{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T21:16:56Z","timestamp":1780435016198,"version":"3.54.1"},"reference-count":14,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T00:00:00Z","timestamp":1685491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To report outcomes of surgical treatment in patients with penile foreign body granuloma and compare surgical outcomes between single\u2010 and two\u2010stage scrotal flap reconstructions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of patients with penile foreign body granuloma who underwent surgical treatment were reviewed. Patients with single\u2010 and two\u2010stage scrotal flap reconstructions\u00a0were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010two patients underwent surgical treatment from January 1, 2018 to October 31, 2022. Twenty\u2010three patients underwent single\u2010stage reconstruction with bilateral scrotal flap while 12 patients underwent two\u2010stage repair with 19 operations. Five patients underwent circumcision; one had excision with primary closure. Another patient underwent reconstruction by penile skin preservation technique. There was no statistically significant differences between single\u2010 and two\u2010stage groups in wound infection (8.69% vs. 0%, RR 2.71, 95%CI; 0.14\u201352.29), wound dehiscence (21.74% vs. 8.33%, RR 2.61, 95%CI 0.34\u201319.87), reoperation rate (26.08% vs. 8.33%, RR 3.13, 95%CI; 0.42\u201323.10). Postoperative fever was significantly higher in single\u2010stage group (56.52 vs. 8.33%, RR 6.78, 95%CI; 1.01\u201343.83). Total length of hospital stay was shorter in single\u2010stage group (7.43\u2009\u00b1\u20093.19\u2009days vs. 10.86\u2009\u00b1\u20091.57\u2009days, MD \u22123.42, 95%CI; \u22125.28 to \u22121.57). Incidence of patients without Clavien\u2013Dindo surgical complications was significantly lower in single\u2010stage group (43.48% vs. 83.33%, RR 0.53, 95%CI; 0.31\u20130.89).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both single\u2010 and two\u2010stage techniques\u00a0may be considered for penile foreign body granuloma reconstruction. Although the hospital stay was longer in two\u2010stage group, the complication rates were lower.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.15209","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T18:39:55Z","timestamp":1685558395000},"page":"681-687","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Surgical treatment of penile foreign body granuloma: Penile shaft reconstruction with single\u2010 versus two\u2010stage scrotal flap techniques"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9230-0075","authenticated-orcid":false,"given":"Supanut","family":"Lumbiganon","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine Khon Kaen University  Khon Kaen Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kachit","family":"Pachirat","sequence":"additional","affiliation":[{"name":"Department 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