title: Thin-trimming of the scrotal reconstruction flap: long-term follow-up shows reversal of spermatogenesis arrest.
abstract: OBJECTIVE
  To explore a method to decrease the arrest of spermatogenesis in patients undergoing scrotum reconstruction with a flap.
  
  
  METHODS
  A follow-up study on a patient whose scrotum had been reconstructed with a flap revealed the arrest of spermatogenesis. The flap was trimmed thin on two occasions, and the composition of the seminal fluid was followed up.
  
  
  RESULTS
  The follow-up showed a decrease in the arrest of spermatogenesis after the flap was thin-trimmed.
  
  
  CONCLUSIONS
  Thin-trimming the reconstruction flap can decrease the degree of spermatogenesis arrest in patients who have received scrotum reconstruction by thick flap.
authors.affiliation: The Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou, China. daliwangzy@sina.com
authors.forename: D
authors.initials: D
authors.lastname: Wang
authors.forename: Z
authors.initials: Z
authors.lastname: Wei
authors.forename: G
authors.initials: G
authors.lastname: Sun
authors.forename: Z
authors.initials: Z
authors.lastname: Luo
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D007248:Infertility, Male / Q000517:prevention & control*; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D012611:Scrotum / Q000293:injuries / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D013076:Sperm Count; D013091:Spermatogenesis / Q000502:physiology*; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult