The Treatment of Genitoperineal Hidradenitis Suppurativa: A Review of the Literature

被引:4
作者
Michel, Chloe [1 ]
Dibianco, John Michael [1 ]
Sabarwal, Vikram [1 ]
Stein, Daniel M. [1 ]
机构
[1] George Washington Univ, Sch Med & Hlth Sci, Dept Urol, 2300 Eye St NW,Ross Hall, Washington, DC 20037 USA
关键词
SURGICAL-MANAGEMENT; RECURRENCE; OUTCOMES; SURGERY; THERAPY; INFLIXIMAB; EXCISION; MODERATE; TRIALS;
D O I
10.1016/j.urology.2018.10.013
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Hidradenitis suppurativa is a chronic inflammatory condition affecting the axilla, genitals, perineum, and perianal regions. The pathophysiology of hidradenitis suppurativa is complex and requires a multidisciplinary approach to treatment involving medical and surgical management when indicated. We describe our multidisciplinary protocol for treatment, which includes rheu-matology-monitored immunotherapy, medical management, wide surgical resection, wound care, and reconstruction. The multidisciplinary care team includes rheumatology, wound care, and reconstructive urologic surgery. Surgical management includes wide local surgical resection, negative pressure dressing, delayed reconstruction, and perioperative immunotherapy. Multimodal treatment with surgical, medical, wound, and immunotherapy care is vital to successful treatment. (C) 2018 Elsevier Inc.
引用
收藏
页码:1 / 5
页数:5
相关论文
共 37 条
[1]  
Adams DR, 2010, ARCH DERMATOL, V146, P501, DOI 10.1001/archdermatol.2010.72
[2]   A review of wide surgical excision of hidradenitis suppurativa [J].
Alharbi, Ziyad ;
Kauczok, Jens ;
Pallua, Norbert .
BMC DERMATOLOGY, 2012, 12
[3]   Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction [J].
Alwaal, Amjad ;
McAninch, Jack W. ;
Harris, Catherine R. ;
Breyer, Benjamin N. .
UROLOGY, 2015, 86 (04) :835-839
[4]  
[Anonymous], 2007, JAMACADDERMATOL
[5]   Surgical Approach to Extensive Hidradenitis Suppurativa in the Perineal/Perianal and Gluteal Regions [J].
Balik, Emre ;
Eren, Tunc ;
Bulut, Tuerker ;
Bueyuekuncu, Yilmaz ;
Bugra, Dursun ;
Yamaner, Suemer .
WORLD JOURNAL OF SURGERY, 2009, 33 (03) :481-488
[6]   Antibiotic Treatment of Hidradenitis Suppurativa [J].
Bettoli, Vincenzo ;
Join-Lambert, Olivier ;
Nassif, Aude .
DERMATOLOGIC CLINICS, 2016, 34 (01) :81-+
[7]   Surgical Management of Genitoperineal Hidradenitis Suppurativa in Men [J].
Chen, Mang L. ;
Odom, Brian ;
Santucci, Richard A. .
UROLOGY, 2014, 83 (06) :1412-1417
[8]   Hidradenitis Suppurativa [J].
Danby, F. William ;
Margesson, Lynette J. .
DERMATOLOGIC CLINICS, 2010, 28 (04) :779-+
[9]   Outcomes After Combined Radical Resection and Targeted Biologic Therapy for the Management of Recalcitrant Hidradenitis Suppurativa [J].
DeFazio, Michael V. ;
Economides, James M. ;
King, Kathryn S. ;
Han, Kevin D. ;
Shanmugam, Victoria K. ;
Attinger, Christopher E. ;
Evans, Karen K. .
ANNALS OF PLASTIC SURGERY, 2016, 77 (02) :217-222
[10]   Long-Term Outcomes of Surgical Management for Nonmalignant Perineal Disease [J].
Eswara, Jairam R. ;
McDougal, W. Scott .
JOURNAL OF UROLOGY, 2013, 190 (06) :2139-2143