Abstract
Scrotal loss with testicular exposure commonly follows debridement for necrotising infections and is devastating to the patient both physically and psychologically. This article describes our method of scrotal reconstruction by testicular apposition and wrap-around skin grafting. The key elements of our technique are: (1) preservation of viable spermatic fascia, (2) suturing the testes together with a broad surface area of contact to allow fusion of testicular fascial layers into a single scrotal sac and (3) meticulous attention to skin graft take. We applied this technique in 27 consecutive patients. Two-thirds (66%) achieved thin, pliable scrotums that closely mimicked an original scrotum while 18% developed well-formed sacs with slight adhesions. This technique is simple, reproducible and achieves for the patient an aesthetic neoscrotum with minimal morbidity.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Journal of Plastic, Reconstructive & Aesthetic Surgery
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
