title: Modified pudendal-thigh flap for correction of penoscrotal transposition.
abstract: 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.
authors.affiliation: Department of Urology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
authors.forename: J B
authors.initials: JB
authors.lastname: Levy
authors.forename: M F
authors.initials: MF
authors.lastname: Darson
authors.forename: U
authors.initials: U
authors.lastname: Bite
authors.forename: S A
authors.initials: SA
authors.lastname: Kramer
mesh_terms: 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