Data Sheet 1_Case Report: Adjunctive hyperbaric oxygen therapy in pediatric glans reimplantation following penile trauma.pdf

Pediatric penile trauma is a rare urological emergency, and evidence-based guidelines for complex tissue salvage are limited. We report the case of an eight-year-old boy who presented six hours after sustaining a partial ventral glans avulsion. The patient underwent evaluation under general anesthesia followed by delayed surgical reimplantation of the avulsed glans tissue. As an adjunct to surgery, he received ten consecutive sessions of hyperbaric oxygen therapy (HBOT). Post-treatment follow-up demonstrated complete graft integration, excellent cosmetic outcome, preserved urinary function, and no complications. This case underscores the potential of HBOT to enhance graft viability and recovery in the setting of delayed reimplantation. Drawing on prior experience with graft-based reconstruction in complex hypospadias reoperations, HBOT may serve as a valuable adjunct in pediatric penile trauma involving complex tissue loss, offering a promising strategy to improve outcomes in similarly challenging reconstructive scenarios.

儿童阴茎创伤是一类罕见的泌尿外科急症，针对复杂组织挽救的循证医学指南仍较为匮乏。本次报告1例8岁男性患儿的诊疗经过：该患儿于阴茎头腹侧部分撕脱伤后6小时就诊。患儿接受全身麻醉下的术前评估，随后对撕脱的阴茎头组织行延期手术再植。作为手术辅助治疗手段，患儿连续接受了10个疗程的高压氧治疗（hyperbaric oxygen therapy, HBOT）。术后随访结果显示，移植组织完全整合，外观效果优良，排尿功能得以保留，且未出现任何并发症。本病例凸显了高压氧治疗在延期再植场景中提升移植组织存活率与恢复效果的潜力。结合既往复杂尿道下裂再次修复手术中组织移植重建的临床经验，高压氧治疗可作为合并复杂组织缺损的儿童阴茎创伤的有效辅助疗法，为此类极具挑战性的重建手术场景提供改善预后的颇具前景的治疗策略。