Foreskin for skin grafting: an unthinkable positive aspect

Background: Penile foreskin is a readily available source of dermis, but it is not often used for skin grafting. Objective: To report the use of the preputial foreskin as donor for full thickness skin grafting. Methods: The preputial foreskin was used as donor for skin grafting in 42 Thai boys. Results: The size of the donor graft obtained varied from 15-50 cm2 depending on the patients’s weight and penis size. The grafting was successful in more than 90% of patients. There was less contracture and no limitation of movement when the graft lay over a joint. There were no complications at the donor sites. Conclusion: The use of the preputial foreskin for skin grafting is practical and effective.