammatory and healing-promoting properties. A wide range of wound types may benefit from Manuka honey dressings. A recent Danish in vitro study on honey derived from various Danish floras even shows high antibacterial effect superior to commercial medical grade honey. Considering a growing resistance to antibiotics, medical honey may contribute as a alternative to extensive wound care. CONCLUSION: We successfully treated a penile denudation with Manuka honey following a failed STSG. Wounds, ulcers, and burns may be infected, and can be challenging, time consuming, and expensive to treat. Manuka honey may be a good alternative to reconstructive surgery and can be managed on an out-patient basis. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/31377541/Benign_tumours_leading_to_total_penile_denudation_treated_with_Manuka_honey_dressings:_A_case_report_and_review_of_literature L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(19)30391-8 DB - PRIME DP - Unbound Medicine ER -