Skip to main content

Advertisement

Log in

Bilateral super thin groin island flap for penile, scrotal, and pubic reconstruction after Fournier’s gangrene

  • Case Report
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig 1
Fig 2
Fig 3
Fig 4

References

  1. Morpurgo E, Galandiuk S (2002) Fournier’s gangrene. Surg Clin North Am 82:1213–24

    Article  PubMed  Google Scholar 

  2. 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

    Google Scholar 

  3. Maguiña P, Palmieri TL, Greenhalgh DG (2003) Split thickness skin grafting for recreation of the scrotum following Fournier’s gangrene. Burns 29:857–862

    Article  PubMed  Google Scholar 

  4. Horton CE, Stecker JF, Jordan GH (1990) Genital reconstruction following trauma. In: McCarthy JG (ed) Plastic surgery. WB Saunders, New York, pp 4226–4239

    Google Scholar 

  5. Atik B, Tan Ö, Ceylan K et al (2006) Reconstruction of wide scrotal defect using super thin groin flap. Urology 68:419–422

    Article  PubMed  Google Scholar 

  6. Datubo-Brown DD (1990) Alternative techniques for scrotal reconstruction. Br J Urol 65:115–117

    Article  PubMed  CAS  Google Scholar 

  7. 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

    Google Scholar 

  8. 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

    Article  Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. Mutaf M (2000) A new surgical procedure for phallic reconstruction: İstanbul flap. Plast Reconstr Surg 105:1361–1370

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fatih Doğan.

Rights and permissions

Reprints 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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00238-010-0479-4

Keywords

Navigation