Abstract
Introduction: Penile skin loss poses a particular challenge for reconstruction to the plastic surgeon. These defects, depending on their size, have been reconstructed using skin grafts or regional flap. Patients & Methods: Ten patients with variable sized penile skin defects were included in this work. Scrotal fascio-myo-cutaneous (Dartos) flap was harvested and used for penile shaft resurfacing. Results: All harvested flaps were successful. None of them showed any ischemic manifestations. Discussion: Despite being a simple and robust flap, its use for resurfacing of moderate to extensive penile skin defects isn’t popular. We propose the use of Dartos flap as a good alternative for challenging moderate to extensive penile skin losses.
Highlights
Penile skin loss poses a particular challenge for reconstruction to the plastic surgeon
Genital skin loss can occur as a consequence of trauma, infections such as Fournier’s gangrene, burns and iatrogenic as in excessive circumcision or surgical excision of benign or malignant penile skin lesions [1]
Penile skin loss can result from traction by mechanical devices, such as farm or industrial machinery, or by suction devices, such as vacuum cleaners
Summary
Penile skin loss poses a particular challenge for reconstruction to the plastic surgeon. These defects, depending on their size, have been reconstructed using skin grafts or regional flap. Scrotal fascio-myo-cutaneous (Dartos) flap was harvested and used for penile shaft resurfacing. Discussion: Despite being a simple and robust flap, its use for resurfacing of moderate to extensive penile skin defects isn’t popular. We propose the use of Dartos flap as a good alternative for challenging moderate to extensive penile skin losses. Genital skin loss can occur as a consequence of trauma, infections such as Fournier’s gangrene, burns and iatrogenic as in excessive circumcision or surgical excision of benign or malignant penile skin lesions [1]. Rare, are often full thickness because the penile skin is so thin [2]
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