title: Reconstruction of major scrotal defects by anterolateral thigh flap.
abstract: To summarize the indications and applications of anterolateral thigh flaps (ALTP) in reparation and reconstruction of acute scrotum skin deficiency. We report our experience of treating three patients for scrotal reconstruction using the ALTP method from May of 2007 to December of 2010. The flap was completely islanded, tunneled beneath the fascial septa below the rectus femoris, and placed into the defect. The resulting reconstruction provided a tension-free, cosmetically appealing scrotum with complete testicular coverage. There were no perioperative or postoperative complications. Spermatogenesis (sperm count levels), and sexual function (IIEF) were not changed significantly. ALTP represent an excellent reconstruction option for patients with contaminated perineum. ALTP is available for replacement of the avulsed portion of the scrotal skin resulting in satisfactory shape and color of the penis and scrotum.
authors.affiliation: Department of Urology, the Ninth People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200011, China.
authors.forename: Haijun
authors.initials: H
authors.lastname: Yao
authors.forename: Dachao
authors.initials: D
authors.lastname: Zheng
authors.forename: Junda
authors.initials: J
authors.lastname: Wen
authors.forename: Ji
authors.initials: J
authors.lastname: Li
authors.forename: Mujun
authors.initials: M
authors.lastname: Lu
authors.forename: Mingxi
authors.initials: M
authors.lastname: Xu
authors.forename: Ke
authors.initials: K
authors.lastname: Zhang
authors.forename: Yueqing
authors.initials: Y
authors.lastname: Jiang
authors.forename: Zhong
authors.initials: Z
authors.lastname: Wang
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012611:Scrotum / Q000293:injuries* / Q000601:surgery*; D013524:Surgical Flaps; D013848:Thigh; D016896:Treatment Outcome