Maxx A. Gallegos, MD, presented “Genital Reconstruction After Massive Tissue Loss” during the Innovations in Urologic Practice 2020 virtual conference in September 2020.
How to cite: Gallegos, Maxx A. “Genital Reconstruction After Massive Tissue Loss.” September 26th, 2020. Accessed Nov 2024. https://grandroundsinurology.com/genital-reconstruction-after-massive-tissue-loss/
Genital Reconstruction After Massive Tissue Loss – Summary
Maxx A. Gallegos, MD, Director of Reconstructive Urology at the University of New Mexico Health Sciences Center in Albuquerque, New Mexico, presents on genital reconstruction after patients have suffered massive tissue destruction. He addresses the epidemiology and etiology of genital tissue destruction, as well as the physiology of healing. Though rare, there are many possible ways a person can experience loss of genital skin, including burns, necrotizing fasciitis, lymphedema, self-mutilation, and sclerotic conditions. The incidence of necrotizing fasciitis is also rising, likely due to increased incidence of diabetes in the United States population. As primary intention healing is not a viable option in these severe cases, Dr. Gallegos recommends secondary intention techniques, such as grafts and fasciocutaneous flaps. Dr. Gallegos then presents several case studies, including four patients with Fournier’s gangrene, a patient with stab wounds, and a patient with lymphedema. He concludes by describing his postoperative process and how frequently patients should return for wound checks.
About the Innovations in Urologic Practice 2020 virtual conference:
Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma, men’s health topics like male infertility and sexual dysfunction, and ways to diagnose and treat infections in the urology patient. Dr. Gallegos presented this talk virtually at the 2020 conference.
ABOUT THE AUTHOR
Dr. Maxx A. Gallegos is an Assistant Professor of Urology in the Department of Surgery at the University of New Mexico Health Sciences Center in Albuquerque. He also serves as the Associate Resident Program Director in the Division of Urology there. He graduated with honors from the University Of Kansas School Of Medicine in 2011. From 2016 to 2017, he worked as a reconstructive urologist at Detroit Medical Center in Michigan. In addition to his positions at UNM, Dr. Gallegos also has a private practice in Albuquerque. He is an expert in plastic surgery of the urogenital system, and his clinical interests include urethral and ureteral reconstructive surgery, genital aesthetic surgery, urologic prosthetics, genital/urinary trauma, and adolescent to adult urologic care. Dr. Gallegos is a Fellow of the Alpha Omega Alpha Honor Medical Society and a member of the American College of Surgeons.
