Modified pudendal-thigh flap for correction of penoscrotal transposition.
OBJECTIVE
In patients with penoscrotal transposition, an occasional postoperative problem has been a deficiency of skin on the proximal penile shaft that results in penoscrotal fusion and tethering.


METHODS
We describe a new operation using a modified neurovascular pudendal-thigh flap for correction of incomplete penoscrotal transposition.


RESULTS
This procedure has been used in 6 children, and an excellent cosmetic and functional result has been achieved in each patient.


CONCLUSIONS
The flaps provide a reliable blood supply, maintain normal innervation, and correct the problem of postoperative penoscrotal fusion and tethering. This technique preserves sufficient penile skin for a tension-free second-stage urethroplasty.
Levy
J B
JB
Department of Urology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
Darson
M F
MF
Bite
U
U
Kramer
S A
SA
D000015:Abnormalities, Multiple / Q000601:surgery*; D002648:Child; D006801:Humans; D008297:Male; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D012611:Scrotum / Q000002:abnormalities* / Q000601:surgery*; D013524:Surgical Flaps