ORIGINALŪS STRAIPSNIAI. Scrotal reconstruction using thigh pedicle flaps after major external genitalia skin loss
Perspausdinta gavus „Urologia Internationalis“ sutikimą.
Scrotal reconstruction using thigh pedicle flaps after major external genitalia skin loss
Gudaviciene D*, Daimantas Milonas**
*Department of Surgery, Vilnius University Hospital of Oncology, Lithuania
**Department of Urology, Kaunas University of Medicine, Lithuania
Keywords: external genitalia trauma, scrotal reconstruction, thigh flap.
Abstract. The major scrotal and penile skin loss is uncommon case, and management of such injury is a challenging problem for surgeons of genitourinary reconstruction. Scrotal skin loss, involving less than 50% of the skin, can often be closed acutely. In cases of more significant loss, the testes may be placed in thigh pouches, treated with wet dressings until reconstruction or split thickness skin grafting can be chosen. The decision of a surgeon depends on the cause of the skin loss – trauma, Fournier‘s gangrene or others. We describe a case of massive scrotal and penile skin loss due to incident with agrocultural machine. The scrotal reconstruction with superior and laterally based thigh flaps was performed by three steps. Penis was covered with remnant scrotal and preputium skin. The procedure was chosen because of the following advantages: simplicity, early closure of the wound, excellent cosmetic appearance and maintenance of the sexual function.