Abstract
Defects in the scrotal, perianal, and penile areas are problems that are difficult to repair. Methods for reconstruction of this region are limited, and none are ideal. We decided to use bilateral super thin groin island flaps for a patient with penile, scrotal, and pubic defects. A two-stage technique for scrotal sac and penile reconstruction using tissue expansion is described. A super thin groin island flap was elevated, and bilateral tissue expanders were placed. Using this, the penile, scrotal, and pubic defects were closed without difficulty. Both the aesthetic and functional aspects should be taken into consideration when covering a defect of both the testis and the penis. It is essential to have thin and durable cover for such a reconstruction. The technique described above was used to reconstruct this defect with good functional and cosmetic outcomes.
References
Morpurgo E, Galandiuk S (2002) Fournier’s gangrene. Surg Clin North Am 82:1213–24
Friedman JD (2007) Reconstruction of the perineum. In: Thorne CH (ed) Grabb and Smith’s plastic surgery, 6th edn. Lippincott Williams & Wilkins, Philadelphia, pp 708–716
Maguiña P, Palmieri TL, Greenhalgh DG (2003) Split thickness skin grafting for recreation of the scrotum following Fournier’s gangrene. Burns 29:857–862
Horton CE, Stecker JF, Jordan GH (1990) Genital reconstruction following trauma. In: McCarthy JG (ed) Plastic surgery. WB Saunders, New York, pp 4226–4239
Atik B, Tan Ö, Ceylan K et al (2006) Reconstruction of wide scrotal defect using super thin groin flap. Urology 68:419–422
Datubo-Brown DD (1990) Alternative techniques for scrotal reconstruction. Br J Urol 65:115–117
Hirshowitz B (1990) Medial thigh skin flaps for reconstruction of the scrotum. Grabb’s encyclopedia of flaps, vol 3. Little Brown, Boston, pp 1500–1505
Howard HH (1940) Gangrene of the scrotum and repair by a simple plastic operation: report of a case. N Engl J Med 222:217–220
Rapp D, Cohn A, Gottlieb L et al (2005) Use of tissue expansion for scrotal sac reconstruction after scrotal skin loss. Urology 65:1216–1218
Mutaf M (2000) A new surgical procedure for phallic reconstruction: İstanbul flap. Plast Reconstr Surg 105:1361–1370
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Doğan, F., Eskitaşçıoğlu, T., Altıparmak, M. et al. Bilateral super thin groin island flap for penile, scrotal, and pubic reconstruction after Fournier’s gangrene. Eur J Plast Surg 34, 497–499 (2011). https://doi.org/10.1007/s00238-010-0479-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00238-010-0479-4