Abstract
Complete denudation of scrotal skin as an aftermath of Fournier’s gangrene is a vexing surgical problem which may leave behind one or both the testes hanging out from the perineum. Healing of this area by second intention not only results in a bad perineal cicatrix with poor cosmetic appearance of scrotum but also potentially endangers the survival of testes by the way either testicular desiccation or cord entrapment in the cicatrix. A new and simple approach is described hereunder, which would achieve the desired goals of both scrotal reconstruction and testicular preservation with relative ease and this procedure could be performed by a general surgeon in a modest surgical setup.
Similar content being viewed by others
References
Karian LS, Chung SY, Lee ES (2015) Reconstruction of defects after Fournier gangrene: a systematic review. Eplasty 15:e18
Lin CT, Chang SC, Chen SG, Tzeng YS (2016) Reconstruction of perineoscrotal defects in Fournier’s gangrene with pedicle anterolateral thigh perforator flap. ANZ J Surg 86(12):1052–1055
Oufkir AA, Tazi MF, El Alami MNE (2013) The superomedial thigh flap in scrotal reconstruction: technical steps to improve cosmetic results. India J Urol 29(4):360–362
Chen SY, Fu JP, Chen TM, Chen SG (2011) Reconstruction of scrotal and perineal defects in Fournier’s gangrene. J Plast Reconstruct Aesthet Surg 64(4):528–534
Hinman F Jr (1991) The blood supply to preputial island flaps. J Urol 145:1232–1235
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Jehna, S.A., Dharani, K. Scrotal Reconstruction—a Simple Method for General Surgeons. Indian J Surg 82, 1165–1167 (2020). https://doi.org/10.1007/s12262-020-02219-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-020-02219-6