title: Scrotal reconstruction with modified pudendal thigh flaps.
abstract: Scrotal skin loss can occur following trauma, Fournier's gangrene, post tumour excision, burns, etc. There are many techniques described in the literature including residual scrotal skin mobilization, skin grafts, pedicled and free flaps. The management is complex and challenging shown by the multiplicity of flaps and techniques described in the literature. We used a modified pudendal thigh flap to reconstruct scrotal defects in five patients. This study describes the vascularity of the flap, technique of elevation and the inset of the flap. The elevation and particularly the insetting make it different from other flaps raised on this vascular network for scrotal reconstruction. This pedicled flap is robust, reliable, resilient and produces a neo-scrotum that looks natural in appearance, offers good-quality skin cover and cushion to the testes as well as protective sensation.
authors.affiliation: St Andrew's Centre for Plastic Surgery, Essex, UK.
authors.forename: Nabil
authors.initials: N
authors.lastname: Mopuri
authors.affiliation: St Andrew's Centre for Plastic Surgery, Essex, UK.
authors.forename: Edmund Fitzgerald
authors.initials: EF
authors.lastname: O'Connor
authors.affiliation: St Andrew's Centre for Plastic Surgery, Essex, UK. Electronic address: fortuneiwuagwu@hotmail.com.
authors.forename: Fortune C
authors.initials: FC
authors.lastname: Iwuagwu
mesh_terms: D000328:Adult; D000368:Aged; D019115:Fasciitis, Necrotizing / Q000601:surgery*; D018934:Fournier Gangrene / Q000601:surgery*; D058752:Free Tissue Flaps; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012611:Scrotum / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D013848:Thigh / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods
keywords: Fournier's gangrene; Internal pudendal; Necrotizing fasciitis; Pedicled flap; Scrotal reconstruction