Rotary mutiflaps for defect reconstruction in penoscrotal extramammary Paget's disease

Abstract

Purpose To describe a method of using rotary mutiflaps from scrotum, penis, and mons pubis to reconstruct large skin defect after local wide excision of penoscrotal extramammary Paget's disease (EMPD). Materials and methods We reviewed our databases for the period between 1997 and 2005, and identified 5 cases of penoscrotal EMPD, all male aged between 56 to 69 (mean 63.2 years), who underwent local wild excision with subsequent reconstruction by rotary multiflaps. Results All flaps survived with satisfactory functional and aesthetic results. No signs of recurrent disease or metastasis occurred during the follow-up period ranging from 5 to 36 months (mean 20 months). Conclusions Rotary mutiflaps is a safe and effective procedure for the reconstruction of large defect in penoscrotal EMPD.