title: Reconstructive strategy and classification of penoscrotal defects.
abstract: OBJECTIVE
  To classify defects in the penoscrotal region according to their specific anatomic sites.
  
  
  METHODS
  From January 2002 to December 2012, 20 male patients underwent reconstruction for penoscrotal defects. The causative factors were Fournier's gangrene in 12 patients, extramammary Paget's disease in 4, skin tumors in 3, and deformity after a burn injury in 1. The defects were categorized according to their anatomic location: penis (P), and right (r) and left (l) scrotum (Sr and Sl), inguinal area (Ir and Il), and perianal area (Ar and Al).
  
  
  RESULTS
  Seven patients with defects in the penis received skin grafts. Defects affecting more than 2 anatomic regions or extensive defects (>100 cm(2)) were reconstructed by free tissue transfer. Other defects were reconstructed by perforator-based island flap coverage. All of the flaps survived without complications.
  
  
  CONCLUSIONS
  We introduce a classification that provides a simple way to specify the anatomic location and extent of a defect. This classification will permit more effective and straightforward reconstruction in the penoscrotal region.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Gangnam Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea.
authors.forename: Duk Kyun
authors.initials: DK
authors.lastname: Ahn
authors.affiliation: Department of Plastic and Reconstructive Surgery, The Catholic University of Korea, Seoul, Korea.
authors.forename: Sang Wha
authors.initials: SW
authors.lastname: Kim
authors.affiliation: Deparment of Urology, College of Medicine, Hanyang University, Seoul, Korea.
authors.forename: Sung Yul
authors.initials: SY
authors.lastname: Park
authors.affiliation: Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Seoul, Korea. Electronic address: younhwank@daum.net.
authors.forename: Youn Hwan
authors.initials: YH
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D002056:Burns / Q000601:surgery; D018934:Fournier Gangrene / Q000145:classification / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010145:Paget Disease, Extramammary / Q000145:classification / Q000601:surgery*; D010412:Penile Neoplasms / Q000145:classification / Q000601:surgery*; D010413:Penis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012611:Scrotum / Q000601:surgery; D012878:Skin Neoplasms / Q000145:classification / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps