Can Artificial Skin Be Used for Scrotal and Penile Burns? - Plastic Surgery

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Can artificial skin be applied to burns on the scrotum and penis?


Hello, Dr.
Lu.
I sustained a burn injury from acetylene at work, resulting in a third-degree burn on my right hand.
The skin on the right half of my penis is charred, with a red wound showing no tissue fluid, and the right half of my scrotum has lost its outer skin, causing tissue fluid to leak out.
This has led to erosion of the tissue at the lower right part of my penis.
I would like to ask if it is possible to purchase artificial skin for application.
The nursing staff cleans the area daily with hydrotherapy, but I am unable to secure gauze for medication application.
I would like to inquire about the feasibility of using artificial skin in this situation.

Gu Xiansheng, 30~39 year old female. Ask Date: 2015/04/02

Dr. Lu Daokuan reply Plastic Surgery


Many exudates cannot be covered with artificial skin; alternatives such as alginate or sponge dressings can be chosen.

Reply Date: 2015/04/02

More Info


When it comes to treating burns, especially in sensitive areas such as the scrotum and penis, the choice of dressing is crucial for proper healing and comfort. In your case, where you have sustained severe burns, including third-degree burns on your hand and significant damage to the genital area, the use of artificial skin (also known as synthetic skin or bioengineered skin substitutes) requires careful consideration.

Artificial skin is typically used for partial-thickness burns (second-degree burns) and some full-thickness burns (third-degree burns) under specific circumstances. However, the application of artificial skin in areas with high moisture and fluid production, such as the scrotum and penis, can be problematic. The presence of exudate (the fluid that leaks from wounds) can prevent the artificial skin from adhering properly and may lead to complications such as infection or delayed healing.

In your situation, where there is significant fluid leakage from the wound, it is advisable to consider alternative dressing options. Hydrocolloid dressings, alginate dressings, or foam dressings may be more appropriate as they can manage exudate effectively while providing a moist wound environment conducive to healing. These types of dressings can absorb excess fluid and help protect the wound from external contaminants.

Moreover, the use of artificial skin should be guided by a healthcare professional who can assess the wound's condition and determine the best course of treatment. Since you mentioned that the nursing staff is performing daily hydrotherapy and cleaning, it is essential to follow their recommendations closely. They may suggest a specific dressing that can accommodate the unique challenges posed by the location and nature of your burns.

In addition to the choice of dressing, pain management and infection prevention are critical components of burn care. Ensure that you are following any prescribed pain management protocols and monitoring for signs of infection, such as increased redness, swelling, or discharge from the wound. If you notice any concerning symptoms, it is important to seek medical attention promptly.

In summary, while artificial skin can be beneficial for certain types of burns, its use in the context of scrotal and penile burns with significant exudate may not be advisable. Instead, consider discussing with your healthcare provider the possibility of using alternative dressings that can better accommodate the fluid production and promote healing. Always prioritize professional medical advice tailored to your specific situation, as they will have the best understanding of your wound's condition and the most appropriate treatment options.

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