Scrotal Defects Research Articles

Scrotal reconstruction with a rectus abdominis muscle flap

The rectus abdominis muscle flap provides excellent coverage of major scrotal defects. It is a simple, reliable, one-stage procedure which covers the exposed testes and gives a satisfactory aesthetic result and is an ideal choice for covering the contaminated wound.

Scrotal Reconstruction in Founier Syndrome

The extent of the scrotal defect following debridement of Fournier gangrene ranges from relatively small areas of scrotal loss to complete denudation of the testes and cords. In our experience, denudation of the testis alone is best treated by split-thickness mesh grafts and total denudation of the testis and cord by burial of the testicle in a subcutaneous medial thigh pocket. Three cases are presented illustrating the spectrum of methods that can be used either singly or in combination to repair scrotal defects in Fournier gangrene.

A Transposed Scrotal Flap in Hypospadias Repair

SummaryA scrotal flap has been described to provide cover in penoscrotal hypospadias, and posi-operative fistulae near the root of the penis Scrotura is a store house of lax skin. Transposition of the flap is easy and closure of the scrotal defect presents no problems.

Split-thickness skin grafting: A modest technique for scrotal reconstruction in patients of Fournier’s gangrene

Background and Objectives: Fournier’s gangrene is rapidly progressive fulminating gangrene of the genitals and the perineum. The resulting skin loss can be covered by various techniques. Split thickness skin grafting (STSG) is a surgical technique which gives good functional and cosmetic outcome and is relatively easier to perform. We intend to study the results of split-thickness skin grafting in patients with scrotal defect following Fournier’s gangrene. Materials and Methods: Split-thickness skin graft was performed in seven patients with Fournier’s gangrene. The patients were selected consecutively from December 2016 to April 2018. All patients were followed for 3 to 6 months postoperatively. Results: All patients had good uptake of graft with no complications except two patients, one had infection at the graft site and in the other one there was a gap devoid of skin at the junction of perineum and base of scrotum. The first patient was managed conservatively with antibiotics and the gap in second patient was repaired by suturing. The donor site in all patients had healed well without any complications. Conclusion and Interpretations: STSG is safe, simple technique for scrotal reconstruction which is both cosmetically and physiologically compliant to the patient.